MASTOPEXY (BREAST LIFT)
Mastopexy is a term applied to aesthetic surgical procedures designed to lift and reshape sagging breasts into a better position and contour. If you are satisfied with your general breast size but concerned about its drooping appearance, you may want to consider a mastopexy.
With increasing age, a breast naturally deflates and sags; this is part of the normal atrophy and ageing process. The surrounding suspensory ligaments, as well as the skin envelope that helps maintain the breast glandular tissue in place, lose their elasticity and as a result the breast sags. This is compounded by further deflation of the breast glandular tissue secondary to breastfeeding, general ageing and hormonal effects.
During your initial consultation, Dr Farhadieh will thoroughly review your past medical history, including any history of thyroid gland abnormalities, high blood pressure, diabetes and smoking. Regular medications will be recorded, including blood thinners and dietary supplements. You will be asked to clearly point out what concerns you the most and what issues you would wish to have addressed. A physical examination will be undertaken and preoperative photographs taken as part of your confidential medical records. The options for breast rejuvenation will be discussed with you thoroughly, including any possible complications.
The simplest way to think of a breast is as comprising a skin envelope, conical breast content and the nipple. Surgery involves a periareolar incision (surrounding the nipple–skin juncture) and a vertical incision on the lower part of the breast to gain access to the breast tissue. The surgery then seeks to re-cone the breast shape and reposition the nipple–areola complex to a more youthful position. Mastopexy is often performed as a day procedure and you should have someone to drive you home and stay with you overnight after the procedure.
Smokers will be asked to stop smoking for 3–6 weeks prior to surgery and to abstain for at least 3–6 weeks after surgery. All aspirin and blood-thinning medications or supplements should be ceased at least 2 weeks prior to surgery, where appropriate.
After the surgery you will be given oral pain medication to take during the first week. Although most regular activities can be commenced in the first few days, strenuous activity, particularly upper body exercises, should be avoided for at least 6 weeks. Sexual activity can resume after one week, but extreme care must be taken with the breasts, which will take 6 weeks to heal. Supportive garments can help to reduce postoperative swelling and should be worn during the first 6 postoperative weeks.
Significant complications are rare with mastopexy. However, all surgery has inherent risks. Dr Farhadieh will discuss these with you in detail during your consultation.
After discharge from hospital, you will be seen again in our clinic for postoperative checks. After the immediate postoperative period, you will be reviewed at regular intervals in our clinic.
‘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. Most patients report a ‘tightness’, rather than pain, due to the excellent pain control regime we use, 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 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 able to resume most normal activities. During the subsequent weeks you will be able to return to your pre-surgery levels of activity.
Where will the scars be placed?
As part of the preoperative assessment Dr Farhadieh will discuss the incision placement with you. The most common sites involve an incision around the nipple with a vertical component extending towards the lower pole of the breast. The scars are well camouflaged and will fade considerably within 12 months after surgery.
What will my follow up include?
Dr Farhadieh believes that the relationship between doctor and patient is sacred and privileged. Our practice is based on compassion, honesty, transparency and, above all, patient welfare. We pride ourselves on making sure that you feel supported at all times. We will be available during all stages of your journey and will schedule short-, medium- and long-term follow-up appointments as part of our overall practice.