Breasts can lose their shape naturally for a number of reasons, understandably affecting a woman’s self confidence. A mastopexy will reshape and restore their appearance.
Breasts sadly have a tendency to sag over time. This can be due to the effects of breastfeeding, weight loss, or simply a function of the ageing process. The sagging occurs because the suspensory ligaments within the breasts loosen.
Mastopexy, or Breast Uplift surgery, can correct the effects of sagging breasts, and can either be performed in isolation, or in conjunction with other related procedures – Breast Augmentation to achieve a fuller breast, or Breast Reduction to achieve more comfortable proportions and relieve aches and pains. Whatever the cause of the drooping, Dr Marcellino can reconstruct and remodel the breasts, restoring a firmer and more youthful position and appearance.
Mastopexy: The Procedure
The procedure for breast uplift involves repositioning the areola, nipple and the mammary tissue into a higher position, removing and remodelling the excess skin in the lower part of the breast. Mr Marcellino is an expert at this procedure, which is normally performed under general anaesthetic and takes between two and three hours.
You are likely to need to stay in hospital for one or two nights. Mastopexy can involve a range of different ‘lifts’, depending upon the extent of sagging presented, but will usually be one of the four techniques detailed below. Dr Marcellino will discuss which will be most suitable for you at your consultation. The Mastopexy is also commonly associated with the use of implants to achieve a better volume when necessary
The ‘Anchor’ Lift
With this procedure, an anchor shaped incision is made on the areola and breast crease. Dr Marcellino will tend to use this method in patients who have severe ptotic or sagging breasts.
The ‘Lollipop’ Lift
The lollipop lift is a form of mastopexy in which the sagging skin of each breast is pulled upwards, correcting droopiness. Dr Marcellino will use this procedure with patients who have a reasonable degree of drooping skin.
The Circumareolar Reduction, or ‘Donut’ Lift
Dr Marcellino will use this form of breast uplift on patients with moderate to mild sagging.
The Crescent Lift
Dr Marcellino will use this technique for those patients with only very mild sagging.
Mastopexy: Before Your Surgery
- If you smoke it is strongly recommend that you stop at least two weeks prior to your surgery in order to help healing and reduce the risk of infection. Ideally you should stop 8 weeks beforehand.
- If you take aspirin or any other medication you should make Dr Marcellino aware of this at your consultation as it may need to be discontinued for a short period of time before and after your surgery.
- You will need to purchase a sports bra which you should take with you to the hospital on the day of your operation. Dr Marcellino will advise upon selection of an appropriate size.
- With general anaesthetic you will be asked to follow fasting instructions. This means not eating or drinking for around six hours before the operation. Both Mr Marcellino and your anaesthetist will provide precise advice on this in advance of your procedure.
Mastopexy: On the Day of Your Surgery
- Please ensure that you arrive at the hospital in good time ahead of your operation.
- Dr Marcellino will visit you in your room prior to your surgery, marking your breasts with a pen in preparation for the procedure, also affording you the opportunity to ask any last minute questions you might have. A final consent form will also need to be signed at this point.
- A personal nurse will be assigned to you to ensure your comfort and care throughout.
Mastopexy: After Your Surgery
- You are likely to experience some pain after the operation. Pain relief will be made available to manage this.
- During the procedure a drainage tube will be inserted into each breast. These will be removed before your discharge from hospital.
- As with any surgical procedure there will be some scarring. However, the only scars will be around the areola (which, in most cases, will become almost invisible over time) and vertical to the groove under the breast.
- A post-operative appointment will be made for you with Dr Marcellino around seven days after your surgery during which your wounds will be cared for. It is very important to keep the wounds dry and leave all the dressings intact in this period. Please do not wear an underwired bra after surgery until you have discussed with Dr Marcellino whether you have reached the stage of recovery that permits this. If your stitches need to be removed, he may also take them out at this time.
- You will need to wear a sports bra, day and night for between six and twelve weeks to keep your breasts supported.
- Dr Marcellino will advise upon how long you are likely to need to stay off work, although this tends to be around two weeks depending on your occupation. He will also let you know when you can recommence with normal activities including exercise.
What to Consider
- With any cosmetic surgery it is important that you carefully consider your decision and what it is you would like to achieve from your treatment. It is crucial that those considering surgery have realistic expectations and are in good health.
- As with all surgical operations, there are also some potential risks and complications to consider. Dr Marcellino will discuss these with you at your consultation, addressing any questions or concerns you may have.
- Please be aware that you will feel tired for the first few weeks following your surgery and will need someone to look after you and relieve you of domestic duties and chores.
- Some thought should be given to practical considerations such as child care provision in the days following your operation, which should ideally be set aside for rest and recovery.