General

Breast lift or mastopexy is one of the most popular and satisfying cosmetic surgery procedures available. The women who have found the best results from this procedure are women with small, sagging breasts, but it can be performed on breasts of any size. Used in conjunction with implants, a breast uplift may be used to both increase your breast firmness and size.

Indications

* Enhance the breast contour of a woman who feels that her current breast lacks of firmness or the fact that the nipples point to the floor.
* Correct the loss of breast skin elasticity due to pregnancy, weight loss, breast-feeding or just the passage of time.
* Balance difference in breast volume in cases of breast asymmetry.

Although a breast lift will not interfere with nursing, the nipples and milk ducts are left intact, the occurrence of a following pregnancy may offset the results of the procedure. Women can breast feed if they want.

Risks

There are always risks with every surgical procedure. The possibility of complications occurring is minimised in the hands of a fully qualified plastic surgeon. Needless to stress the importance of the pre operative consultation directly with the surgeon as
well as closely following your surgeon’s advice both before and after surgery.

Results

Breast lift boosts the confidence and self esteem of women who would otherwise feel unhappy in certain clothes,on the beach and in sexual relationships.The breast lift will restore a more youthful appearance.

Before Surgery

• Do not sunbathe one week before surgery.
• Any medication that you are taking should be reported to your surgeon and then taken as instructed.
• You should take ARNICA tablets (A homeopathic medication to minimise post-operative bruising and swelling). Two tablets to be taken three times per day, every day for seven days before surgery.
• NO ALCOHOL should be taken 48 hours prior to surgery.
• NO non prescribed ASPIRIN should be taken for a minimum of a week before surgery. You are allowed to take paracetamol.
• If you are a smoker, you are strongly advised to cut down or even better STOP SMOKING.
• The morning or evening prior to your surgery you are requested to shower or bathe, cleansing your entire body. Shave under your arms. Wash your hair but do not use any hair spray, etc. Do not apply any creams.
• Arrange your transportation to and from the hospital. If your operation is performed as a day case you will be discharged after 5.00pm on the day of admission. If you are staying overnight, you will be discharged about 10.00am on the day following surgery.
• You can purchase a sports support bra from Marks and Spencers. You must discuss which bra size will be required with your surgeon.
• No underwire bra.

Day of Surgery

• Nothing to eat or drink for a minimum of 6 hours before your admission
• Remove all nail polish, contact lenses, jewellery and make up while at home.
• Wear comfortable loose clothing.

The Procedure

The patient is admitted to the hospital on the morning of the operation. It usually takes about two hours and surgery is performed under general anaesthetic. An overnight stay to the hospital may be required.Surgery aims to elevate and reshape sagging breasts by removing excess skin and repositioning the nipples. The incisions vary according to three different techniques. The inverted T is one incision around the nipple, one in the fold below the breast and a third vertical incision joining them. The second one is the vertical technique with two incisions, one around the nipple and a vertical one. The third is called periareolar and uses only an incision around the nipple. The choice of the appropriate technique varies according to the type of breast and the desired shape and this should be discussed during the consultation. Light dressing is applied and a supporting bra is fitted the same night.

After Surgery

• NO ASPIRIN should be taken for 7 days following surgery.
• NO ALCOHOL should be taken 48 hours following surgery.
• Continue taking ARNICA as instructed for a further 7 days.
• Take any prescribed medication as instructed.
• Baths are permitted after the dressings are removed. Showers are permitted after the third day but dressings should be kept dry.
• Do not sunbathe or use a sun bed for approximately one month following surgery.
• Bed rest is helpful for at least one day, after which you should be mobile.
• Driving a car is not advised for the first week following surgery.
• Wear the support bra day and time for the first two weeks, then only during the day for further 4 weeks.
• An underwire bra should NOT be worn until at least 6 weeks after surgery.
• Your first post operative appointment will be scheduled for you to return 7-10 days following your surgery.

Post-operative Care

A properly fitted bra should be worn day and night for two weeks after the operation. Thereafter the bra should be worn during the day only for another 4 weeks.Underwire bra can be worn after the six weeks period. The wound dressing should be left clean and dry for the whole of the 10 days period. Patients should wash the upper half of their body with a sponge, keeping the dressings dry. The sutures should be removed and both wounds should be inspected after ten days. One to two weeks time off work is recommended. Strenuous exercise should be avoided for six weeks, in order to give the wounds adequate time to heal fully.