Breast Lift

Breast Lift (Mastopexy)

 

The breast loses its volume, and the skin becomes loose and saggy in conditions such as post-pregnancy, weight loss, menopause, and aging. The breasts become smaller, lose the youthful and perky shape, and appear loose and saggy. This condition is called breast ptosis. Breast lift (mastopexy) is a surgical procedure to correct breast ptosis.

 

If the patient does not wish to restore the breasts’ size, the breast lift can be a standalone procedure. However, since the breasts usually are losing their volume and become smaller in such cases, many patients also wish to restore the breasts’ size at the same time. In these cases, the breast lift can be combined with breast augmentation to restore both the breasts’ shape and size. For mild to moderate cases, a breast augmentation alone may be enough to correct breast ptosis.

 

 

 

Preparation

  1. Inform the doctor of any pre-existing medical conditions and drug allergy. All medical conditions must be treated and stabilized before surgery.
  2. Stop smoking at least one week before surgery. Smoking is harmful to wound healing and increases the risks of other post-operation complications.
  3. Stop the following medications and supplements from one week before surgery until one week after surgery.
    1. All supplements containing vitamin E, ginseng, ginkgo, garlic, fish oil, and other ingredients that increase bleeding during the procedure. Other supplements, traditional medicine, and herbs, in which ingredients are unknown, have to stop as well.
    2. Medicine that increases bleeding during the procedure such as aspirin, NSAIDs, and warfarin. However, you may need to consult your physician who prescribed the medication before you stop them.
  4. On the day of surgery, wear simple and comfortable clothing. Do not wear any makeup. Do not wear any jewelry and metal objects on the face and body.

 

 

 

Surgery

Duration: 3-4 hours

Anaesthesia: General Anaesthesia

Hospitalization: One day

Recovery*: Back to work in 7 days, light exercise after one week, heavy exercise after 4 weeks. * The actual speed of recovery may vary from person to person.

 

 

 

Surgery Technique:

The main aim of breast lift is to tighten the breast’s skin envelope by removing excess skin. There are 3 main surgical approaches:

  1. Peri-areolar technique: Incision around the circumference of the areola
  2. Vertical short scar technique: an incision around the areola, with an additional vertical incision from the areola down to the breast’s lower border.
  3. Inverted T technique: an incision around the areola, then a vertical incision from the areola down to the lower border of the breast, plus a horizontal incision along the breast crease.

 

 

 

Post-operative Care**

  1. What to expect: Swelling usually peaks on the second to third day after surgery and will gradually subside after that.
  2. Wear a special supportive bra for at least one month.
  3. General care:
    1. Avoid smoking for at least one month. Smoking increases the risk of wound complications.
    2. Adequate rest and sleep are helpful for a speedy recovery.
    3. Sleep on the back. Avoid sleeping on one side to prevent pressure on the breast.
    4. Be relaxed and calm. Contact the clinic if there are any queries.
  4. Medicine: Finish the oral antibiotics as prescribed. Take the painkiller when necessary.
  5. Wound care: Leave the wound dressing on until coming back for review. Change the wound dressing if it gets dirty or soaked. After removing the wound dressing later, clean the wound with a clean cotton tip soaked with sterile water/saline. Apply antibiotic ointment.
  6. Physical activity: Avoid heavy physical activity and exercise for at least one month.
  7. Follow-up: Come back one week after surgery for review.
  8. Emergency: If there is heavy bleeding, a rapid increase in swelling or severe pain, contact the clinic/doctor for advice immediately.

 

** The instructions in this list are only for general guidance. If you have any specific queries or concerns during the post-operative recovery, please contact the clinic for further advice.

 

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