Usually the woman’s breasts will lose its firmness and start to sag because of the aging process and factors such as pregnancy, breast feeding, and weight changes. However, breast sagginess has been also associated with the skin collagen deterioration. This means that genetic factor could also have an impact on the breast shape. Effectively, Dr Mounir does often see in his clinic young patients complaining about breast sagginess and requesting breast reshaping and Uplift. During his consultation, Dr Mounir always try to explain to his patient that no surgery can permanently stop the effects of gravity and that the skin may always re-stretch leading to another sagginess. The goal of the mastopexy surgery is to achieve a lifting of the breast but can also reduce the size of the areola, the darker skin surrounding the nipple. However if the breasts have lost volume mainly and are less firm, breast implants inserted in conjunction with breast uplift can increase both their firmness and their fullness. This is called breast augmentation with uplift or mastopexy with implants.
Are you a candidate for breast Uplift or “breast uplift with implants”?
If you feel that you are happy with the size of your breasts and it is mainly the fact that the have dropped over time which is bothering you then a breast uplift is probably the right procedure for you. During his consultation Dr Mounir would use a sellotape to lift your breast and to simulate the surgical uplift effect, then he would ask you whether you feel that your breast are full enough. If you are happy with the volume achieve by the sellotape only, then it would probably mean that you want breast uplift only. However if you are not happy with the volume of your breast, then you may consider having a combined procedure where after your breast are uplifted, implants will be inserted in your breast pocket to increase the volume of your breast.
Generally speaking a good candidate for breast uplift is a healthy, emotionally stable women who is realistic about what the uplift surgery can achieve. Dr Mounir does usually warn his patients that the results may not last as long in heavy breasts. Therefore, if you chose to have breast uplift with implants, Dr Mounir would always advise you not to choose a big implant in order to reduce the risk of re-stretching the skin again (recurrence of ptosis).
If you’re thinking to have children, it may be better to postpone your breast surgery. Although there are no real risks that affect future pregnancies, however, breast-feeding is likely to stretch your breasts again and change the cosmetic out come.
If you are planning to lose weight, it may be also better to achieve you weight target before proceeding with the surgery. This is because weight loss will have an impact on the cosmetic out come.
What about the Risks of Breast Uplift Surgery?
The mastopexy or Breast Uplift Surgery is a major operation especially when combined with implants placement in the breast pocket. Generally speaking with any surgery, there are always associated risks including bleeding, infection, Numbness oft he breast.
Effectively, some women may experience a permanent loss of feeling in their nipples. Necrosis oft he nipple where the areola and the nipple may lose their blood supply and the tissue will die.
Patients may also feel dissatisfy with their cosmetic out come as they may feel that the breast are still low and not uplifted enough. In that sense, during the consultation Dr Mounir would explain to you that it is impossible to guarantee the final cup size. He will also stress to you that the procedure does leave noticeable and permanent scars. If you are a smoker, he would advise you to stop smoking to reduce the risk of infection and wound healing delay. Effectively, Poor healing and wider scars are more common in smokers.
The Surgery Technique:
Breast Uplift surgery usually takes two to three hours. Techniques vary, but the most common procedure involves an anchor-shaped incision following the natural contour of the breast.
The incision outlines the area from which breast skin will be removed and defines the new location for the nipple. When the excess skin has been removed, the nipple and areola are moved to the higher position. The skin surrounding the areola is then brought down and together to reshape the breast. Stitches are usually located around the areola, in a vertical line extending downwards from the nipple area, and along the lower crease of the breast.
Some patients, especially those with small breasts and minimal sagging, may be candidates for modified procedures requiring less extensive incisions. One such procedure is the around the nipple mastopexy, in which circular incisions are made around the areola, and a doughnut-shaped area of skin is removed.
If you’re having an implant inserted along with your breast lift, it will be placed in a pocket directly under the breast tissue, or deeper, under the muscle of the chest wall. Dr Mounir will explain to you the pros and cons of each technique during your first consultation.
After Your Surgery
After your surgery, you will be wearing a sport Bra for a period time of 6 weeks, 24 hours a day. You will be asked to keep your dressing dry and clean at all time. Your breasts will swollen, and uncomfortable for the first couples of days, but the pain shouldn’t be minimal. Dr Mounir will give you some painkillers and antibiotics to cover you against infection.
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