The breast lift (mastopexy) is the surgery that lifts the nipple and around the breast in the correct position on the chest. When you are happy with the size of your breasts but the breasts are sagging or the nipple is facing down, then breast augmentation is the right surgery for you. Falling nipple and breast may be due to breastfeeding or age or severe weight loss. In certain cases the erection can be combined with an augmentation (use of implants) to increase the size.
The operation briefly
The breast lift is done with special techniques that preserve the function of the breast (breastfeeding, sensation). The nipple is lifted to a new position and held in a tissue islet. Excess skin is removed and the rest of the breast is reshaped with internal sutures, resulting in a raised and firm breast. No breast is removed at all, the tissues are simply repositioned in the correct position, for the benefit of the shape. Breast augmentation is technically different from surgeon to surgeon but I prefer the “vertical” method that leaves no horizontal incision at all, so that the marks are much less than other techniques, such as “inverted anchor”.
A sports bra will keep the chest in its new position for 4-6 weeks. There may be drains (depending on the case) for 2-3 days and you need to abstain from sports for 4 weeks. For 3-6 months the new breast will react differently to menstruation, until you get used to the new condition.
At 6 months a mammogram or MRI will be needed to map the new breast. This image will be the basis for comparison of any subsequent examination.
The marks will depend on the technique used. They tend to be quite brown in the first 6 weeks, turn pink in the next 3 months and then the incisions fade and become white. The use of a special laser but also special films and silicone gel will help a lot. Most of the patients will have very good quality scars over time. Scars from other wounds give a relatively good indication of how they will mature in the chest.
Drugs and smoking
The breast lift requires proper preparation, like any surgery.
It is always better if you do not smoke. If you are a smoker try to quit smoking for 4 weeks before and 4 weeks after surgery. If you can not quit smoking, you will definitely be able to reduce the number of cigarettes you smoke per day to 5, which will significantly reduce the chances of complications (bruises, bruises, swelling).
Do not take herbal medicines for about 10 days before surgery or for 3 days after (arnica etc.). Also avoid aspirin (salospir), 7-10 days preoperatively, and anti-inflammatory 3-4 days preoperatively.
The following are the most common but there are others that are mentioned in the international literature.
Wet / Hematoma : serum or blood collection normally in 2 to -4 is week. Needle suction or drainage required.
Bleeding : needs immediate treatment
Contamination : Prophylactic antibiotics are always given but microcysts / microabscesses may form at the suture site.
Nipple anemia / hypersensitivity : usually the aesthetics return in a few weeks.
Deformed scars : prevented by using a special laser but also special tapes and silicone gel.
Asymmetry / Wrong nipple position : requires correct preoperative measurements but if it occurs it is easily corrected with a little local anesthesia.
Postoperative Instructions: After Breast Reconstruction surgery
Before and After Photos