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Mastopexy

or augmentation-mastopexy

Mastopexy or augmentation-mastopexy

Ptosis describes descended breast parenchyma. Ptosis results when the parenchymal volume decreases and the skin envelope and supporting structures do not retract. There are many causes associated with breast ptosis as: thin skin or excessive breast size, atrophy, gravity, loss of skin elasticity from age, weight gain, postpartum changes from lactation or engorgement, etc.
The breast assumes a lower position on the chest wall and the youthful breast contour is lost.

Mastopexy, often referred to as breast lift, is the surgical procedure designed to correct breast ptosis. It is indicated in women who desire improved breast contour without a volume change.

Augmentation-mastopexy is a technique used to simultaneously correct low volume and skin excess or breast ptosis. In this case, a breast implant is introduced during mastopexy procedure.

Technical points

The surgical procedure takes about 2H. It is performed under general anaesthesia. It can be performed on outpatient or inpatient basis (1 night).

At any age, screening for breast cancer (mammography and/or ultrasound) before surgery is indicated.

Many breast reduction techniques with different scar patterns have been described.
All the techniques have advantages and disadvantages that will be discussed with you during the preoperative evaluation.
The size and shape of the breast before surgery will influence the technique selected.
Short-scar techniques are always preferred, when possible.

Postoperative care

Medication

  • Acetaminophen or ibuprofen for routine pain control.
  • Diazepam (Valium) or similar anxiolytics may be useful for pectoralis relaxation.
  • Prophylactic antibiotics (short course)

Drains

  • Usually used and will be removed after drainage reduction
  • Usually this happens 2 to 3 days after surgery

Brassiere

Medical brassiere; no underwire or push-up bras for 6 weeks

Activity

  • Light aerobic exercise or professional activity after 7 days
  • Heavy lifting after 4 to 6 weeks

Complications and surgical risks

Mastopexy or augmentation-mastopexy is considered a safe procedure. However, all surgeries have their own risks and complications. Some of the most frequent are:

  • Hematoma
  • Seroma
  • Infection
  • Asymmetry
  • Wound-healing complications
  • Unsatisfactory scarring, hypertrophic scar or keloid
  • Recurrent ptosis

In cases augmentation-mastopexy is performed, implant related complications may also occur [ see chapter ].

Breast
Augmentation

Breast augmentation involves the introduction of an implant (made of silicone gel or saline) to increase the breast size. It is indicated in women that have an inadequate breast volume or that you have the desire to restore the natural volume after weight loss, pregnancy or aging (...)

Liposuction/
Lipoplasty

Liposuction, sometimes referred to as “lipo” by patients, slims and reshapes specific areas of the body by removing excess fat deposits and improving your body contours and proportion. It is done to remove fat from this area, through minimal incisions. One treatment may be all you need to reshape problem areas and the results are more consistent and predictable than non-invasive treatments (...)

Tummy tuck (Abdominoplasty)

Tummy tuck surgery, also known as abdominoplasty, removes excess fat and skin and, in most cases, restores weakened or separated muscles creating an abdominal profile that is smoother and firmer. Abdominoplasty is the procedure of choice to improve abdomen contour (...)

Face lift and neck lift

A facelift, or rhytidectomy, is a surgical procedure that improves visible signs of aging in the face and neck.

It will improve skin sagging on face and neck, reduce the fold lines between the nose and corner of the mouth, reduce loose skin and excess fat of the neck that can appear as a double chin, (...)

Hyaluronic
Acid

Hyaluronic acid is the substance of choice for patients who wish to fill wrinkles or furrows or increase the volume of facial areas (eg lips). It is a normal component of the ground substance responsible for dermal hydration (...)