Mastopexy is a surgical procedure to lift and improve the shape of sagging breasts. Over the years, and after circumstances such as pregnancy, breastfeeding, and the force of gravity cause the breast tends to fall; in addition, as the skin loses its elasticity, the breast loses its shape and falls, a phenomenon known as breast ptosis. When the breast has failed or has little volume, you can also place a prosthesis to correct it. Mastopexy can also reduce the size of the areola when it is substantial.
Planning the surgery
During the first consultation, the plastic surgeon will evaluate the size and shape of the breasts, skin tone, and general health.
A physical examination of the breasts will also be performed. A mammographic study (Ecosonogram or mammography) will be requested.
The different surgical techniques will be explained. The size and shape of your breasts and the options or combination of best for the patient will be discussed.
You should plainly state your expectations so that the plastic surgeon will also be frank and show you the alternatives available for your problem, with the risks and limitations of each one of them.
Your history, smoking habit, consumption of medications such as Aspirin ®, steroids or vitamins, number of previous pregnancies, and the possibility of new pregnancies will be evaluated. Do not hesitate to ask any questions that arise, especially those related to your expectations about the results.
You will be given instructions on preparing for surgery, including rules about food and fluid intake, smoking, or taking or stopping medications, vitamins, and iron supplements. Blood does not need to be transfused during surgery. Also, make sure that a family member or companion can take you home when you are discharged and, if necessary, can help you for a couple of days.
This procedure is performed under general anesthesia, with the patient remaining asleep during the operation.
After the surgery
After breast surgery, it is normal to feel a little tired for a few days, with chest pain and pressure in the breasts, but you will be able to live almost generally after 24-48 hours. Most of the discomfort is well controlled with medication prescribed by your plastic surgeon, although the breasts may persist discomfort for a couple of weeks. The bandage or dressings will be removed in a few days, replaced by a special bra, to be worn as directed by your surgeon. It is normal to have a burning sensation in the nipples during the first two weeks.
After mastopexy can be normal to decrease sensation in the nipples; this situation is usually temporary, except in some reductions that may be permanent. The stitches are removed between 7 and 14 days; the edema does not subside entirely until 3 to 6 weeks.
After the mastopexy, you will be able to return to work in a few days, depending on the activity you do. You should follow your surgeon’s instructions about what exercises you can do; overhead lifting should be avoided for 2 to 3 weeks. Your breasts will be more sensitive than average for 2 to 3 weeks, so it may be wise to avoid excessive physical contact until 3 to 4 weeks. Initially, the scars will be pink, an appearance that will improve steadily from 6 weeks. Age-appropriate mammographic checks for each woman can continue to be performed.