What is mastopexy, doctor?
It’s the surgical procedure we use to lift and improve the shape of fallen breasts. With the passing of time and various circumstances like pregnancy and lactation, the force of gravity and the lack of elasticity in the skin mean that the breasts tend to fall. By means of mastopexy it’s also possible to reduce the size of the areola when it is very large. As for the instructions and rules to be followed in the post-operative phase, they’re similar to those for the breast reduction operation, and patients also have to wear a special bra for one month.
What about scars?
In most cases, to perform this operation it’s enough to make a circular incision around the areola, then a long vertical incision from the edge of the areola to the submammary crease. This type of incision has very favourable scarring features, with very fast maturing of the scars, which tends to be from six to nine months. But in some cases, due to the patient’s age or the degree of descent of the breast, an extra horizontal incision has to be made along the submammary crease: although this incision tends to be more visible than the others, it’s generally concealed by the fall of the breast over the crease. In breasts with a discreet fall, we may make only a circular incision around the areola.
Are implants also done in this operation?
In most cases, in addition to raising the breasts we also fill them out with a small implant to improve the upper part of the cleavage. Occasionally, when there is a lot of mammary volume in the upper zone of the breast, mastopexy gives good results without adding any type of implant.
Can the breasts fall again after this operation?
The effects of mastopexy, although long-lasting, are not permanent, depending on factors like further pregnancies, weight variations and age. If a prosthesis has also been implanted, the effect will be longer-lasting.
How is the post-operative evolution of mastopexy?
It’s similar to that of breast reduction, involving little pain and with similar sick leave times.