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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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