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Mastopexy, also known as breast lift is designed to lift the droopy breast as a result of advancing age, previous pregnancy and after massive weight loss. Breast ptosis or droop measures the nipple height in relation to the lower breast crease. Once the nipple has migrated below the lower breast crease, improvements in breast shape and appearance usually require reshaping the skin envelope and relocation of the nipple to a more desirable level. In some patients requesting augmentation, a breast lift may be required to centralize the nipple over the implant for an optimal appearance. The necessity for breast lift will be discussed in detail at the time of your consultation.
On the day of surgery, the breasts are marked in the sitting position. These markings will determine the new nipple height, as well as the amount of skin and excess breast tissue to be removed. During surgery, the breast skin and fat are separated from the central breast tissue. This allows elevation of the breast to a more desirable level. Often a small implant is used to improve breast shape and to compliment the lift. Absorbable stitches are used to complete the closure, and waterproof dressings are applied to allow for immediate bathing. Every effort is made to correct or improve asymmetry that may exist preoperatively. A support bra is placed in the operating room prior to waking.
A regular diet and bathing are allowed immediately. Follow up is arranged within 24 hours to assess the health of the skin and nipple. At this time, dressings are changed. Pain is controlled with narcotics and medication is provided for postoperative nausea as necessary. Nipple sensitivity is retained in over 95% of patients and breastfeeding ability is usually retained. Follow up visits are weekly for approximately 3 to 4 weeks. Return to work is variable, depending upon whether implants are placed or not. Typically, return to work is within 1 week and return to exercise at approximately 6 weeks. Settling is expected in all patients. Breast scars and scar therapy are discussed in detail, during the consultation.
