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A mastopexy can improve your self-image, self-confidence and self-esteem. It can allow you to wear clothing without a bra. It cannot bring back the breasts that you had when you were a young woman, but it can reshape and improve on your current breast shape.
Surgery is performed under general anaesthesia and most patients will spend only one night in hospital after their procedure. The operation takes approximately two hours. Excess breast skin is excised and the nipple-areolae moved to the new position. The breast tissue itself is reshaped higher up on your chest. If simultaneous augmentation is performed ,the implants are then inserted under the breasts.
Most women undergoing a mastopexy will be left with relatively fine scars, which ultimately become pale and relatively inconspicuous, although a modest bra or bathing suit should cover these. The usual scar encircles the areolae, extends vertically down to a scar underneath the breast, similar in shape to an anchor. An alternative scar design is sometimes possible if the sagging is milder, and leaves you with a scar around the areolae and down to the bottom of the breast missing out the horizontal scar under the breast. The scar then looks like a lollipop.
Infection occurs in approximately 3% of patients, and usually presents over the first two weeks. Signs include swelling, redness, pain, fever, feeling unwell or a discharge of pus from the wound. Superficial infections can be managed by antibiotics alone but more severe infections, perhaps even the development of an abscess, may require re-hospitalisation and perhaps even additional surgery. Rarely, the nipple and areola may lose their blood supply and the tissue can die.
Bleeding/haematoma is rare, and is typically an early event occurring within hours of surgery. Treatment usually involves a return to the operating theatre where any blood that may have collected is removed before closing the wounds again.
Future breast-feeding may be difficult, since the surgery may interfere with milk ducts leading to the nipples. Some patients may experience numbness in their nipples or breasts. In most patients this resolves within a few months of surgery although sometimes it may last for up to two years and can, rarely, be permanent.
Some women experience persistent pain after the operation despite having a good cosmetic result. The cause for this is unknown and usually the pain settles down. Some women can experience sexual problems after the operation – they may not like the breasts being touched – but this can usually be addressed with psychological treatments.
For more information about the procedure, as well as information regarding benefits & risks, how the procedure is performed and recovery, download the Patient Information form.
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