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Augmentation Mastopexy

An augmentation mastopexy is a combination of two opposing procedures – reducing  and lifting the breast envelope (uplift) and adding volume (usually in the form of an implant) which acts to stretches the breast envelope and causes it to descend.

This procedure is very effective in rejuvenating the whole chest wall and the breasts by raising the nipple positions, reducing areola size, remodelling the glandular tissue and removing excess skin. An uplift cannot increase breast volume or fill the upper pole so combining it with implants is a very powerful and effective procedure

Implants alone cannot necessarily address excess skin or low nipple areola position. The augmentation mastopexy combination enhances the overall shape and size of the breasts, removes excess skin and stretch marks and restores pert, full,  youthful breasts. 

Augmentation mastopexy can be performed as a staged serial procedure (each procedure one at a time) rather than as a combined procedure. This approach is especially useful for massive weight loss patients with very saggy breasts and lots of excess skin which are likely to heal more slowly and  may each heal slightly differently.

Performing the implants or lift procedure first and then the second procedure several weeks or months later allows Rozina to make fine adjustments during that second operation to correct for healing differences, asymmetry or personal preference.

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Augmentation Mastopexy

At a glance

Treatment

Frequently asked questions

That depends on you. The state of your breasts, your tissues and your goals. It warrants an open discussion with your surgeon, that’s why good communication and multiple consultations are key to the best outcomes. A small lift and moderate sized implants work well as one combined procedure. Very droopy breasts require a lot of expertise and you would do well to have the lift and safeguard breast tissue blood supply. Large implant requests require a bit of understanding and managing of expectations.

What your body (and mind!) can withstand in any one procedure depends on the type, duration of procedure and the preferred outcome. As the client you are obviously considering timings, reducing the number of procedures/anaesthetics and of course cost.

However surgery is a huge emotional and physical investment in yourself and you will have to live with the consequences of your surgical decisions for the rest of your life. The point of the procedure is how good it looks (and make you feel), not how long it took, how many stages or even how much it cost. So be open and frank about your needs with your surgeon and be guided by her re how to achieve the best possible aesthetic outcome.

The consultation is key to surgical success and patient satisfaction. 

‘The consultation’ is in fact a process and involves an active participation in face-to face meetings, online communications and exchange of information. The objective is to  give you all the information you need  in order to make up your own mind. Your surgeon will examine, measure, and photograph your breasts. Then they’ll discuss your surgical options. The plan will be tailored to your body shape and your personal preference

Please, always be open with your surgeon – what happens in the consultation is CONFIDENTIAL, your privacy and safety is paramount, so have a frank chat, discuss all your concerns, your emotional and mental needs as well as your medical concerns and always provide a full list of medications (prescription, over the counter and recreational!). If you don’t feel able to trust them with the truth in the outpatients setting, why would you trust them in the operating theatre?

Having a detailed consultation with a properly trained FRCS Plast breast expert and been fully informed of risks, consequences and likely outcomes; you then have to read and understand the information given, ask the questions that are important to you and make informed decisions in conjunction with your surgeon that best serve your needs.

As a surgeon, the doctor-patient relationship and it’s integrity is key to building a good professional partnership to achieve good outcomes. I’m looking for an active partnership with my clients to deliver a great outcome.

It’s really helpful to bring photos of how you used to look or would like to look. Surgeons are very visual thinkers and such outcome objective or goal pictures re a very useful discussion point and can alter surgical thinking and planning. What you mean by a small D cup, maybe very different to what I think that means!

An augmentation mastopexy is a major surgery and a long (3-4+ hours) procedure,  so patient care in positioning, good anaesthesia,  pain relief and meticulous surgical planning will all help make this into a smooth, precision process.

Essentially the first step is to carry out the uplift procedure, removing excess tissue and re-position the nipple areola  using one of the following Breast lift options include:

Anchor or inverted-T lift: Incisions are placed around the areola, down the centre of the breast and along the inframammary crease. This method is ideal for significantly sagging breasts or after significant weight loss. The benefits of the anchor scar are the ability to remove skin in an additional dimension.

Lollipop or vertical lift: Incisions are placed around the areola, and down the centre of the breast to the IMF. The advantage of this procedure is a more limited scar.

Periareolar, “donut,” or “Benelli” lift: A single incision is made around areola and is suitable for the treatment of mild to moderate It is the least invasive form of breast lift but also provides limited results.

Crescent lift: A crescentic incision can be used to alter areola shape and position as well as effecting a slight breast lift. This is useful in cases of areola asymmetry, correcting minor sagging or for nipple repositioning.

Once the breast ‘envelope’ is prepared and inset, the next stage is to insert the selected breast implants either above, or under the muscle, depending on the decision you made with your surgeon during your consultation.

Finally, closure of the tissues in multiple layers with dissolving sutures and insertion of any drains that may be required.

Rozina will apply surgical tape or steri-strips, a showerproof dressing and a supportive surgical compression garment.

Full recovery from breast lift with implants surgery takes about 6-12 weeks, starting with a week of downtime, ie ‘prefer to stay at home and be looked after time”.

During that first week, you’ll need help. You won’t be able to reach for things or lift anything over five pounds, and you may need to keep your arms at your sides. Your chest will feel tight, and you’ll have swelling and bruising. Sleeping slightly upright can help reduce swelling. You’ll also have prescription pain medication to make you more comfortable in the first few days.

You’ll have  awound check and dressings change at 5-7 days at which point you’ll be given advice re scar management, and advice re returning to light work.

After this it’s case of being guided by discomfort and always wearing a supportive bra as you increase your activities at home and work.. It’s take at least4- 6 weeks before you are back to normal activities and may take  a little longer (8-12 weeks) before being back to strenuous activities such as the rowing machine at the gym.

Immediately.

You’ll see more fullness especially of the upper pole and less sagging tissue immediately. The breasts will likely sit higher than they will be when they settle, a process of implant settling that can take 3-6 months.

Your surgeon can recommend manual lymphatic drainage (MLD) and/or self-massage techniques to help the process. 

Results are typically long-lasting, but no surgical result is permanent since your body will continue to change with time, age and hormonal alterations. Large breasts can sag in the future, and if you gain weight, this can affect your breasts’ size and shape. Hormonal fluctuations such as pregnancy, breastfeeding and menopause have significant effects on breast shape, size and behaviour.

Be aware, that you may want your implants changed or removed in future years or require further tightening of sagging tissues.

Breasts are not a static organ, they change significantly with age.

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