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MASTOPEXY

"Mastopexy requires an approach of creativity, technique and passion to achieve the art that is needed in the ideal result."

General Overview

 

 

 

 

A breast lift, also known as mastopexy, is a surgical procedure performed by a plastic surgeon to modify the shape of the breasts. During a breast lift, excess skin is removed and the breast tissue is reshaped to lift the breasts.

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You may choose to undergo a breast lift if your breasts are sagging or if your nipples are pointing downward. A breast lift may also improve your self-image and self-confidence.

This surgery will not significantly change the size of the breasts. However, it can be done in conjunction with a breast augmentation or reduction surgery.

Why it is performed?

As you age, your breasts change, losing elasticity and firmness. There can be many causes for this type of change in the breasts, among them:

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  • Pregnancy. During pregnancy, the ligaments that support the breasts may stretch, as the breasts become fuller and heavier. Stretching can contribute to sagging breasts after pregnancy, whether or not you breastfeed your baby.

  • Weight Variations. Changes in your weight can cause breast skin to stretch and lose elasticity.

  • Gravity. Over time, gravity causes the breast ligaments to stretch and become flaccid.

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Cosmetic breast surgery can reduce sagging and elevate the position of the nipples and the dark area surrounding the nipples (areolas). The size of the areolas may also be reduced during the procedure to maintain proportion with newly reconstructed breasts.

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You may consider undergoing cosmetic breast surgery in the following cases:

 

  • Breasts look flaccid: have lost their shape and volume, or have become flatter and elongated.

  • When breasts are not grasped, nipples fall under the fold of each breast

  • Nipples and areolas point downwards.

  • The areolas have been stretched and are disproportionate to the breasts

  • One breast is lower than the other.

 

Cosmetic breast surgery is not for everyone. If you're thinking about getting pregnant in the future, you can postpone cosmetic breast surgery. During pregnancy, breasts can stretch and change the results of cosmetic surgery.

 

Breastfeeding should also be considered. Although it is usually possible to breastfeed after cosmetic breast surgery (since the nipples do not separate from the underlying breast tissue), some women may have difficulty producing enough milk.

While cosmetic breast surgery can be performed on breasts of any size, women with smaller sagging breasts are likely to have longer-lasting results. Larger breasts are heavier, making them more likely to become flaccid again.

Risks

A cosmetic breast surgery presents several risks, such as the following:

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  • Scars. Although the scars are permanent, they will soften and disappear within one to two years. Scars from cosmetic breast surgery can usually be hidden under a bra or bathing suit. Rarely, poor scarring can cause scars to become thick and wide.

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  • changes in sensation of the nipples or breasts Although tenderness usually recovers within several weeks, some tenderness may be permanently lost. Erotic tenderness is usually not affected.

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  • Irregularities or asymmetry in breast shape and size. This may occur as a result of changes during the healing process. In addition, the surgery may not successfully correct the pre-existing asymmetry.

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  • Partial or total loss of nipples or areolas. Rarely, the blood supply to the nipples or areolas is interrupted during cosmetic breast surgery. This can damage the breast tissue in the area and result in partial or total loss of the nipple or areola.

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  • Difficulty breastfeeding. Although breastfeeding is usually possible after cosmetic breast surgery, some women may have difficulty producing enough milk.

 

Like any major surgery, cosmetic breast surgery involves risk of bleeding, infection, and adverse reactions to anesthesia. It is also possible to have an allergic reaction to the adhesive fabric or other materials used during or after the procedure.
 

How to prepare yourself.

As a first step, you will talk to an aaesthetic surgeon about breast lift. During your first consultation, your plastic surgeon will likely do the following:

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  • It will also take into account the quality of the skin tone. The skin of the breasts that has a good tone will hold the breasts in a better position after a breast lift. Your doctor may also take pictures of your breasts for your medical record.

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  • I checked your medical records. Be prepared to answer questions about current and past illnesses. Tell your doctor if you have a family history of breast cancer.

  • Share the results of mammograms or breast biopsies. Talk about any medications you are taking or have recently taken, as well as any surgeries you have had.

