If the breast is no longer pleasing, stretched and dropped - there is only one method to correct the situation: the correction of the shape of the breast surgically.
The breast lifting surgery is called mastopexy and its main task is to restore the beautiful form of the breast. In this case, the sagging excess of skin and adipose tissue will be removed; the nipple will be transferred to a more appropriate place from an aesthetic point of view, superimposed cosmetic sutures for maximum effect.
4 main causes of prolapsus and deterioration of the breast:
- Heteronal background fluctuations during pregnancy.
- Breastfeeding most often spoils the shape of the mammary glands.
- The shape of the bust is affected by the change in body weight of a woman.
- With age, there is a decrease in tone and loss of elasticity of breast’s skin, which greatly worsens its appearance.
The technique of a breast lift can be chosen only after examination at the internal consultation. For a preliminary assessment of the situation, you can send us a photo.
Depending on the degree of ptosis, we can recommend a peri-lateral, anchor or vertical technique of the operation. In some cases, to obtain an ideal breast shape, mastopexy can be combined with an increase with breast implants, as well as correcting the shape of the nipple and areola.
If a woman plans to have children in the future, mastopexy is not recommended. Pregnancy and feeding of the child will reduce the entire effect from the operation to "zero".
It’s suitable for patients with a slight prolapsus (pseudoptosis).
In fact, this method can’t be considered a full-fledged breast lift, although it provides a lifting effect. Incision of the skin is made around the areola and excess skin around the areola is removed. Then the incision is sutured and the chest is lifted by stretching the skin around the nipple. A very good result is this method, together with breast implants.
Pros - little traumatic, inconspicuous postoperative suture.
Cons - later the breast can fall due to adipose tissue in the lower part of the breast, the same cause can affect the stretching of the sutures, and the method does not work with a more pronounced ptosis.
It is shown to patients with ptosis of 1-2 degrees.
Here, the incision is made not only around the areola, but also descends to the submarine fold under the breast. Removed excess skin according to the vertical pre-operative marking, the nipple together with the areola moves to a new location, the lower pole of the breast is fixed by the sutures for the fascia of the breast.
After this, cosmetic sutures are applied and, if it is necessary there are added drains.
Pros - an obvious improvement in shape, the visible effect of lifting and even increasing the volume of the breast. Cons – is not suitable for more severe ptosis.
With a strong lowering of the bust (ptosis 3-4 degrees), the anchor method is prescribed. The size and shape of the breast after surgery predetermines the correct preoperative marking and here much depends on the experience of the plastic surgeon. Marking predetermines the shape and size of the breast after surgery. The doctor is marked a new location for the nipple. The incisions are made strictly by marking, and then the skin fatty layer exfoliates to the areola of the nipple and moves to a new place, fixed by internal sutures. The lower pole of the breast moves higher and is fixed by the sutures behind the fascia of the large pectoral muscle. Then, layer-by-layer suturing of the operating wound is performed and drainage is output.
Pros - the ability to correct any complexity, long-term aesthetic effect.
Cons - more traumatic surgery, more scars and longer period of rehabilitation.
Rehabilitation after breast lifting surgery
The rehabilitation period after mastopexy basically proceeds without strong painful sensations. As well as after any surgery on the breast, it is not recommended to raise your hands high upwards and, the more, to reach for something, as the sutures are stretched. Also it is necessary to limit the physical load for the next 2-3 months. The sutures are removed two weeks after the surgery. For a month after a chest tightening, you need to walk in a compression bra. The final result of the operation can be estimated after 6-12 months.
Possible complications of mastopexy
- in the early postoperative period, there may be festering or bleeding. The degree of risk is 0.1-0.5%.
- coarse (keloid, hypertrophied) scars. Risk level 1-5%.
- secondary ptosis after a breast lift as a result of technical errors during the surgery.
dissatisfaction with the appearance of the operated breast due to inflated expectations or due to lack of awareness.
The patient is 39 years old, 3 children. After consultation and discussion of this decision with the patient, a vertical mastopexy was performed. Photo after surgery in 3 months.
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