I want better shape
A breast uplift or mastopexy is a cosmetic surgery operation designed to reshape breasts into a firmer, more youthful shape. It is typically performed to counteract the effects of pregnancy and breast-feeding on a woman's breasts, and is sometimes combined with breast implants (augmentation mastopexy).

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Breast Uplift(mastopexy)

In the ideal breast, the nipple is level with the centre of the upper arm. Pregnancy, breast feeding, weight loss and the passage of time can all cause breasts to droop, with associated loss of volume and elasticity. If you feel that your breasts have begun to droop you could consider breast uplift surgery.

Unlike reduction surgery, breast uplift does not aim to change the size of the breasts, but to restore a more youthful and attractive shape to the breasts. This is done by removing sections of slack and redundant skin and reshaping the breast tissue. Some stretch marks may be removed, but most will remain.

Uplift surgery may also be combined with breast enlargement surgery, but it is important to remember that a sensible breast size will last longer. An uplift will not prevent your breasts from drooping again from the same causes that caused them to droop originally.

Depending on the technique used, breast uplift should not interfere with breast-feeding, making it an option for women who have not finished childbearing.

Your consultation

During your consultation, your surgeon should take a medical history and ask for details of any breast surgery you may have had. He should also inform you about the scarring that can result and explain the various options available.

Breast uplift typically produces scars around the areolas. In addition, you may have scars down to and along the breast crease. The amount of scarring can vary depending on your initial shape. Your surgeon should explain the extent of scarring to expect.

• If your breasts have not drooped significantly and an increase in their size would be acceptable to you, breast augmentation alone may be a better way of lifting and firming them.

• In other cases where breast droop is minimal, your surgeon may suggest a technique that causes less scarring, or he may advise against having surgery at all.

What to expect from your operation

Also known as breast ptosis correction, breast uplift surgery usually takes about 2 hours. It is done under general anaesthesia and usually requires an overnight stay in hospital.

During the procedure, skin is cut away above, below and around the nipple and areola. The breast tissue is reshaped in order to achieve a better contour and enhanced projection. The remaining skin is then stretched taut, rejoined and the nipple is repositioned. Because this type of surgery interferes less with the nerve supply to the nipple areola, sensation is usually preserved

As a routine precaution against blood clotting you should be advised to wear anti-embolism (TED) stockings until you are discharged. Expect to get out of bed and move around as soon as possible after surgery.

After surgery

Immediately after surgery the shape of your new breasts should be apparent, with less drooping and the nipples in a higher position. It will take around 6 months for your breasts to settle into their final shape. During your recovery there are several things you should expect.

• Following surgery your breasts will probably be uncomfortable and possibly painful. You should be provided with sufficient pain relief by your surgeon. After your discharge a mild pain killer such as paracetamol can be used. Aspirin must be avoided because it can promote bleeding. If you experience a prolonged period of pain, you should seek advice from your surgeon.

• Drainage tubes may have been inserted at the end of the operation to remove fluid or blood after surgery. These are removed once any oozing has stopped. New, light tape dressings should be applied before you go home. These should be kept dry and in place and your wounds should be checked about 7 days after surgery.

• Showers and shallow baths are possible, however it is important to keep your tapes dry.

• You may begin wearing a soft, comfortable bra immediately after surgery.

• Bruising is to be expected, but should subside in 2 to 3 weeks. To speed the resolution of bruising and swelling you may take arnica for 1 week before surgery and 2 weeks afterwards.

• As with any surgery, there is a possibility of infection after breast uplift. This is can be treated with antibiotics and/or dressings.

• If you are a smoker your healing may be delayed. Likewise drinking alcohol to excess after surgery could increase your risk of bruising and bleeding.

• You may feel somewhat tired for about 2 weeks after your surgery. If you tend to be anaemic or have heavy periods consider taking some iron and folic acid supplements. You may drive after 3 or 4 days, but avoid vigorous exercise for 2 weeks. If you wish to fly within 4 weeks after surgery, consult your surgeon.

• Immediately after your surgery, the skin around your incisions may appear slightly folded and your scars may be hard, red, raised and lumpy. It can take up to 18 months for your scars to flatten and resolve depending on your particular healing characteristics. Moisturising and massaging the scars can help them to soften more quickly.

• Your scars will eventually return to a normal skin colour but will always remain visible

 

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