The breast lift is the surgical procedure by which breast ptosis ("fallen") is treated. The causes for breast ptozarii are different for each person, the most important being:
- multiple tasks
- a long period of lactation
- sudden and massive decrease in body mass etc.
Sagging breasts can be of normal consistency or lack volume and the recovery procedures to a normal breast contour is different in each of these two cases.
Breast ptosis has 3 degrees of severity, depending on the position of the areola-nipple in relation to the inframammary fold (inframammary). This classification is very important and is an important tool in establishing the surgery plan by your doctor. The technique chosen is chosen considering the ptosis level, the more severe the ptosis, the more scars resulting.
If the breast is lacking volume and ptosis is relatively small, breast correction can be done only by placing a silicone implant that fills the mammary gland, giving it volume when placed in a satisfactory position. In this case the only scar is placed in the inframammary fold.
If breast ptosis is larger and lacks volume, then, with the introduction of the implant, the skin in surplus should be excised, the incision resulting in a scar in the periareolar area (around the areola). In cases of severe ptosis, the periareolar scar is accompanied by another vertical scar and sometimes one which will be placed in the inframammary fold (the inverted "T" scar ).
Frequently Asked Questions
What are the recommendations of breast lifting (mastopexy)?
The breast surgery addresses the following types of patients :
- patients who understand that the scar will be final and accept them as such.
- patients who have a higher or lower ptosis with or without volume deficit, and for whom this defect has psychological implications
- if you are young, breast development must be complete
- emotionally mature patients, who understand perfectly the motivations for which they want this surgery
- patients with realistic expectations, understanding that this operation brings improvements, not perfection
What are the stages of scar healing after a breast lifting (mastopexy) surgery?
Scars heal in several phases. Until about six months, scars are in a continuous process of reworking, beeing red and larger. After this period, their maturation occurs, scars turn white and eventually heal by forming fine white lines.
The healing process not only depends on the surgical technique, that needs to be correct, and also on the type of suture material, that needs to be of the highest quality. A very important factor is the way each of us heals. About this factor the surgeon can not do much. Sometimes it takes a retouch of the postoperative scars, retouch made under local anesthesia, after at least 6 months after the primary surgery.
What are the possible complications of the breast lifting (mastopexy) surgery?
This surgical method can have immediate postoperative complications:
- massive bleeding
- skin necrosis
- suture loosening trances etc.
Certain steps are taken to prevent complications: hospitalization for 24 hours in our clinic, the use of vacuum drainage for 48 hours, an appointment after 48 hours to remove the suture material. It is also mandatory to respect any appointment your doctor asks for!
Other complications can occur in time, namely:
- poor healing
- malpositioning of the areola-nipple
- capsular contracture when using breast implants
- malpositioning of the breast implants compared with the mammary gland
- breast asymmetry etc.
What are the contraindications of the breast lifting (mastopexy) surgery?
Contraindications for this technique are:
- serious blood diseases
- serious infectious diseases
- autoimmune diseases
- serious dermatological diseases
- tendency to keloid formation
How can I tell if in my case breast lift should be done with or without breast implants?
Your surgeon will ask you to come to several preoperative consultation visits before deciding on the surgery. This visits serve as to fully inform both of you about the operation. During these consultations you will be measured and the surgeon will propose one or more methods to solve your problem on which you have to decide. You will be shown pictures of some patients similar to you, who are on different phases of the healing process and you will see how the end result looks like. Thus you will know exactly what to expect.
As a general valid rule that could turn the situation less personal, if your breasts are totally lacking volume and have excess skin, if the nipples are large and the areola is fallen much, then definitely you will need a lifting implant. If your breasts are drooping more or less, but the volume is significant when lifting, you will not require mandatory implant surgery because the existing volume can be ascended.
How soon after the breast lifting (mastopexy) surgery can I resume my normal life?
The healing of the trance suture will last 10 to 12 days, interval after which the sutures will be extracted. We welcome the use of a bustier for support for at least two months after the surgery. Postoperative scars must be tended daily by applying special creams or patches.
If the posoperatorie scar is only in the periareolar area, then we welcome UV exposure immediately after the surgery, causing hyperpigmentation and ultimately making them less noticeable! If there are multiple scars, then UV exposure is an absolute contraindication for at least 6 months .
After two months you can give non stop wearing the bustier which will then be replaced with a normal day bra. All movements of the arms will resume gradually, the intensity of physical activity will increase gradually from one week to another, so after 2-3 months all activities should be back to normal.
Although these treatments are very effective, 1% of the patients do not achieve the desired results!