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 Breast Augmentation
Breast Uplift
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REFERENCE LINKS
Links
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BREAST UPLIFT (MASTOPEXY)
Following childbirth and/or breast-feeding, many women find that their breasts have changed, often for the worse, in terms of size, shape, and feel. As the skin looses elasticity, the breasts tend to lose their shape and firmness and begin to sag. Even without pregnancies, the effects of time, gravity, and alternate weight gain and loss, can all take their toll. A Breast uplift or mastoplexy, is a surgical procedure to reshape and raise sagging breasts without altering the overall volume of the breast.
It is best to wait until you have finished childbearing to have mastopexy. While a mastopexy doesn't interfere with future pregnancies or breast- feeding, it is important to understand that having an uplift will not prevent the breasts from drooping again.
The best results are usually achieved in women with small, sagging breasts. Although breasts of any size can be lifted, the result may not last as long in heavy breasts. It is important to bear in mind that, although every effort will be made to make your scars as inconspicuous as possible, it is inevitable that after your mastoplexy operation you will be left with permanent scars. However, the size and positioning of these scars will vary from patient to patient depending upon the degree of sagging. Fortunately however, most scars will fade in time and are not visible in low cut tops and bathing suits.
We have provided a form on the website if you would like to request further information or an appointment. The cost of a consultation is £130. Alternatively if you prefer the telephone we are happy to take your call.
further information and appointment
more information about the procedure
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BEFORE YOUR SURGERY
As every patient and surgeon has a different view of what is a desirable size, position and shape for breasts, it is important that you discuss your expectations with the surgeon frankly at the time of the consultation.
In the week before, you should not take any medications containing aspirin (acetyl salicylic acid), since these products affect the bloods clotting mechanism and therefore may lead to excessive bleeding during and after surgery, hence resulting in increased bruising. Taking high doses of vitamin E preparations, eating large amounts of garlic and consuming alcohol can also produce the same result and should be avoided. If pain medication is necessary, we recommend you take ibuprofen/paracetamol.
It is in your own best interests to quit smoking, at least two weeks before and until 2 weeks after surgery. It is well known that smoking causes narrowing of the blood vessels, which leads to a decreased blood supply to the skin, thus slowing and interfering with the healing process.
Be sure to inform your surgeon of any medications you take, as well as possible allergies including (drug, latex, plasters and so on).
Your surgeon will decide whether preliminary examinations are necessary, such as blood tests, an electrocardiogram, or x-rays of the lungs. If this is the case, these tests should be performed several weeks before the surgery.
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THE PROCEDURE
Mastoplexy is performed under general anaesthesia at The Highgate Private Hospital. It takes about 2 hours and normally requires an overnight stay in hospital.
On the day of your surgery, prior to your operation, the surgeon will mark your skin, to ensure correct positioning of your breasts. During the operation, stretched and loose excess skin is removed, then the nipple and remaining underlying tissues are moved to a new higher location. The nipple is usually positioned in a line level with approximately the middle part of your arm. The suture line or incisions depend upon the degree of sagging. Thus for women who only have a moderate degree of sagging, an uplift can be achieved through a technique which confines the incision to the area around the areola (the dark pink skin around the nipple). In more severe degrees of sagging, the suture line will need to extend in a vertical line downwards toward the breast crease and occasionally, if necessary, along the breast crease line.
Drainage tubes may be inserted under the breast skin, depending on level of bleeding during the operation, in order to remove any fluid or blood collection, which may occur immediately after surgery. Finally a firm bandage dressing is applied over the suture line.
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AFTER THE OPERATION
Your will stay in hospital overnight to allow the nurses to monitor your recovery from the anaesthetic. Any drainage tubes used will be removed the day following your surgery, then if all is well you will be able to return home. For a few days after your surgery, you will probably experience some moderate degree of pain, which should be controlled with painkillers.
After one week you will return to the clinic to see the nurse, she will remove your bandages and check the wound is healing well. You must bring a very supportive bra with you to this visit as you will need to wear this for the next month. In a further week, two weeks after your operation, you will return again to have your sutures removed by the nurse. During these visits, you may or may not see the surgeon, but you will return after 6 weeks for a post operative visit with the surgeon.
Following surgery you will experience some swelling and bruising of the breasts. The bruising usually lasts about 2 weeks, while most of the swelling should disappear by 6 weeks. You should expect some decreased sensation in the nipples and surrounding skin after you operation. However, this is to be expected due to the surgical trauma to the area and full sensation usually recovers in a few months.
Although preoperative markings always try to ensure that both nipples are placed in exactly the same position, it is important to bear in mind that natural tension forces within scars may stretch these slightly, which could result in unevenly positioned or shaped nipples postoperatively. However, take into consideration that normal breasts naturally have differences.
All surgery carries risks and uncertainties
As in any surgical procedure, mastoplexy carries some risks, however these are few and usually easily treated. These risks include infection, blood clots, bleeding, significant swelling, uneven breasts, loss of sensation, significant scarring and reaction to the anaesthetic. However most are minor and can be avoided by carefully following medical advice.
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THE RESULTS
The outcomes of this operation are usually excellent and you can expect less drooping of your breast with nipples in a higher position and a fuller shape in the upper half of your breast. It is important to note however that although, immediately after surgery you will notice a definate improvement, the final shape of your breasts will take approximately six months to become apparent.
To achieve a high level of satisfaction with your mastoplexy, it is important that you understand the procedure thoroughly and your expectations are realistic. Although mastoplexy will give you many years of fuller, more youthful looking breasts, bear in mind that your breast won't keep firm and pert forever. Ultimately time, age and gravity will always win the battle.
If you have any further questions or queries about this procedure, please feel free to call and speak to either Dr Roberto Viel, Dr Maurizio Viel or any of our nurses. Please note that it is necessary to attend a consultation prior to your operation, this is also the case with existing patients, it may also be necessary to have repeat blood test. |
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