Procedure The definition of a breast fold can be improved by creating a scar between the skin and the deep tissues (=inframammary plication). This can be done with either a cut along the proposed crease or with keyhole surgery which removes the intervening fat. Stitches are used to close the wounds and to secure the fold until the scar tissue takes over.
I don’t use drains routinely. The wounds are repaired with sutures under the skin which don’t require removal and dissolve within four months. A support garment following surgery is recommended.
Scars Either along the breast fold or 5mm for keyhole surgery
Operation time 1.5 hours
Anaesthesia Local
Hospital Stay Day Surgery
Benefits Cosmetic, Psychological
Risks Bleeding, Infection, Scar problems (stretched, thick, abnormal pigmentation, red, retracted etc.), Skin discoloration, Skin cones, Wound separation, Slough, Necrosis, Pain, Nerve injury (Numbness, Weakness), Pneumothorax, Bruising, Swelling, Overcorrection, Undercorrection, Asymmetry, Cosmetic imperfections (higher risk after subsequent pregnancies / weight changes), Seroma, Contour irregularities, Need for further surgery, Allergic reaction
N.B. Most complications are unlikely and serious risks are rare
Risk factors Smoking / contraception / flights within 6 weeks of surgery, overweight, high blood pressure, bleeding tendency, diabetes
Optimising factors Diet rich in Vitamin C and protein, plenty of fluids, fresh air, scar massage, sun protection, support garments
Discomfort 1 – 2 weeks
Bruising 2 – 3 weeks
Recovery Light activities 2 weeks, Driving 3 weeks, Physical work & sports & sex 6 weeks, Unrestricted 3 months
Acceptable appearance 2 – 4 weeks for most patients (This is subjective)
Final result 6 – 18 months
Alternatives No Surgery, Bras

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