Dr. De Fazio Plastic Surgeon :: Procedures :: Breast :: Mastopexy, breast lifting

Mastopexy

tl_files/interventi/seno_mastopessi.jpgMastopexy is a procedure aiming to reshape and raise the breast without volume enhancement or reduction. 
The procedure consists of reshaping the mammary tissue by moving the areola to a higher position, increasing the consistency of the breast, and removing excess skin. Mastopexy does not imply volume enhancement; yet, if the patient requires it, mastopexy can be combined with breast augmentation with implants.

ANESTHESIA:
general
TREATMENT LENGTH:
2 to 3 hours
STAY IN HOSPITAL:
1 day / day surgery
RECOVERY TIME (BACK TO SOCIAL LIFE):
2 weeks


Mastopexy

Mastopexy is a procedure aiming to reshape and raise the breast without volume enhancement or reduction.
The procedure consists of reshaping the mammary tissue by moving the areola to a higher position, increasing the consistency of the breast, and removing excess skin. Mastopexy does not imply volume enhancement; yet, if the patient requires it, mastopexy can be combined with breast augmentation with implants.

Pre surgery

Mastopexy is a procedure aiming to reshape and raise the breast without volume enhancement or reduction.
The procedure consists of reshaping the mammary tissue by moving the areola to a higher position, increasing the consistency of the breast, and removing excess skin. Mastopexy does not imply volume enhancement; yet, if the patient requires it, mastopexy can be combined with breast augmentation with implants.


The procedure

Although not as well known as breast augmentation or breast reduction, mastopexy is a procedure requested very frequently. The procedure is performed in a clinic and the patient can be dismissed the same day or the day after.

The procedure is performed under general anesthesia, thus, the patient is put to sleep completely; a different kind of anesthesia can anyhow be discussed with the anesthetist.

The necessary measurements and drawings are made before putting the patient to sleep, in a standing or sitting position. These drawings will be a guideline for the incisions during surgery when the patient is lying down with the face up (supine position).

The procedure consists of removing part of the breast skin, moving the areola to a higher position and tightening the surrounding tissue to reshape and support the new breast contour. When combined with breast augmentation, the implant is inserted at this point. The surgeon will close the incisions with absorbable sutures (stitches), which don't need to be removed.
The scars left by this procedure will become less and less visible with time, but they are permanent. The scars are depending on the reshaping needs and the technique used; there can be just one periareolar scar or also a vertical scar or, if necessary, another scar in the inframammary fold; the length of the latter can be estimated during the pre-operative consultation. There will be no scars above the areola, in the upper quadrant of the breast. Drains are normally applied to avoid serous fluid and blood collections inside the breast.


Post-operative care

The dressing will be removed by the surgeon and cannot be removed or soaked by the patient. 24-48 hours after surgery the drains will be removed.
For two weeks after surgery, it is strongly recommended to avoid: lifting the arms over the head, strains and sleeping with the chest down (prone position).
The patient can have a bath or a shower after that the dressing has been removed, thus normally about one week after surgery. It is anyhow not recommended to stay too long in the bath tab.

After the procedure

Pain. Pain after this procedure is rarely strong; normally the patient feels only some discomfort. Analgesics are always prescribed to be taken both during hospitalization and back home.

Swelling. Some swelling always occurs after this procedure, but it decreases gradually until it disappears completely. A modest degree of edema might stay for a few weeks or, in some cases, a few moths. The patient will be asked to wear a confortable sport bra immediately after surgery and this must then be used night and day for 3 months. A suitable bra can also be supplied by the surgeon. The dressing will be removed at the first check-up, which is normally done one week after surgery.

Possible complications

Complications are rare and, if they occur, they are responding readily to proper treatment, without affecting the final result of the procedure.

Bleeding. If bleeding occurs after surgery, the blood can accumulate inside the breast and, as a consequence, it can be necessary to re-open one of the wounds in order to remove it and prevent any further bleeding.
Infections. They are very rare and, when occurring, they respond to antibiotic therapy very quickly.
Loss of sensitivity in the nipple. This is a rare complication and anyhow temporary, and, therefore, sensitivity will be completely resumed with time. Only in rare cases it can be permanent.

Occasionally, a scar revision surgery might become necessary in order to get the best aesthetical result. The scar revision is a minor outpatient surgery, which can be performed under local anesthesia at least six months after the mastopexy.

Recovery time (back to social life)

Work and social life should be reduced for at least 2 weeks after surgery. If the patient's job implies physical activity such as lifting heavy objects, pushing, etc... the recovery time has to be longer.
Sports can be resumed after 3 weeks, but intense and heavy sports should wait at least until 6 weeks after surgery.
Driving, routine activities at home and sexual activity can be resumed one week after surgery.

Photogallery