If you have sagging breasts due
to past pregnancies, genetics, or aging.
If the sagging is too great to
be treated with an implant alone.
If your nipple-areolar complexes
(pigmented areas around nipples) are enlarged.
INTENDED RESULT
A mastopexy or breast-lift operation
is designed to improve the shape and position of the breasts
without reducing their size. It is used for breasts which sag
but are not large. Sagging of the breasts may occur with normal
development for some women, or as part of aging. Pregnancy,
breastfeeding, and weight loss are other conditions which increase
breast ptosis (sagging). Some patients will have a better shape
to their breast if an implant is used at the time of mastopexy.
An elevated, more youthful breast
contour.
Nipple-areolar complexes of the
desired size and at the correct height.
PROCEDURE DESCRIPTION
The procedure is done on an outpatient
basis under sedation and local or general anesthesia.
There
are a variety of techniques for these operations. Most commonly
there is an incision around the areola, another between the
areola and breast crease, and a third within the crease under
the breast. This is an "anchor-shape"
or inverted "T" incision. On occasion, especially with mastopexy,
these incisions may be modified and more limited. Some operations
may require only the incision around the areola.
The nipple-areolar complex is
repositioned higher, the excess skin is removed, and the breast
is reshaped in a pleasing contour and in a more normal position.
The insertion of an implant as
well, may be advisable.
RECUPERATION AND HEALING
You will go home in a bra, or
with only light dressings over the incision lines.
Sutures are usually completely
removed within 1-2 weeks.
Initial discomfort is easily controlled
with oral medication. Light activities may be started in 7-10
days.
OTHER OPTIONS
Additional procedures which may
enhance the result are a small breast reduction or breast enlargement.
INSURANCE GUIDELINES
This procedure is considered cosmetic
and therefore is not covered by insurance. You are responsible
for payment.
NOTE
Gravity continues to have its
effect, and there is a tendency for the skin of the breast to
stretch over a long period of time. Women vary a great deal
in this respect. In general, the smaller the breasts the less
tendency for sagging to recur. If the breasts sag again, further
excision of the skin on an outpatient basis can be used to correct
the problem. If we try to lift heavy breasts without making
them smaller at the same time, sagging will return soon. One
key to a satisfying result is realistic expectations.
The specific risks and the suitability
of this procedure for a given individual can be determined only
at the time of consultation. All surgical procedures have some
degree of risk. Minor complications that do not affect the outcome
occur occasionally. Major complications are rare.
