In the modern-day world every woman can have attractive and tight breasts. If Mother-Nature gave you beautiful shapes but they’ve changed after having a child or due to aging, then you need to know that breast lifting is not a problem.

Breast sagging is called breast ptosis in medicine. There are 3 stages of ptosis, as well as pseudo-ptosis. Location of a nipple and areolas to an under-breast line (submammary line) are used to define a stage.

  1. Stage 1 – a nipple is at the same level with a breast crease.
  2. Stage 2 – a nipple is lower than a line but still has breast tissue below it.
  3. Stage 3 – a nipple is a bottom point, not breast tissue below it.
  4. Pseudo-ptosis – a lower part of the breast is sagging but a nipple is still above a breast crease.

Indications

Breast lifting can be combined with breast augmentation with implants or with reductional mammoplasty (breast reduction). This surgery is recommended for women who are not planning to get pregnant again as the results will be lost.

Mastopexy is indicated for women whose breasts have lost their shape due to the reasons mentioned above. Breast lifting is also prescribed if there is an excess areola stretching and to women with asymmetric breasts.

Сontra-indications

  1. ARVI, ARD;
  2. Acute exacerbation of a chronic respiratory or cardiovascular disease;
  3. Critical performance status (critical cardiac, respiratory, hepatic, kidney failure);
  4. coagulation failure.

Anyway, a decision on the surgery is taken on an individual basis by your surgeon. An additional examination and consult of specialized doctors are prescribed if needed.

Breast lifting surgery procedure

A patient must be examined by a mammologist, make breast ultrasound scan, and undergo a standard set of medical tests before the surgery. A patient must stop smoking and taking any medicine affecting blood coagulation 1-2 weeks prior to the plastic surgery in order to reduce the risk of complications.

Types of breast lift

Generally, all surgeries are performed under general anesthesia and take about 1.5-3 hours depending on the workscope.

  1. Periareolar mastopexy. The surgery is performed by a small incision of excess skin around the areola and latching tissues with a cosmetic scar. The post-op scar traces the edge of the areola, so it’s almost invisible. The surgery is low-traumatic. It’s suggested for patients with a mild ptosis, as well as in combination with augmentation surgery with implants.
  2. Vertical mastopexy. Before this method of breast lift, a doctor makes marks on the breasts to perform a surgery based on them. The incision is made around the areola and goes down to the breast crease. The areola with a nipple are placed in a new position, excess skin is removed, and abapical tissue is fixed to a pectoral fascia. Drain tubes are inserted at the end of the surgery. This method is effective for ptosis stage 1 and 2.
  3. Anchor mastopexy. This surgery is made to correct extensively sagging breast (ptosis stage 3). After making marks, the incision is made around the areola perimeter, a vertical incision is made down to the breast crease where it is continued in a horizontal direction. Then the surgery steps are the same as for a vertical mastopexy. This plastic surgery is more traumatic but has a more lasting and steady effect, it can correct ptosis of any stage, however, leaving vertical and horizontal scars afterwards.

Post-op rehabilitation after breast lift

The patient remains in the clinic to be monitored by professional medical personnel for one day. There might be such post-op effects as pains, breast tenderness, swelling, scars. They will all go away but in a different time. If a plastic surgeon used nonabsorbable sutures, they will be removed in 10-14 days after the surgery. It’s required to wear special compression garments for about 4 weeks. Physical exercises are limited for 3 weeks, and also sauna, sun booths, hot tubs and baths are prohibited for the same period. A patient must avoid direct sunlight on the breast for scars to афву instead of becoming more visible. Results of the surgery are rated in 12 months.

Possible complications

There’s a risk of the following complications in the post-op period:

  1. Nipple placement being different to the planned one.
  2. Loss of nipple sensitivity.
  3. Asymmetry of breast areola (might be caused by non-synchronous healing of several incisions).
  4. Hypertrophic bad scars (genetic predisposition might be a reason).
  5. Wound contamination.
  6. Areola and nipple necrosis (due to contamination).
  7. Nipple going up due to the absence of the breast lower support.

MEDICAL TESTS required for the surgery:

  1. Complete blood count + blood platelets + coagulability (valid for 10 days)
  2. Blood type, Rh factor
  3. Coagulogram (valid for 10 days)
  4. Urine test (valid for 10 days)
  5. RWblood test (valid for 1 month) 
  6. Fluorography (valid for 12 months)
  7. Blood tests for hepatitis B, C (valid for 1 month)
  8. Biochemical blood test (total protein, sodium, potassium, calcium, chlorine, cholesterol, BUN, creatinin, glucose, TB, DB, AST, ALT, chlorides) (valid for 10 days)
  9. ECG with a breakdown (statement of a cardiologist if needed) (valid for 1 month)
  10. Statements of narrow specialists (endocrinologist, cardiologist, therapist, etc. upon readings)(valid for 14 days)
  11. Statement of a therapist for patients older than 50 years (valid for 14 days)
  12. Breast ultrasound + examination of an onco mammologist (valid for 1 month)
  13. In case of chronical diseases – an abstract of outpatient medical record with a statement of a therapist (valid for 14 days)

An approximate price for mastopexy is from 2000.00 BYN to 4000 BYN. A doctor will tell you the exact price at your consult after evaluating the workscope.

A price for a plastic surgeon consult is 15.00 BYN.

 

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