What is Breast Suspension / Mastopexy?
The female breast may droop due to various factors such as being overweight, lack of use of BRA, age, increase and further reduction of volume during breastfeeding, pregnancy and weight changes. The non surgical medical therapies has not proved effective, so the only treatment that your doctor may recommend surgery.
The candidates for this operation are women in General satisfied with the volume of the breast, but unhappy with the slackness and position or size of the nipple. There are different operative techniques that attempt to the lifting of the breast (pexia). The surgeon must in each case be adopted (a) which it considers more opportune and especially the master better.
The aim of the operation is to raise the whole breast, decreasing the volume at the lower pole, raise it at the top and reach the proper height of the areola complex reconstruction. Has special importance the projection of the breast; Breast saggy (ptósica) is very flat, so the Doctor must take really the aspect of projection. In some cases, the breast diameter is also much increased, and we should reduce it.
As this surgery the aim is not to remove volume, the surgeon must retain the bulk of the gland and remove the excess skin with minimal scars. Ancient techniques do not bother much with the scars and these were of considerable size. The latest try whenever possible to avoid horizontal scars that heal worse and can be seen with the neckline.
The incision outlines the area where the breast skin will be removed and defines the new location for the nipple. When the excess skin is removed, the nipple and areola are moved to a higher position. The skin surrounding the areola is then brought down and restructures the breast.
The surgical technique of Liacyr-Riveiro modified by us is done by following the steps that are specified:
1. Careful Markup.
2. Careful anesthetic Infiltration.
3. Desepidermização periareolar.
4. Individualization of flap flap bottom.
5. Migration of the flap.
6. termination and glandular skin.
ANESTHESIA AND SURGERY DURATION
The anesthesia can be local with sedation or General. Clínica Luso Espanhola chose wherever possible by sedation with local anesthesia; the reason is that the patient will not feel any pain in the immediate postoperative period. The use of modern local anesthetics like ropivacaina with or without vasoconstrictor ensures an extended period of anaesthesia in the area operated, so that the surgery can be done on an outpatient basis. The intervention in trained hands lasts between 2 and 3:0. If hemostasis is done carefully, it will not be necessary drains. This depends on the technical details of each school. The relocation may vary between 6 and 12:0 am, depending on your general condition and the extent of intervention.
Should be used a band-aid and a bra itself in the early days. Usually we recommend the use of the BRA during 3-4 weeks. The points should remain a minimum of 14 days in the case of intradermal suture.
Some patients, especially those with relatively small breasts and minimal, may be candidates for modified procedures requiring less extensive incisions through smaller incisions made from the areola. A breast implant can be inserted or not depending on the technique used, the will of the patient and the surgeon’s statement.
Although the scars are the inevitable outcome of any surgery, the surgeon will make every effort to ensure that the scar is the least noticeable possible. The points are usually located around the areola, in a vertical line that extends down from the nipple area, and along the lower Groove of the breast. However the healing is a personal characteristic and varies from patient to patient. The end result is visible at the end of 6 months.
CARE IN THE POSTOPERATIVE PERIOD
After the operative Act, the patient will make use of a particular BRA, which should be used for 30 days is clearly different approaches. During this period, the patient should always use the BRA both day and night and after this period whenever practice sport. Bath or shower only after permission from the doctor. During the first few weeks after surgery, the patient should not perform physical efforts, as there is the risk of opening the sutures performed on the breast. After this time, gradually, the patient goes back to his normal life and efforts can become part of your routine. The resulting scar will depend fundamentally the quality of healing this patient in particular. Each individual presents a special peculiarity with regard to healing.
WHAT ARE THE MOST FREQUENT PROBLEMS THAT CAN APPEAR IN A MASTOPEXY?
Although not common, breast suspension, like any other Act, may introduce complications such as Hypertrophic Scar, nipple sensitivity decrease, hematoma, suture dehiscence, infection and necrosis of the skin. Whatever the type of complication, it’s important to be calm and understanding, trusting the doctor responsible for the solution of the problem. Comments with friends or family members, in addition to not help, may create a situation of unrest and discrediting. The emergence of some of the problems mentioned above is part of the so-called “calculated risk”, which applies to any type of surgery. Their occurrence, fortunately, is not common and usually does not compromise the results definitely.
WHAT ARE THE QUESTIONS THAT SHOULD BE POSED TO THE SURGEON WHO WILL OPERATE ON ME?
1. What is the technique that usually use?
2. What is the experience: how many patients already operated with this technique? What are the bad results and complications that have had?
If possible try to see some patient operated by the surgeon.
3. When the scars disappear?
The scars are getting disguised the course of several months and may take up to 1 year. You might want to clarify that the scars never disappear, but over time become very disguised.
4. There may be loss of sensation?
Is a very rare but possible complication in any breast surgery.
5. Can I breastfeed if I get pregnant?
In principle there should be no problem.
6. When can I return to work?
Depends on the type of surgical procedure and the healing capacity of each person. If all goes well and the work is not heavy, between 10 and 15 days is a reasonable period of time.
7. The operation lasts forever?
We don’t do anything that lasts forever. Breast support depends on several factors: patient age, sagging skin, breast volume and weight. Varies so some people the other.
8. Can I increase the chest later?
Can be associated with a breast augmentation operation. The complications are greater if made both surgeries together.