DO YOU FEEL LIKE YOUR BREASTS HAVE LOST SHAPE AND VOLUME?
A breast lift (or mastopexy) is performed to correct droopy or saggy appearing breasts, creating fuller and perkier breasts. It involves lifting the position of the nipple and often increasing the breast volume, especially in the upper part of the breasts.
Losing breast volume is a normal part of the ageing process and is particularly common after having children, breastfeeding and losing weight. When this happens, an implant is often needed to give you back that lost volume and shape.
Whilst the operation is usually performed in a single stage, it sometimes may need to be performed in two stages usually with patients who have had massive weight loss.
HOW to DETERMINE IF you NEED A breast LIFT, implant, or both?
There are many factors that influence this decision but perhaps the most important is the position of the nipple relative to the crease under your breast.
In general terms, if the nipple is well below the crease you usually need a breast lift with an implant. If the nipple is at the level of the crease sometimes the right-sized implant will lift things enough without a lift. If the nipple is above the crease usually an implant alone will work. Factors such as asymmetry or the desire for a very modest implant might tip the balance in favor of performing a lift at the same time as an implant.
FREQUENTLY ASKED QUESTIONS ABOUT OUR BREAST MASTOPEXY PROCEDURES
Moving the nipple from a low position to a higher position always means a circumferential scar around the nipple and areolar and a vertical incision that drops below it. This is called a lollipop incision. This is often combined with a small incision in the crease under the breast which is used to place the implant prior to the lift. This horizontal incision is the same one patients have when they have an augmentation and is the least visible of all the incisions. If you have a fairly low-hanging breast then this lower crease incision will need to be longer to take up the extra skin and the incision is called an anchor or inverted T incision.
All scars will fade with time and all my patients receive maximum scar management therapy that includes taping and silicones to help you achieve the very best possible scars.
Prices depend on your individual situation and what is required to give you the result that you desire. Every patient is so unique with varying surgical requirements which Dr Phoon will discuss in detail with you during the consultation process.
Factors that can contribute to the cost of your procedure include:
- Whether your procedure is deemed cosmetic or medically required
- Theatre time
- Length of hospital stay
- Private health fund status (if the procedure is deemed medically necessary)
- Eligibility for item numbers.
- An itemised quote will be provided to you following your consultation with Dr Phoon.
This is a common question for patients who are used to having exercise a normal part of their daily activities. You need to wait a full six weeks after surgery to minimise the risk of implant movement. Implant movement can lead to implant rotation and it can be a big problem if you have an anatomical (teardrop) implant. Your surgical package includes all surgical garments.
The most common procedure combined with an augmentation mastopexy would have to be a tummy procedure such as an abdominoplasty. Like the breast, the tummy undergoes a remarkable amount of changes following pregnancy or massive weight loss. Some people like to refer to this combination as a but I prefer not to use this terminology. The reason for this is that I feel mums don’t need makeovers as the changes you go through to have kids are completely. If you’ve achieved your ideal weight after weight loss or kids and want to do something about the shape or skin excess then I can help.
I perform a large number of these combined procedures and feel it is a privilege for me to do so.
Rarely am I able to perform surgical procedures where the goal is both reconstructive and cosmetic at the same time- this is one of the exceptions. Feel free to see my videos on Youtube, Facebook or Snapchat feeds if you want to see more.
Usually, this is a day surgical procedure unless it is combined with another procedure. It’s sensible to take off a week from work and the first three to four days are the most uncomfortable so we give you a range of pain relief medications to help your situation. We’re always on hand to help out if needed. You can expect to be swollen for the first few weeks and it takes between 6-8 weeks until you can get a good idea of your final result but results and recoveries will vary between patients. The secondary revision rate is higher with augmentation mastopexy than breast augmentation.
Every Mastopexy involves some scars on the breast. The main purpose of a Mastopexy is to change the position of the nipple and, at the same time adjust the volume of the breast at the same time. When the Mastopexy is predominantly nipple adjustment and the overall size of the breast doesn’t need changing, a keyhole or ‘lollipop’ incision is possible. If the breast is larger then there will be an additional scar in the crease under the breast to remove some of the vertical excess of the breast at the same time.
Breast lifts have a lot in common with breast reductions. In fact, the operation is almost exactly the same except more breast tissue is removed and reshaped with a breast reduction. In both procedures the nipple is positioned in a better position at the same time.
Most patients will have an implant placed at the same time to a little more volume up the top of the breast. When there is an extreme amount of sagging to the breast this is often the only thing that will help. The medical term for this is an augmentation mastopexy. It used to be a procedure performed in two stages but I prefer to do it in a single stage. If the breasts are very large, the nipple position is exceptionally low or you have lost a large amount of weight it may need to be performed in two stages to achieve a better and more predictable result.
