Breast Lift - Mastopexy
Breast Lift Surgery, also called Mastopexy is a surgical procedure to lift and firm breasts, giving a more shapely, fuller and far more rejuvenated appearance. This technique is particularly suitable for correcting drooping breasts which can happen as a result of childbirth, sudden weight loss or as part of the natural ageing process. The operation can be performed either without implants or with implants over or under the major pectoral muscle.
If the volume of the breast is good the Mastopexy can be performed without implants.
This type of surgery doesn’t increase the size of the breasts, however if the breasts are too small, their size can be increased by placing silicon implants underneath the tightened breast tissue. (Breast Enlargement)
Breast Uplifts are not a permanent solution as it is not possible to indefinitely delay the effects of aging. You may need to repeat this surgery at a later date.
Breast Lift Methods
In case of insufficient volume
In case of insufficient volume and mildly sagging breasts, breast implants can be used for providing the desired amount of lift while increasing volume at the same time. Depending on size of the implant required, the surgery scar can be hidden along the breast’s inframammary or around the aerola.
When there is excessive or sufficient breast volume
a. Peri-areolar Incision Method
Breast lift with peri-areolar incision can be done with or without implants. Choosing between one method or the other depends on how the breasts are drooped and of the patient’s wishes. The scar can be limited around the areola only if the breast is not too low.
b. Vertical Incision Method
This is the most commonly used method in breast reduction, and it works perfectly for slightly oversized breasts as it has limitations when it comes to removing breast tissues in large amounts. The breastfeeding potentials are also retained.
In more severe cases we need to make another vertical incision that allows the surgeon to remove the horizontal excess of skin. The Most breast’s ptosis can be managed with this technique with or without implants. Doctor Ferrando was the speaker on this subject at the Breast Conference in 2014 At Italian Society of Plastic Surgery in Bari, Italy.
c. Anchor Incision Method
This technique works best for patients with severely oversized and drooped breasts has poor skin elasticity. In this procedure, large amount of mammary glands and skin tissues are removed. The aerola will also be relocated higher up from its current position.
When the excess skin if too big the only solution is to do an additional horizontal scar inside the inframammary fold that allows the reduction of vertical redundant tissue
In all cases, sometimes during the Surgery, the patient has to be fully seated up. In this way, Dr Ferrando can check the result better.
Your consultation for plastic surgery with Mr Ferrando is an important step in the process of considering and undergoing cosmetic or reconstructive procedures.
This initial meeting allows the patient and surgeon to discuss goals, expectations, and potential outcomes, as well as evaluate the patient’s eligibility for the desired procedure. It will be an opportunity to ask questions or clarify any concerns that you may have. You will look at the “before and after” images of previous patients and get further information you need to make a decision.
Mr Ferrando will review your medical history and conduct a physical exam. He will then discuss all options suitable for you and explain each stage of the procedure or treatment. The exact procedure depends on the anatomy of the patient.
Our team believes that a well-informed, comfortable patient is one of the most important elements of the process. Whether you move forward with surgery or simply learn more, Dr Ferrando is looking forward to meeting you!
Prior to surgery, Mr Ferrando will mark out guidelines onto your breasts with a pen while you are standing up. It will ensure perfect positioning and shape. This is also an opportunity for you to ask any last minute questions you may have.
An incision is made around the areola and runs further from the bottom edge to the crease under the breast. The areola will be moved to a higher position to give a firmer and more youthful appearance.
Breast Lifts can also be performed in combination with Breast Enlargement Surgery which involves implants placed under the breast tissue or underneath the muscle of the chest wall.
Once the implant is inserted into position the incision is carefully closed and a dressing will be applied to protect and support your breasts.
Anaesthesia and length of the procedure
The operation is performed under general anaesthetic and normally takes around 2 to 3 hours to complete depending on the extent of the procedure. You will need to stay in the clinic overnight.
You may feel tired and tender for the first few days after surgery with slight swelling and bruising in the breast area. This is only temporary. Mr Ferrando will prescribe you pain relief medication to ease your discomfort.
Drainage tubes may be attached to your breasts and will be removed before you leave the clinic. You will need to keep the dressing on for a couple of weeks. Some type of stitches are dissolvable and will disappear over time where as others will need to be removed 7 to 10 days after surgery. You will be required to wear the recommended sports bra, day and night, for the first 6 – 12 weeks to ensure the necessary support your breasts will need at this stage.
Patients are recommended to have at least one week off work to allow time to rest and recover comfortably at home. Any exercise or heavy lifting should be avoided for at least three weeks.
Risks and Side Effects
All surgeries carry certain risks and even though they are rare you should be aware of them before making your decision. Mr Ferrando will talk you through any possible risks and side effects at his consultations as they will vary depending on the patient’s anatomy, age, condition and lifestyle.
During his procedures and treatments, he does everything possible to minimise the risk of complications by practicing a meticulously detailed approach and applying his world-class training background.
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This initial contact allows the patient and surgeon to discuss goals, expectations, and potential outcomes, as well as evaluate the patient’s eligibility for the desired procedure.
It will be an opportunity to ask questions or clarify any concerns that you may have and get further information you need to make a decision.