Mastopexy

This is a good operation to improve the appearance of droopy breasts but you would be left with scars, possibly some numbness of your nipples and you may not be able to breast feed again. Mastopexy can be carried out by a number of different techniques and the scars will differ accordingly. The most common technique involving scars are illustrated below. It may be possible for the operation to be performed with less scars and your surgeon will discuss the possibility of this with you. Usually these scars are fine but they are not invisible and could be noticed by others for example, if you were topless on the beach.

Because it is not possible to recreate the natural attachment of the breast to the tissues underneath, a mastopexy alone will not greatly increase the fullness of the breasts above the nipples. Fullness above the nipples can be achieved, however, by increasing the size of the breasts with silicone implants. The extra weight of the silicone implants may accelerate the return of the droopiness of the breasts and in any event there is a tendency for the breast to sink downwards as time goes by. You can lessen the rate at which this happens by supporting your breasts in a bra as much as possible.

As with any major operation under general anaesthetic, there is a small risk of chest problems particularly if you are a smoker and a small risk of thrombosis of veins in your legs, particularly if you are taking a contraceptive pill. In addition there is a small risk of one or more of the following complications.

Rarely heavy bleeding from the broken blood vessels can occur after the operation, which requires treatment in theatre under another anaesthetic.

Occasionally, infection (usually from germs that are lying dormant in the ducts of the breast) can cause part of the wounds to break down which prolongs the healing period and worsens the quality of the final scars.

Some people have an inborn tendency for scars to stretch and some people produce scars which remain thick, red and irritable for a long time.

If silicone implants are used you will need to refer to the leaflet on breast augmentation which will discuss the issue of breast implants and the potential complications in much more detail.

If you smoke, you should stop now. If you are taking the contraceptive pill, change to an alternative method at least six weeks beforehand. If you are overweight, reduce it beforehand.

This surgery is normally carried out under a general anaesthetic and will often involve an overnight stay in hospital depending on the extent and size of the procedure. Your surgeon will need to mark the size and shape of the breast while you are standing and following the operation you may find that you have two small tubes emerging from each of your breast so that any collection of blood can drain. These will remain in place for a short period of time. You will be given painkillers for the discomfort you experience in the first few days. Your surgeon may encourage you to wear a firm bra during 6 weeks day and night. There are no stitches to be removed as they are inside and are reabsorbable. You should refrain from strenuous physical exercise including swimming, for a month and you will probably require at least two weeks off work. Over the next 6 to 12 months the scars will gradually fade from red to pale. Your surgeon will make every effort to make your scars as inconspicuous as possible but it is important to remember that the scars are extensive and permanent. It is not possible to reshape droopy breasts without significant scars for although the use of breast implants alone will improve the fullness they will not deal with any significant drooping. Breast lift will not last forever and the effects of gravity, pregnancy and weight gain will take their toll, as will time.