- Mastopexy
- Recovery: 3 days - 1 month
- Duration: 1 hour approx.
- Type of anesthesia: General
WHAT IS IT?
Also known as mastopexy and today due to the anglicism of breast lift, this surgery is designed for sagging or flabby breasts and its purpose is to place the areola and the nipple in the center of the breast and eliminate all the flaccid skin achieving the desired roundness. This surgery can be combined with breast augmentation and is also a required surgery in some cases of asymmetry.
HOW IT IS PERFORMED?
The mastopexy technique will depend on the degree of flaccidity that the breast has and if we will use a prosthesis to fill an empty gland. The more sagging and sagging skin of the breast, the greater the scar that we must make.
We basically handle three types of mastopexy. The periareolar, the vertical scar and the anchor or inverted T.
After the operation the chest will be swollen and bruises may appear.
There are several ways of approaching this surgery. Basically we prefer the peri areolar routes since the scar is hidden in the transition of the skin from the areola and normal skin and in cases where the areola is very small (very few cases) the submammary route is the one of choice.
In the immediate postoperative period, a gauze bandage is usually placed around the breasts and chest. In some cases, the surgeon opts for a surgical bra or bra. The patient should wear the surgical bra or a soft support bra for as long as the surgeon recommends. The patient can resume work after 1 week and should avoid straining for at least a month.
TYPES OF MASTOPEXIA
Periareolar mastopexy. This is used when the sagging and sagging are not very pronounced and we use a breast implant to stretch the skin of the breast but even the areola and nipple fall. It is done through a scar around the areola and achieves a maximum ascent of 4 cm.
Vertical mastopexy. It is used for cases of sagging and sagging more severe than the previous one, the combination of the wound around the areola is complemented by the vertical wound for the correction of sagging. This technique in theory has the advantage of being a smaller and less obvious wound than that of the anchor scar or inverted “T”.
Anchor mastopexy It is used in the most severe cases of breast sagging and is irreplaceable when indicated. It gives the opportunity to remove a greater amount of skin and is designed to hide in the anatomical grooves of the breast, which is why it takes advantage of the submammary groove to add one more scar.