Uplift or Mastopexy
Mastopexy is a term used to describe uplift and reshaping of the breast, utilising either the patient's own tissues, or possibly incorporating insertion of a silicone implant.
Mastopexy is directed at the more droopy or ptotic breast, where loss of tone and volume has combined to produce loss of shape and volume of the breast, often associated with skin laxity and nipple malposition. Mastopexy is often part of treating the empty breast that can follow breastfeeding or substantial weight loss.
Mastopexy with or without augmentation can present some of the most demanding breast surgery procedures, requiring very careful planning of potentially complex operations that can take two to three hours. During the procedure, the operating table facilitates "sitting up" to mimic the position of the breast in the normal sitting position.
Mastopexy focuses on creation of an improved breast mound, with repositioning of the nipple-areola complex at a more appropriate site, with reduction of the lax skin envelope. This creates a variety of scars on or around the breast, ranging from simple periareolar scarring, through to vertical scarring extending down to the chest wall, and for some patients a transverse scar passing for a variable distance in the inframammary fold, the crease that lies below the breast.
Postoperatively, the breast is protected with a light dressing and supported within a hospital bra. In general, dissolving sutures are used and the breast is allowed to settle over the postoperative seven to ten days. Thereafter it is important to inspect the results, assess variable bruising or swelling that can follow surgery, and encourage the wearing of a firm sports bra as the breast settles and scars begin to mature. It can take between six to twelve months for scars to mature fully, and for some patients there is a requirement for revision or adjustment surgery once the mastopexy has had a chance to settle.
We endeavour to avoid complications such as bleeding, infection, or delayed healing, all of which can generate less good scars. There is a risk of implant loss if any infection contaminates an implant, should one be required.'