Mastopexy (breast lift) is a procedure designed to
reverse the effects of pregnancy, nursing and the force of gravity on a
woman's breasts. These factors result in a stretching of the breast skin
and a loss of elasticity which results in sagging of the breast, with an
accompanying drop in the position of the nipple. In addition, the areolar
skin often stretches and becomes less distinct from the breast skin.
A mastopexy lifts and reshapes the breast by tightening
the skin envelope and repositioning the nipple / areola into a higher, more
youthful position on the firmer higher breast. The procedure can also
reduce the size of the stretched areola. The procedure is sometimes
combined with breast augmentation.
Before Surgery:
Some issues considered at the time of your consultation
include:
Your general health
Smoking
Your current weight and any prospective weight loss or
nutritional and exercise regimens
Pregnancy and lactation history
Future planned pregnancies
Personal or family history of
breast cancer
Current bra size and degree of
"sagging" of breasts
The Surgery:
Mastopexy is generally performed under a general
anaesthetic as outpatient surgery (i.e. the patient may go home the same
day). The surgery takes approximately two hours to complete depending on
the breast size.
Depending on the degree of the lift required, the
incisions (and therefore scars) may include an incision around the border of
the areolar skin with the scar being hidden by the colour difference, a
vertical linear incision from the bottom of the areola to the fold under the
breast, and possibly an incision hidden in the fold underneath the breast.
There are risks and complications with all surgical
procedures such as bleeding and infection. Some specific complications
related to mastopexy include poor scar formation and asymmetries and
decreased sensation in the nipple area. These as well as the other
complications specific to mastopexy will be discussed at the time of
consultation.
After Surgery:
A supportive bra is worn for 4 - 6 weeks following surgery.
1st post-operative visit
within 48 hours after surgery to check for bleeding, level of discomfort,
to answer any immediate concerns. Begin showering, replace bra
afterwards.
1st week after surgery;
swelling has reached maximum and begins to subside, resume normal daily
activities, no heavy lifting or working out.
10 - 14 days after surgery;
return to work, bruising gone, swelling reduced, vigorous activity
(exercise, heavy lifting) restricted, continue to wear a bra.
4 - 6 weeks after surgery;
resume normal exercising activity, lifting, etc. Can stop wearing a bra at
all times. Scars may become red, raised and itchy.
3 months - 1 year or more;
scars settle and mature slowly over time.
Due to gravity, aging, etc.
results are not permanent, but generally last for many years.
Looking for information on a facial plastic surgical procedure?
Please visit our new website dedicated to Facial Plastic
Surgery:
Cosmetic
Surgery .ca is a site designed
to help you address your specific cosmetic surgery questions
and concerns. Whether it is the signs of facial aging
or a part of your face or body with which you have always
been unhappy, Cosmetic Surgery .ca will help you learn about
the cosmetic procedures best suited to your needs.
Within the Cosmetic Surgery .ca site, you will find
descriptions of specific procedures such as Rhinoplasty
(nose reshaping or nose job), Abdominoplasty
(tummy tuck), Blepharoplasty
(eye lid surgery), Botox™,
Brow Lift,
Fat
Injection,Liposuction,
Facelift,
and
more.
In addition you will find before and after photographs
of some of Dr. Fialkov's cosmetic surgery patients and links
to other sites of interest.
Cosmetic
Surgery .ca also provides an opportunity for you to submit
some of your specific queries to the Cosmetic Plastic
Surgery office of
Dr. Jeffrey
Fialkov,
assistant professor of Plastic Surgery at the University
of Toronto, and staff Plastic Surgeon at Sunnybrook and
Women's Health Science Centre in Toronto. This service,
as well as information on Dr. Fialkov and his qualifications
can be found by using the links to the left.