The short answer here is no- I might be able to use some of your existing breast tissue to fold it higher within the breast. This is called an auto augmentation. The other alternative here is to perform fat grafting to the upper pole of the breast. This can be a great ‘two for one’ where you can elect to have some stubborn area of fat taken away and put to good use. The fat is removed using special liposuction techniques, processed then injected back into the breast. Approximately 2/3 of the fat will survive here and, in the future, you can always have the procedure repeated.
Risks and complications of cosmetic surgery
Cosmetic surgery is still surgery and as such always has potential risks and complication. It is important for anyone considering cosmetic surgery to be well-informed and aware of the possible adverse outcomes. Dr Alex Phoon is a fully qualified Australian specialist plastic and cosmetic surgeon who operates with an experienced team in leading public and private hospitals in Sydney Australia.
In this article, we will dive into the various risks and complications associated with cosmetic surgery, providing insights into each aspect.
Scarring
One of the most common concerns among patients undergoing cosmetic surgery is the potential for scarring. While skilled surgeons strive to minimize scarring, it is an inevitable part of the healing process.
Read moreThe severity of scarring varies depending on the individual and the procedure performed. Certain factors, such as genetics and skin type, can also influence how prominent scars may be. However, it is worth noting that in many cases, scars fade over time and can be further improved through scar revision techniques.
Scarring is a natural part of the body’s healing process. When the skin is injured, whether through surgery or trauma, the body responds by forming new collagen fibres to repair the damage. This process can result in the formation of a scar, which is a visible mark on the skin that differs in texture and colour from the surrounding tissue.
There are different types of scars that can occur after cosmetic surgery. One common type is a hypertrophic scar, which is characterized by raised and thickened tissue. These scars may be red or pink in colour and can be itchy or uncomfortable. Another type of scar is a keloid, which is an overgrowth of scar tissue that extends beyond the boundaries of the original wound. Keloids are more common in individuals with darker skin tones and can be more challenging to treat.
Fortunately, advancements in surgical techniques and post-operative care have greatly improved the management of scars. Surgeons take great care in placing incisions in inconspicuous areas and using techniques to minimize tension on the wound, which can help reduce the risk of visible scarring. Additionally, patients are often advised to follow a specific scar care regimen, which may include keeping the incision site clean, applying silicone gel or sheets, and avoiding sun exposure.
In some cases, scar revision techniques may be recommended to further improve the appearance of scars. These techniques can include laser resurfacing, dermabrasion, or surgical excision. Laser resurfacing uses a laser to remove the top layers of the skin, promoting the growth of new, healthier skin cells. Dermabrasion involves using a rotating brush or diamond wheel to gently remove the outer layers of the skin, revealing smoother skin underneath. Surgical excision involves removing the scar tissue and rejoining the edges of the skin to create a more aesthetically pleasing scar.
It is important for patients to have realistic expectations when it comes to scarring. While surgeons strive to minimize scarring, it is impossible to eliminate it. However, with proper care and the use of scar revision techniques, the appearance of scars can be significantly improved. Patients should discuss their concerns and expectations with their surgeon prior to undergoing any cosmetic procedure to ensure they have a clear understanding of the potential for scarring and the available treatment options.
Infection
Infections are another risk associated with any surgical procedure, including cosmetic surgery. Despite stringent sterilization protocols followed by healthcare professionals, there is still a possibility of infection.
Read moreTo mitigate this risk, surgeons prescribe antibiotics pre- and post-surgery, adhere to aseptic techniques, and closely monitor patients for signs of infection. It is crucial for patients to follow their surgeon’s aftercare instructions to minimize the risk of infection.
When it comes to cosmetic surgery, infection is a concern that cannot be ignored. Surgical procedures, no matter how minor, create an entry point for bacteria and other microorganisms. Although healthcare professionals take every precaution to maintain a sterile environment, the human body is naturally teeming with bacteria, making it impossible to eliminate the risk entirely.
Fortunately, surgeons are aware of this risk and take proactive measures to minimize the chances of infection. One such measure is the prescription of antibiotics. Prior to surgery, patients are often given a course of antibiotics to help prevent any potential infection from taking hold. These antibiotics are carefully chosen based on the patient’s medical history and the specific procedure being performed.
Post-surgery, patients are usually required to continue taking antibiotics for a certain period. This helps to ensure that any bacteria that may have entered the body during the procedure are promptly eradicated. By adhering to the prescribed antibiotic regimen, patients can significantly reduce the risk of developing an infection.
In addition to antibiotics, surgeons also follow strict aseptic techniques during the surgical procedure itself. This involves maintaining a sterile environment, using sterile instruments and equipment, and wearing appropriate protective clothing, such as gloves and masks. These precautions help to minimize the introduction of bacteria into the surgical site, further reducing the risk of infection.
