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Breast Lift (Mastopexy)
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A natural part of the female ageing process is the inevitable sagging or drooping of the breasts. Women who have breastfed or have experienced extreme weight loss often seek breast enhancement surgery to restore volume and shape to their breasts, which often involves mastopexy (breast lift). A mastopexy is designed to lift the breast by removing excess skin, and sometimes re-positioning the nipple to create more youthful looking breasts.

The appropriate technique and incision pattern is determined according to the size, shape and degree of sagging of the breast, as well as the position and size of the areola (outer nipple). The incision is most commonly one of three ways:

• around the areola
• around the areola and then vertically down the breast
• around the areola, vertically down the breast and horizontally along the breast crease

Once the incision has been made, the excess skin is removed and the nipple and areola are then repositioned to create a more pert and youthful looking breast shape. During a breast lift the nipple always needs to be lifted and reshaped to appear smaller, rounder and more in proportion with the new breast. The skin that surrounds the areola is brought together to contour and reshape the breast.

The procedure generally takes one and a half to three and a half hours to perform and is done so whilst the patient is under a general anaesthetic. A surgical bra or elastic bandage is worn post surgery. It is common for some patients to lose sensation and some feeling in the nipple or breast after surgery.

Risks/Complications

It is important to be aware of any risks and complications that may occur as a result of a mastopexy. These may include:

• Loss of sensitivity
• Scarring irregularities
• Wound separation
• Asymmetry
• Permanent bruising
• Blood loss
• Seroma (hardening of the breast)
• Infection
• General dissatisfaction

Breast Thread Lift

A alternative technique currently being offered as an alternative to the traditional mastopexy is the breast thread lift. This is a less invasive option for women who wish to lift the profile of their breast. It is a relatively simple day procedure that takes approximately two hours to perform. This technique is suited to patients with certain body types and have a breast size of c-cup or smaller. During the procedure a nylon surgical thread is inserted under the skin and strategically secured to elevate the breast and nipple, and is then fastened with internal stiches. Bruising, swelling and pain are said to be minimal with the threading technique, and support tape is usually worn for two to three weeks after the procedure.

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