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Drooping or sagging breasts, associated or not with a certain degree of hypertrophy, are treated with a surgical intervention called Mastopexy.
Mastopexy consists of uplifting and reshaping sagging breasts or ptosis that have lost their shape, volume and firmness due to age, pregnancies, weight changes, hormonal changes, etc
The loss of elasticity in the skin is also a fundamental factor to take into account when considering this procedure. The size of the nipple must also be reduced during the same surgery because it has become enlarged and has spread.
If there is a certain degree of breast gland hypertrophy, the gland can also be reduced, on demand (Reduction Mammoplasty).
On the other hand, if the ptosis is associated with hypotrophical breasts, we can implant the prosthesis behind the gland or behind the pectoral muscle (Enlargement Mastopexy).
It is necessary to carry out a pre-operative examination, which consists of a Mammography and a Cardio-respiratory analysis and evaluation.
The procedure is done with General Anaesthesia in the operating theatre of a Clinic, and it requires the patient to remain in the Clinic for 24 to 36 hours.
If the patient is a smoker, she must quit smoking for at least 10 days before and after the procedure in order to avoid complications and after-effects.
After the surgery, the patient should go to the doctor's office to receive the necessary dressings, and during 10 to 15 days the patient must not strain her arms or lift heavy weights.
During the informative consultation with your Cosmetic Surgeon, you should clearly explain your desire to change your breasts. Together, we will choose the shape and appearance of your future breasts. However, you should understand that though you will achieve an overall improvement in your breasts, absolute perfection is not guaranteed.
After the anamnesis and the examination, the surgical technique that best adapts to your particular case is chosen and discussed in detail, emphasising the location of scars.
In the case that there is a small Ptosis, and in order to limit its spreading, an incision can be made in the skin around the nipple.
The most frequently used technique consists in removing excess skin from the area to adapt the skin to the volume of the underlying glands. The procedure is performed on both breasts, vertically and horizontally.
Pre-operative photographs are essential for carrying out a detailed study of the area to be operated on. In addition, they are compared to the post-operative photographs to evaluate the results.
The procedure lasts 2 to 3 hours.
Scars are located around the areola and/or under the breast. Intradermal sutures are used, and the stitches are painlessly and quickly removed in the doctor's office after the 10th day.
It is a well-tolerated procedure and recuperation is quick. You can get up the day after the surgery. Any discomfort is usually relieved with light painkillers.
A compressive bandage will be applied after the procedure until the following day, when it will be replaced by an appropriate bra. This bra should be worn 24 hours a day for the first month and only during the day for the following month.
You should receive Manual Lymph Drainage done by a Specialised Lymphatic Drainage Therapist in order to speed up recuperation and improve the appearance of the breasts.
You can return to work 10 to 15 days after the procedure.
You can do sport beginning in the second month after the procedure.
The evaluation of the results should be done between 6 and 12 months after the surgery, after swelling has subsided and the healing period has finished.
Complications resulting from this surgery, although rare, are haematoma, infection and necrosis on the skin or nipple. Complications are avoided by using a careful haemostasis and an antibiotic prophylaxis and by choosing the correct surgical technique.
The after-effects are asymmetric breasts, breast scars and temporary sensitivity problems.
Resulting scars and the formation of compressed scars depend on the type of healing of each patient and are independent of the surgery.
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