Classification: plastic; therapeutic
Anesthesia type: General
Duration: 2-3 hours with additional 2 hours in the recovery room and 2 nights at the hospital
Mastopexy is the surgery mammoplasty procedure for raising sagging breasts upon the chest of the woman by correcting and modifying the size, contour, and elevation of the breasts. The breast lift correction of a sagging bust is a surgical operation that cuts and removes excess tissues (glandular, adipose, skin), overstretched suspensory ligaments, excess skin from the skin envelope, and transposes the nipple areola complex higher upon the breast hemisphere. Gravity is the most common cause of breast ptosis, or sagging. In the young woman with large breasts the sagging occurs because of the volume and weight of a bust that is disproportionate to the woman’s body type that is also related to a systemic complains as neck pain, sensation of dyspnea and difficulties in lifestyle and activities limitation (psychological burdens). In the middle aged woman, breast ptosis usually is caused by the postpartum hormonal changes to the maternal body, The Renault ptosis grade scale is form Grade-I to grade-IV
The surgeon–physician evaluates the woman requesting a breast lift operation to confirm that she understands the health risks and benefits of the mastopexy procedure. The surgeon confirms that her ideal body image (aesthetic goal) corresponds to what can realistically be achieved with the plastic surgery options available. The following conditions are indications for mastopexy.
The contraindications for mastopexy are few:
Aspirin use, tobacco smoking, diabetes, and obesity are medical and health conditions associated with increased incidences of nipple necrosis.
General medical complications of mastopexy include bleeding, infection, and the secondary effects of the anesthesia. Specific complications include skin necrosis, and dysesthesia, abnormal changes in sensation (numbness and tingling).
Postoperative care is minimal after a mastopexy procedure, the lifted breasts are supported with a porous (soft elastic tape) which is removed at 7–10 days postoperative. During the initial postoperative period; the plastic surgeon examines the patient for occurrences of hematoma, and to evaluate the histologic viability of the breast pedicle skin flaps and of the nipple areola complex. During the first three (3) weeks of postoperative convalescence, the surgeon monitors the healing of the mastopexy wounds during weekly consultations with the patient. Depending upon the wound healing progress of the woman, more or fewer follow up examinations shall follow.