BREAST LIFT (MASTOPEXY)
Breasts can become saggy for many different reasons. The connective tissue that holds the breast tissue in place can become loose over time. Depending on weight changes, breastfeeding and various influences such as gravity, there can be incompatibilities between the breast tissue and the surrounding skin envelope.
Over time, the breasts can become saggy due to pregnancy, breastfeeding and the effect of gravity. This is mainly due to the loosening of the ligaments that hold the breast tissue in place. There can also be excess skin and sometimes we can come across the appearance of a breast that looks empty. For surgeries, we have to wait until around the age of 18 for breast development to be completed. To achieve the shape of the breast, plastic surgeons must use their knowledge, experience, imagination, vision and artistic creativity.
BEFORE BREAST LIFT
Patients should inform their plastic surgeons of their expectations as with other aesthetic operations. Breast diseases or cancer, smoking, alcohol or medication intake in the family should be explained, a systemic disease and previous operations should be explained. In addition, the risks (infection, bleeding, suture opening, etc.) should be asked of the surgeon before the operation. There are many techniques for the operation. Some of them can be done under local anaesthesia. The type of anaesthesia should be communicated to the patient. During the operation, the sagging breast tissue is reshaped, the excess skin is removed and the nipple is placed at the tip of the cone where it should be. In our clinic, the operation is performed under general anaesthesia and under operating room conditions. The average operation time is 1.5-2 hours. As different techniques are used depending on the degree of sagging, the scars also vary from breast to breast. However, there will definitely be scars left behind. This can be done by making an incision around the coloured area of the nipple, which we call the areola, or by extending the incision down from the nipple in addition to this incision. Attaching a prosthesis alone to breasts that have lost their fullness, are loose and very saggy may not lift the breast sufficiently. In this case, a breast lift can be performed by removing excess skin in appropriate areas and lifting the nipple to the required level. These patients will have more scars than if only a breast prosthesis is inserted.
AFTER BREAST LIFT
Postoperative pain is rare and passes easily. Patients with a prosthesis may experience restrictions in arm movement for a few days. The dressing is in the shape of a bra, as in breast augmentation surgery. The bandage will thin out within a few days and the sports bra can be used. This bra is used for two months, during which time the patient is advised to have a massage. The nipple is constantly monitored with a separate dressing. The suture is removed after 7-12 days. In the early stages, swelling, nipple numbness and purple discolouration may occur. However, this is temporary.
Depending on the degree of sagging after surgery, the patient can return to work within 1-7 days with the permission of their doctor. It is recommended to avoid heavy movements and heavy sports for three months. If the patient is prone to scarring, frequent weight changes, pregnancy and breastfeeding, sagging may occur again over time due to gravity. Any surgery can lead to adverse situations. It would be helpful to discuss these possibilities with your doctor.