Breast Mastopexy

Mastopexy, or breast lift, is a procedure designed to improve the appearance of sagging or ptotic breasts. The goal of surgery is to improve the shape of the breast while minimizing visible scars. To achieve this end result, multiple procedures and countless modifications of the mastopexy have been suggested.

Details

If your breasts are small size or when it sags after pregnancy or due to age, the breast implants are inserted in same sitting with mastopexy. The procedure can increase both the firmness and size of your breasts. Best results are achieved in female with small, drooping & sagging breasts.

Procedure

Procedures to recreate breast fullness using autologous tissue either primarily or after breast prosthesis using the dual pedicle dermo-parenchymal mastopexy and the deepithelialized transverse rectus abdominis muscle pedicle, as well as by Flowers. Graf and Biggs modification of the vertical approach that places an autologous tissue flap deep to a strip of pectoralis muscle to improve shape and maximize longevity of the lift. Modification of the vertical scar approach as superior pedicle and popularized with the use of breast liposuction. A further modification of the vertical approach with using a Y-scar vertical mammaplasty as an alternative to reduce further scar burden. a vertical scar bipedicle technique, a combination for minimal scarring and robust blood supply to the NAC, as a further option for mastopexies. Owl-technique combined with the inferior pedicle in mastopexies. This technique carries the advantage of the conization effect from the vertical reduction combined with a short L–shaped vertical-horizontal scar, and also uses the inferior pedicle flap described by Ribeiro. Singh et al advocate a Z-mammaplasty technique.

Length

Mastopexy usually takes 2 to 4 hours.

Anaesthesia

Breast lifts are usually performed under general anaesthesia, may use local anaesthesia, combined with a sedative.

Day care/Inpatient

Your breast lift is usually performed on day care basis in the clinic; you can go home on the same day. It is sometimes performed on an inpatient basis.

Problems

Mastopexy presents one of the greatest challenges to the breast surgeon. Numerous techniques provide improvement in the shape of the breast. The aesthetic goals are to obtain a more youthful appearance, improved projection, and reduced ptosis. Unfortunately, aesthetic improvement comes at the cost of scars. In addition, although breast implants can provide the upper pole projection patients often desire, they present specific risks and complications.

Treatment The goals of surgical therapy are to restore normal contour and size and to do so with a minimal amount of visible scars. The strategies needed to achieve this goal are (1) remove the excess skin and/or (2) replace or augment the atrophied volume. The types of mastopexy are classified by the amount of scars produced, which often are related directly to the amount of lift achieved. The choice of technique is determined by the degree of ptosis and the desired size of the breast postoperatively.

Minimal breast ptosis can be corrected with breast implant augmentation. Minor ptosis can be corrected with periareolar skin resection with or without augmentation. Grade 2 ptosis can be corrected using a circumareolar donut mastopexy including the cerclage techniques as described by Benelli. Moderate grade 2 ptosis can be addressed using the vertical scar mastopexy procedures, including the Regnault B technique and Lejour/Lassus techniques. Severe grade 2 ptosis and grade 3 ptosis usually require inverted T incisions regardless of the pedicle used. Pseudoptosis can be addressed with augmentation and/or skin excision without nipple transposition (excision of lower pole skin) or with the circumareolar cerclage technique.

These guidelines can be modified for individual patients. In some patients, a circumareolar mastopexy can be modified by adding a small vertical component to achieve the desired result. Likewise, extra remaining skin following a vertical scar technique may require excision with addition of an inframammary fold scar.