BREAST UPLIFT / MASTOPEXY
Mastopexy can be performed by itself or with a breast implant. The breast implant can not only provide an increased breast size, but it can also provide upper pole fullness. Plastic surgeons have struggled with various techniques to move the part of the breast that is sagging back into the upper part where it belongs. It should be simple – but it is not.
Mastopexy alone can now provide some improvement in the empty upper pole, but when a patient desires a lot of upper pole fullness and roundness, they will need to consider an implant (unless they have a lot of upper pole fullness to start with).
There are two main ways to perform breast uplift surgery. The standard method is called the “anchor” method. The method that I use almost exclusively is called the “vertical” technique.
Breast uplift surgery is performed under a full general anaesthetic. A breast reduction removes skin and breast tissue as shown above. A breast uplift removes just the skin and rearranges the breast tissue. The nipple and areola need to be moved to a higher position. Closing the skin results in a pucker at the lower end. This pucker will settle with time – and waiting for this to happen is preferable to having a long unsightly scar from side to side along the fold where the underwire goes.
Breast uplift surgery is not very painful. When an implant is also used, the patient will feel some pressure – much as when the milk comes in after the delivery of a baby. If liposuction has been performed along with the uplift surgery, those areas can be more of a problem – sore and bruised. These areas become hard and lumpy and can take weeks to settle. Most patients take some pain medication – but only for a few days. Some patients take no medication at all.
Patients wake up with a surgical brassiere in place. There is gauze over the incisions and some blood can seep into the gauze. This is removed the next morning and patients may then have a shower and wash directly over the area. The incisions are covered with paper tape.