Mastopexy
Gallery
Mastopexy is the procedure commonly known as a “Breast Lift”. This kind of pathology which is called Mammary Pstosis, generally appears due to several causes: pregnancy, lactation, aging, genetics (race), overweight and sudden loss of weight, etc.
Mammary Ptsosis can be classified in different ways depending on the location of the nipple-areolar complex and the quantity of mammary glands that the breast has. When the breasts are flaccid or saggy and the nipple-areolar complex is facing down we will call them True Mammary Pstosis. When the nipple-areolar complex is facing front we call them False Mammary Pstosis or Pseudoptosis.
The treatment for each case depends on the classification the breast receives and the
patient’s wishes. When the nipple-areolar complex is facing down and the patient’s desire is that it looks front or slightly up it will be necessary modify its location through vertical scar that
allows us to achieve this outcome. The patients should not worry about this scar since it
usually evolves well if and when there is no genetic disposition for bad scarring and there are no tension sutures. The type of scarring greatly depends on the magnitude of the suture tension, that’s why it’s important to carefully evaluate the surplus tissue that will be resected.
We could also change the position of the nipple-areolar complex lowering slightly the
mammary groove without the need for the vertical scar but the Plastic Surgeon must be very careful not to lower it too much because the outcome would be very undesirable. This type of procedure, lowering the mammary groove is only recommended when there is no flaccid or saggy tissue and the lifting of the nipple-areolar complex is very little. Both procedures for this classification of Try Ptosis can be done with or without implants.
The treatment for Pseudoptosis or False Mammary Ptosis is different and usually involves a clearing out of the mammary content and a proper location for the nipple-areolar complex.
Usually this pathology is corrected with a simple increase and resection of skin around the nipple-areolar complex with or without a reduction of the complex. If the patient wants a very notorious lifting the vertical scar will be more prominent. In our clinic we look closely for which type of procedure is needed since according to each breast that we are shown we will suggest what type of procedure will offer better results in form and size, all according to the proportions of the torso and height of the patient.
Common Q & A About Mastopexy Surgery
1.Do I need or not a scar?
2.What are the scars that might be needed?
3.How well do these scars evolve?
4.How long until the stitches are removed?
Answers
1/ The answer depends only on the judgment of your Plastic Surgeon during a doctor’s visit.
2/ You might need the Periareola (around the areola), the Periareola with a vertical (LeJeour) or the Periareola with a vertical and horizontal (Wise Pattern).
3/ They usually evolve very well if and when there is no genetic disposition or tension during suturing.
4/ It will depend on the Plastic Surgeon’s criteria during the post-opt appointment.