Mastoplexy (Breast uplift)

Overview

Some women suffer from breast sagging (ptosis) as result of previous pregnancies, breast feeding, weight loss or simply a result of the normal aging process. This can lead to low self esteem, a lack of confidence and embarrassment in relationships.

A mastopexy (breast uplift procedure) is an operation performed to tighten the skin of the breasts, make the breasts look and feel firmer and place the nipples in a higher, more youthful position.  It is performed under a general anaesthetic and the operation takes 2 hours and requires a hospital stay of 2 days. There are different technical ways the operation can be carried out depending on a number of individual factors including the starting shape of the breast and this determines the extent and location of the incisions and resultant scars on the breast. The excess skin is excised and the breast tissue tightened with stitches. In addition, a reduction in the diameter of the areola (the pink/brown part of the nipple complex) is usually required. The nipple is moved to a higher, more youthful position and the wounds are stitched with dissolving sutures, and covered with light dressings. The resultant scars depend on the exact techniques employed and vary from only a circular scar around the new nipple/areoalar complex, to additional scars such as a vertical scar passing from the nipple to underneath the breast. In some individuals, it is necessary to have an additional long curved scar passing in the breast fold. It is important to realise that a mastopexy procedure does not alter the size/volume of the breast.but rather its shape. The procedure can be combined with breast augmentation using an implant if an increase in breast size is also desired.

This is one of the most commonly performed cosmetic procedures and has high patient satisfaction and low complication rate.

Frequently asked questions

Am I suitable for a mastopexy/uplift procedure?

What are the benefits of a mastopexy?

Where are the scars?

Is the procedure painful?

How long does it take to recover from the surgery?

When will I notice the results and how long will they last?

Will I be told the risks and complications?

What follow-up appointments will there be?

Am I suitable for a mastopexy/uplift procedure?

Not everyone is suitable for a mastopexy. Suitability is a matter for you and Mr Johnson to discuss in clinic, following a thorough analysis of your medical history and a thorough clinical consultation.

What are the benefits of a mastopexy?

The surgery visually improves the contour and shape of the breast and places the nipple in a more youthful position leaving the final size and shape of the breast more in proportion with the rest of the body frame. The operation is very successful at increasing patient confidence and improving self esteem. Patients who have had a mastopexy enjoy being able to wear clothes and swimwear that they would have previously been too embarrassed to wear.

Where are the scars?

During your consultation, Mr Johnson will discuss with you which mastopexy technique you are suitable for. In all techniques there will be a circular scar around the nipple/areolar complex. Depending on the technique used you may also have a scar passing vertically from the nipple to the breast fold as the only additional scar, or in addition to both these scars you may have a curved scar placed underneath the breast in the breast fold giving an inverted "T" shaped scar.

Is the procedure painful?

During the operation strong painkillers are administered so that when patients wake up from the surgery they will be comfortable. It is normal for patients to experience some discomfort from the scar line and for the first day or two postoperatively, strong painkillers can be administered intravenously if required. On discharge from hospital, any discomfort from the wounds can usually be managed with simple tablet type painkillers such as paracetamol etc.

How long does it take to recover from surgery?

Following surgery, you should wear a firm sports bra for six weeks. For the first two weeks postoperatively, you should not lift anything heavier than a kettle. It is normal to feel lethargic and tired for the first 2 weeks following surgery. Depending on your job you can usually return to work for light duties after 1-2weeks. A gradual increase in light exercise is encouraged after your first wound check following discharge from hospital, but no sport, strenuous exercises or weight lifting should be undertaken until six weeks following surgery or until you are seen by Mr Johnson for review.

When will I notice the results and how long will they last?

The visual improvement in breast contour will be immediately apparent following a mastopexy. However, there may be some bruising and swelling which may last several weeks. The scars will undergo a natural maturation process involving a series of colour and texture changes over a period usually varying from 6 months to 2 years. The breast shape will change a little over the next 12 months and the final result can usually be judged at around 1 year following surgery. The results of a mastopexy are long lasting but large fluctuations in weight, further pregnancies and the normal age related effects on skin laxity will ultimately lead to a recurrence in the development of loose skin and a drooping of the breast tissue.

Will I be told the risks and complications?

Complications are uncommon following a mastopexy. During your initial consultation Mr Johnson will have a full discussion with you about the risks and complications of surgery. If you decide to go ahead with surgery, these risks will again be discussed as part of the consenting process. Fortunately, with correct patient selection and appropriate procedure selection, the risks are kept to an absolute minimum. It is important that you should be reassured that Mr Johnson will not agree to perform any cosmetic procedure on you unless he feels the benefits significantly outweigh the risks.

What follow-up appointments will there be?

Mr Johnson will come and see you on the ward after your surgery and will review you everyday throughout your hospital stay. After you have been discharged Mr Johnson will arrange to see you in clinic after 7-10 days to review the wound. He will then make arrangements to see you in clinic for longer term follow-up appointments. You will be given contact details for the hospital and Mr Johnson's secretary should you wish at any time to discuss further aspects of your care or make additional arrangements for review.


Home| About Mr Johnson| Surgical procedures| Cosmetic surgery| Non-surgical procedures| Consultations and fees| Contact| Useful Links| Site map|

Text © David Johnson :: site design by oxogen

plastic, reconstructive, craniofacial & cosmetic surgery in oxford

you are here: Cosmetic surgery » Breast surgery » Mastopexy