Breast Lift (Mastopexy)
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Mastopexy
removes the excess breast skin to raise ,
reshape and firm your breasts. The nipples
are reposition to match with new breasts location.
Breast implants may be inserted in conjunction
with a breast lift to increase breast volume
which may loss due to pregnancy or weight
reduction etc..
You
are a strong candidate for breast lift if
you have one or more of these followings,
- Your breasts loss firmness.
- Your breast are pendulous.
- Your nipples point downward
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Breast
lift surgery usually will not affect your ability
to breast -feed since there is still continuation
of nipple , milk duct and breast glands.
Nonetheless
you are adviced to tell me if you plan to be pregnant
or lose a significant amount of weight , I prefer
you should wait until your breast size, shape , and
skin elasticity are stabilized first.
How a breast lift is performed ?
My favorite technic is " The Inverted T Mastopexy
". The incision consists of three components;
- around the nipple incision
- vertical incision from the nipple down to inframammary fold ( crease
beneath the breast )
- horizontal incision at the crease simulating with the curve of
breast
After I remove the
excess breast skin , the breast cone in conjunction
with nipple and areola complex ( NAC ) is shifted
to the higher position.
The NAC remains attach to
the underlying breast tissue to preserve the
blood supply, sensation and breast - feed ability.
All the incisions
are sutured together to close the wound in the
inverted T shape. So far I have experienced
that the inverted T Mastopexy are able to tighten
all dimension of the skin laxity. |
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How do you prepare for the surgery ?
Mastopexy
usually are done in the hospital based facility either
under general anesthesia or local anesthesia combined
with intravenous anesthesia.
The operative
time is around 3 - 5 hours , and you are more comfortable
to stay at least overnight . In some cases small vacuum
drain will be placed in your breasts to avoid fluid
accumulation.
Right after
the surgery in the operating room , your breasts will
be wrapped around by elastic bandage and layers of
gauze for two days. Surgical drain will be removed
in few days after the surgery.
I always
instruct all the patients to wear supportive bra for
few weeks until the discoloration and swelling subsides.
Generally stitches will be removing in stages between
7 -10 days.
When will you resume to your activity ?
You are
able to return to work within a week or so. Mild exercise
is resumed in few weeks as well as sexual activity.
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