Despite these measures, it is important to note that infections can still occur. The human body is a complex system, and sometimes even the most stringent precautions cannot completely eliminate the risk. However, by closely monitoring patients for signs of infection, surgeons can detect and treat any potential infections early on, preventing them from becoming serious complications.
Patients also play a crucial role in minimizing the risk of infection. Following the surgeon’s aftercare instructions is of utmost importance. This may include keeping the surgical site clean and dry, avoiding certain activities or behaviours that could increase the risk of infection, and promptly reporting any signs of infection, such as redness, swelling, or discharge.
In conclusion, while the risk of infection is present in any surgical procedure, including cosmetic surgery, healthcare professionals take numerous precautions to minimize this risk. From prescribing antibiotics to following aseptic techniques, surgeons prioritize patient safety and strive to create the best possible outcome. However, it is essential for patients to actively participate in their own aftercare and follow the instructions provided by their surgeon to further reduce the risk of infection.
Pain
Pain and discomfort is a common experience following cosmetic surgery but can be mitigated with modern analgesic strategies.
Read moreThe extent of pain can vary depending on the procedure, the individual’s pain tolerance, and the body’s healing response. Surgeons typically prescribe pain medications to manage any discomfort during the recovery period. It is important for patients to communicate their pain levels with their healthcare providers, as proper pain management is crucial for a smooth recovery.
Undesirable cosmetic outcome
While cosmetic surgery aims to enhance aesthetics, there is always a risk of an undesirable cosmetic outcome.
Read moreFactors such as unrealistic expectations and the biological unpredictability of healing can contribute to suboptimal results. It is essential for patients to have open and honest discussions with their surgeons about their desired outcomes, potential limitations, and realistic expectations. This helps ensure that both parties are on the same page and reduces the chances of disappointment. Revision surgery might be an option should this be an issue.
Nerve damage
Another potential complication of cosmetic surgery is nerve damage.
Read moreSurgeons take great care to avoid damaging nerves during procedures, but it is not always possible to eliminate this risk entirely. Nerve damage can cause numbness, tingling, or loss of sensation in the operated area. In most cases, nerve function gradually improves, but it may take some time for complete resolution. Patients should be aware of this potential risk and discuss it with their surgeon before proceeding with the surgery.
Bruising and swelling
Bruising and swelling are common after cosmetic surgery, particularly in the early stages of recovery.
Read moreThese symptoms are part of the body’s natural response to trauma. Surgeons may recommend compression garments, elevation, and cold compresses to help minimize these effects. While bruising and swelling are temporary, they can cause discomfort and can affect the recovery timeline. Patience and adherence to post-operative guidelines can aid in reducing the duration and severity of these side effects.
Bleeding
Bleeding during or after surgery is a potential complication that can occur in any surgical procedure, including cosmetic surgery.
Read moreSurgeons take measures to control bleeding during the operation, but occasionally, some post-operative bleeding may occur. It is crucial for patients to inform their healthcare providers if they experience excessive bleeding or if they are unable to control bleeding with gentle pressure. Immediate medical attention is necessary to address this complication. If there is major bleeding, you might require a blood transfer or transfer to a hospital for additional treatment.
Seroma
A seroma is a pocket of fluid that can accumulate under the skin after surgery.
Read moreIt forms as a result of the body’s inflammatory response. Seromas are more common in larger surgical procedures and can lead to swelling and discomfort. Surgeons may drain seromas through aspiration or place drains to prevent their accumulation. A surgical drain can be used to minimise this risk. Close monitoring by healthcare providers is crucial to ensure the timely detection and management of seromas.
Anaesthetic complications
Although rare, complications related to anaesthesia can occur during cosmetic surgery.
Read moreAnaesthesia is administered to ensure patient comfort and safety during the procedure. Factors such as individual reactions, allergies, or underlying health conditions can increase the risk of complications. Anaesthetists are highly trained professionals who monitor patients closely throughout the surgery to minimize any potential risks.
Death
While the risk of death from cosmetic surgery is extremely low, it is essential to acknowledge that any surgical procedure carries inherent risks.
Read moreEvery effort is made to prioritize patient safety and ensure favourable outcomes. The preoperative assessment, careful surgical planning, and adherence to appropriate protocols help minimize this risk. Patients should discuss their specific concerns with their surgical team and feel confident in the expertise and experience of their chosen surgeon.
In conclusion, cosmetic surgery offers individuals an opportunity to enhance their appearance, but it is essential to recognize that it is not without its risks and complications. By understanding and discussing these potential outcomes with their surgeons, patients can make informed decisions and take necessary precautions to optimize their safety and overall surgical experience. With proper expectations, diligent aftercare, and open communication, the risks associated with cosmetic surgery can be minimized, and the goal of achieving desired aesthetic improvements can be realized.