 

  • I gave you a physical. To determine treatment options, your doctor will examine your breasts, including the position of your nipples and areolas.

 

  • Analyze your expectations. Explain why you want to have a breast lift and what you want to look like after the procedure. Make sure you understand the risks and benefits, such as scarring and changes in nipple or breast tenderness.

 

Before a breast lift, you may also need to do the following:

 

  • Schedule a mammogram. Your doctor may recommend an initial mammogram before the procedure and another mammogram a few months later. This way, the medical team will be able to see changes in breast tissue and interpret future mammograms.

 

  • Stop smoking. Smoking reduces blood flow to the skin and can slow the healing process. If you smoke, your doctor will recommend that you stop before surgery.

 

  • Avoid the consumption of certain medicines. You will probably have to avoid taking aspirin, anti-inflammatory medications, and herbal supplements, which can increase bleeding.

 

  • Organize for help during recovery. Arrange for someone to drive you home after surgery and stay with you as you begin to recover. You may need someone to help you with daily activities, such as washing your hair, during your initial recovery.

 

  • Maintain a healthy weight. Consider making changes to your diet or participating in an exercise program to help you lose weight if you've gained weight in the past year.
     

What you can expect.

A breast lift may be done in a hospital or in an outpatient surgery center. Sometimes the procedure is performed with sedation and local anesthesia to numb only part of the body. In other cases, general anesthesia is recommended, which makes you unconscious.

 

During the procedure

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Different techniques may be used to remove the skin from the breasts and reshape the breast tissue. The specific technique the plastic surgeon chooses will determine the location of the incisions and the scars that will be generated.

 

The doctor may make incisions in these locations:

 

  • Around the areola, the darker area surrounding the nipples

  • Downward, from the areola to the mammary folds

  • Horizontally in the mammary folds

 

The doctor may make incisions inside the breasts to reshape the breast tissue and, if necessary, reduce the size of the areola. He or she will remove excess skin from the breasts and move the nipples higher up. Next, the doctor will gather the skin from your breasts and close the incisions with sutures, surgical tape, or adhesive strips to close the skin.

 

The procedure usually takes between two and three hours, and you can go home the same day as the procedure.

 

 

After the procedure

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After a breast lift, the breasts will probably be covered with gauze and a post-operative compression bodice. Small tubes may be placed at the incision sites to drain excess blood and fluid.

 

Breasts may be swollen and bruised for about 2 weeks. You will probably feel pain in the areas near the incisions, which will be red or pink for a few months. Nipple, areola, and breast skin numbness may last about six weeks.

For the first few days after a breast lift, take pain medication as recommended by your doctor. Avoid tension, bending or lifting objects. Sleep on your back or side to avoid pressure on your breasts.

 

Avoid intercouse for at least 1 to 2 weeks after a breast lift. Ask your doctor when you can resume your daily activities, such as washing your hair, showering, or bathing.

Some tubes may need to be placed near the incisions, which are usually removed in just a few days. When the doctor removes the tubes, he or she will probably change or remove your bandages as well.

 

Talk to your doctor about when your stitches will be removed, or if they should be removed. Some stitches dissolve on their own. Others should be removed in the doctor's office, usually one to two weeks after the procedure.

 

Keep wearing the post-op compression bra all day, for three or four days. Then you can wear a light compression bra for three to four weeks. Your doctor may suggest using silicone tape or gel on the incisions to promote healing.

 

During the healing period, do not expose the breast area to the sun. Then protect your incisions during sun exposure.
 

Results

You will notice an immediate change in the appearance of the breasts, although the shape will continue to change and will be fixed over the next few months.

At first, the scars will look red and bulge. Although the scars are permanent, they will soften and become thinner and whiter in a year or two. Scars from a breast lift can usually be hidden in bras and bathing suits.

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You may notice that your bra size is a little smaller after undergoing a breast lift, even if a reduction mammoplasty has not been performed in conjunction with the procedure. This is simply because the breasts become firmer and rounder.

The results of a breast lift may not be permanent. As you age, your skin will naturally become less elastic and sagging may occur, especially if you have large, heavy breasts. Having a healthy, stable weight can help you maintain results.

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