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Executive Level E1, Excen Centre, 119 Willoughby Road, Crows Nest 2065 Tel: 02 9817 7585 www.mycosmeticclinic.net “AFFORDABILITY WITH EXCELLENCE” BREAST LIFT (MASTOPEXY) FREQUENTLY ASKED QUESTIONS (FAQs) 1. What is mastopexy? The mastopexy or breast lift operation can be done by different methods, each with its own intended purpose to lift the breast up and reposition the nipple to where it belongs to before drooping occured. Sagging happens for several reasons including pregnancy and breastfeeding, weight gain or loss, the aging process, and the effects of gravity. The goal is a breast lift is to move the nipple back to a higher position and reshape the breast to create a more pleasing appearance. Most often excess skin would be removed. 2. Who is the right candidate for mastopexy? A woman with no serious health conditions, not prone to keloid scarring, have good elastic skin, and have noticed that your breasts have started to sag, will be a good candidate for mastopexy. The ideal surgical candidate should also be mentally and emotionally stable and have realistic expectations from the results of the surgery. 3. When is a breast lift usually performed? A breast lift is usually performed after a woman experiences loss of breast tissue and sagging. It is often sought out by women after they’ve lost a lot of weight or following pregnancy. If a woman is planning to have children in the future, she should postpone her breast lift or other breast surgery until after she has completed her family. Mastopexy can be performed at any age if you are in good health, mentally stable, and realistic in your expectations. 4. What will happen in my mastopexy consultation? Dr Ansari will discuss with you the details of how a mastopexy is performed, explain the possible risks and complications involved, outline the types and placement of scars you can expect, go over any postoperative special care instructions, and answer any questions you may have. Dr Ansari will measure your breasts and general torso area to determine a natural and aesthetically pleasing postoperative position for your breasts and areola/nipple complex. He will take into account your age and skin condition, including elasticity and thinness. He might offer you the option of having an implant inserted to fill out a flaccid breast or create fullness and lift. 5. What are the different techniques for mastopexy? The specific type of procedure chosen is determined by several factors. Most important is the amount of sag or ptosis thats present. When a slight amount of ptosis exists, a periareolar mastopexy (around the pigmented skin of the nipple) can be performed. This is often performed in conjunction with breast augmentation. The nipple can be lifted 2 to 3 centimeters (about 1 to 1 1/2 inches). If a moderate amount of lift is required, the incision periareolar incision is combined with a vertical incision that runs down to the bottom of the breast. This is also known as a “lollipop lift”. To correct a great amount of ptosis, a larger crescent incision in the crease at the bottom of the breast is made. This is referred to as an “anchor lift.” Whatever the technique, the goal of the mastopexy it to rid the patient of excess sagging skin and to recontour the breast so that its pleasing to both eye and touch. For the most part, the scars fade within a year. Scars around and in the areola area seem to fade and flatten faster than those in nonpigmented areas. 6. What should I expect postoperatively? There is generally very little pain after this operation and only a moderate amount of swelling. Sutures placed in breast tissue will dissolve over several months. Sutures placed through the skin usually dissolve within few weeks. A special tape called Steri-Strips or tissue glue are usually placed over the sutures to protect the wound. A support bra should be worn continuously for 3 weeks. The patient may return to work in 3 to 4 days unless the work involves bending or lifting. Casual walking may be resumed the day after surgery. It is quite normal to lose sensitivity in the nipple and breast skin due to swelling, which blocks the nerves ability to send and receive pain and pressure messages. Most sensation returns within 1 to 3 months, but may take longer. Unfortunately, sometimes the loss of sensation is permanent. 7. Is there much pain associated with mastopexy? Normally, the pain is not severe, with most patients experiencing discomfort and soreness. Prescribed pain medications should alleviate the pain associated with mastopexy. If you feel that your pain is severe, do not hesitate to call Dr Ansari. 8. Where are the final scars located in mastopexy operation? The Periareolar / Benelli lift leaves just a scar around the areola, and the Lollipop (or keyhole) lift leaves a scar around the areolae and straight down to the mammary crease. The full mastopexy involves more incisions and more scarring. Dr Ansari will attempt to make your scars as inconspicuous as possible. However, you must realize that mastopexy scars are extensive and permanent. The scars will be red and raised for several months, gradually fading in color and flattening out. Over the course of 12 to 24 months the scars fade dramatically and in many individuals are not very noticeable. In some women the scars will always be somewhat visible, generally seen as a lighter area on the breast. 9. Is there a lot of swelling involved with mastopexy? Swelling is an issue but can be lessened if the patient sleeps with the head and chest higher than the rest of body for the first few weeks. Normally swelling resolves within few months. 10. When will I be able to see the results? Although the results of a breast lift are immediate, however there will be a dressing covering your breast for few days. Your surgeon will remove the bandages at a postoperative visit and you will switch to a soft support bra which will be worn for 2-3 weeks. 11. What are the risks of mastopexy? Risks and complications are associated with all the cosmetic surgeries. Common risks are excessive bleeding, infection, hematoma, and seroma. Scars are a given. Permanent loss of sensitivity in the nipple area and breast skin is possible. If you smoke, your risks are increased and your scars will heal slower and possibly wider than a non-smoker's would. Tissue necrosis, or death, can happen to smokers or in patients with poor oxygen-tissue saturation. Infections, although rare, can happen, so its important to wash your breasts, neck and torso with an anti-bacterial soap for several days leading up to surgery to reduce the amount of bacteria on your skin. 12. How long does a mastopexy last? Regardless of how good the mastopexy results are, breasts will sag again with time and aging. It may be years from a original surgery, but you may need an additional mastopexy after some years. 13. Can exercise tighten the skin without Breast lift (Mastopexy)? The Answer is “NO”. Exercise is good for toning the muscles but cannot tighten the breast skin. To date, only mastopexy can tighten the loose skin and saggy breast tissues. 14. Does Breast lift (Mastopexy) take care of stretch marks? Stretch marks are scars. They are produced by distension of the skin. Some of those stretch marks will be removed during the surgery with the extra skin, especially at the lower part of the breast. Those located on the upper breast will remain. 15. How can I book an appointment with Dr Ansari for Mastopexy? There are many different ways you can book an appointment with Dr. Ansari. You can call us on 0298177585 during working hours. You can book your appointment online via our website www.mycosmeticclinic.net or you can send an inquiry through our website and we will come in contact with you as soon as possible. |