Combined Mastopexy & Breast Augmentation
Mastopexy is surgery that allows lifting of the sagging breast, repositioning the nipple–areola complex and re-coning the breast tissues. Where breast augmentation is also appropriate, a combined procedure may be undertaken.
Over time, breasts can show signs of both deflation and sagging. The surrounding suspensory ligaments, as well as the skin envelope, which help maintain the breast glandular tissue in place, lose their elasticity and as a result the breast sags. This is compounded by deflation of the breast glandular tissue secondary to breastfeeding, general ageing and hormonal exposures. Some patients want not only to have their breasts restored to a more youthful appearance, but also to have their size augmented with implants. Our breast implants are of the highest quality and come with a lifetime guarantee supplied by the manufacturer.
Breast surgery is one of Dr Farhadieh’s areas of special interest and expertise. He brings excellence in surgical art, and uses techniques that are grounded in the best up to date scientific knowledge and experience. As an internationally recognized plastic surgeon he has both provided invited expert commentary for international plastic surgery journals as well as authored a chapter on this topic in an international plastic surgery textbook: Plastic and Reconstructive Surgery: Approaches and Techniques.
During your initial consultation, Dr Farhadieh will review your past medical history thoroughly. This includes any past history of thyroid gland abnormalities, high blood pressure, diabetes and smoking. Regular medications will be recorded; this includes use of any blood thinners and dietary or herbal supplements. You will be asked to clearly explain what concerns you the most, and what issues you wish to have addressed. A physical examination will be carried out, and preoperative photographs taken. These will form part of your confidential medical records. Dr Farhadieh will discuss various options for breast rejuvenation with you and what may be suitable for your needs.
If you are a smoker you will be asked to give up smoking for 3–6 weeks prior to surgery and for 3–6 weeks after surgery. All aspirin and blood-thinning medications or supplements should be stopped at least 2 weeks prior to surgery, where appropriate. Mastopexy is often performed as a day procedure. You should arrange to have someone to drive you home and stay with you overnight afterwards. Oral pain relief medication is given during the first week after surgery. Although most regular activity can be commenced in the first few days, strenuous activities (particularly upper body exercises) should be avoided for at least 6 weeks. Sexual activity can resume after 1 week, although extreme care must be taken with the breasts, which will take 6 weeks to heal. Supportive garments can help reduce postoperative swelling and should be worn during the first 6 weeks.
Any surgery may be followed by complications, but fortunately these are uncommon in mastopexy. Dr Farhadieh will discuss these with you during your consultation.
‘Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.’
Frequently Asked Questions
Is the surgery painful?
There is some discomfort associated with surgery. Although most patients report a tightness rather than pain due to excellent pain control regime we utilise which includes local anaesthetic for the immediate postoperative period as well as powerful analgesics.
Will the shape of my breasts change during the recovery phase?
The breasts will not only heal during the first 6 weeks, but will also gradually find their natural postoperative position. Gravity, healing and surgery drive this process.
The final shape is usually reached by 3 months. The incision scars will fade over the first 12 months and will often be barely visible beyond the first year.
When will I be able to resume normal activity?
Within 2 weeks you will be back at work and be able to resume most normal activities. During the subsequent weeks you will return to your pre-surgery levels of activity. We have a postoperative regime to help you through this time.
Where will the scars be placed?
Your scars are routinely placed under the breast fold hidden from view. Not only does bras or swimwear hide the scar, in time it will fade and be barely perceptible.
Dr Farhadieh commonly utilised a short scar mastopexy approach which entails an incision around the nipple and extending down the breast vertically.
What will my follow up include?
Dr Farhadieh believes that the doctor-patient rapport is amongst the most sacred and privileged relationships. Our practice is based on compassion, honesty, transparency and above all, patient welfare.
We pride ourselves on making sure that you feel supported through each stage of the journey. We will be available during all stages of your journey and will schedule short, medium and long term follow ups as part of our overall practice.