BREAST UPLIFT (MASTOPEXY)
A breast uplift or mastopexy operation will reshape a sagging (ptotic) breast to a more normal, pleasing and youthful shape without changing its actual size. To achieve this a new 'skin bra' is fashioned which reduces the surface area of the skin covering the breasts resulting in an elevation of the nipple and a more youthful shape.
If the breasts are droopy simply because they are very bulky then a breast reduction should be performed. This combines the skin tightening and nipple raising operation with removal of breast tissue. If, on the other hand, the breasts are still going to be too small even if they are raised to a better position, then mastopexy can be combined with augmentation.
There are no exercises that are capable of shrinking stretched skin. Once a breast has drooped exercises will not help. A good supporting bra, worn routinely (especially during pregnancy) is the best prevention.
Nature of the operation
The operation is usually performed under general anaesthetic. Several techniques are available and which one is used depends on the surgeon's preference as well as on the particular case in question. There will always be scarring which is permanent.
Usually there is a scar around the circumference of the areola which continues from the lower edge of the areola passing vertically downwards to join a variable length curved scar in the crease underneath the breast Fig. After the wound is sutured a padded dressing is applied and the patient usually goes home the following day.
Position of scarring in Mastopexy
Postoperative events
Scarring is the main problem with this operation. Although the surgeon will try to make the wound look as neat as possible, it is unlikely that the scar will ever completely disappear. They may even stretch or become red and raised and require further treatment in the future.
Infection and postoperative bleeding can occur as in any operation.
Soreness and pain is likely to be present after the operation but it is not usually severe.
Recurrence: In some patients there is a risk that the problem can recur. Wearing a well-fitting support bra afterwards reduces the chance of this happening.
Sensitivity of the nipples may well be reduced or altered although in all but a tiny minority this will return to normal.
Breast Feeding: After a mastopexy operation there should be no trouble with breast-feeding. Pregnancy itself though must be avoided for some years after the operation to avoid stretching the scars and this operation is best carried out only after the family is complete.
Postoperative management
Patients are strongly advised to wear a properly fitted support bra night and day for some weeks. This supports the skin, helps the healing process and gently moulds the shape of the breasts during recovery.
