Procedure Breasts can become saggy with ageing, after pregnancy or weight loss. A breast lift (=mastopexy) removes skin, reshapes the breast and lifts the nipple area. The improvement is mainly in the central and lower breast area. For upper fullness, an additional implant or fat transfer can be considered. Some droopiness will recur but there is usually an improvement long term.
Women over 50 or women with a strong family history of breast cancer should have a breast cancer screen prior to cosmetic surgery.
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 Scars are usually anchor shaped = around and underneath the areola and in the breast fold. Minor lifts can be done with a circular or lollipop–shaped scar.
Operation time 2 hours
Anaesthesia General > (Local)
Hospital Stay Day Surgery
Benefits Cosmetic, Psychological, Functional, Symptomatic
Risks Bleeding, Infection, Scar problems (stretched, thick, abnormal pigmentation, red, retracted etc.), Skin discoloration, Wound separation, Slough, Necrosis of nipple, skin or fat, Pain, Nerve injury (Numbness, weakness), Pneumothorax, Loss of breastfeeding ability, Bruising, Swelling, Overcorrection, Undercorrection, Asymmetry, Recurrent ptosis, Cosmetic imperfections (higher risk after subsequent pregnancies / weight changes), Unfavourable nipple position / shape, Lack of upper breast fullness without implant, Seroma, Shoulder problems, Skin penetration, Need for further surgery, Skin cones, Allergic reaction, (General anaesthetic: Chest infection, Heart attack, Stroke, Blood clots in legs & lungs)
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, Bra +/– enhancers, Breast implants, Fat transfer

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