Marisa Marques

Mastopexy and mastopexy augmentation

(usually a day of hospitalization)

Mastopexy is a procedure designed to elevate breast tissue and the nipple–areola complex to correct breast ptosis. Mastopexy procedures are derived from breast-reduction procedures except that only skin is removed with little or no parenchymal resection. Breast-reduction surgery is often performed to relieve neck, back, shoulder, and arm pain. The patient receives significant medical and quality-of-life benefits.
Although the appearance of the breast is a factor, the medical benefits are often the primary concern of the patient. Mastopexy is almost always a cosmetic procedure. Many patients presenting for mastopexy can be treated with breast augmentation alone or in combination with mastopexy. The most common patient seeking mastopexy alone is happy with her breast size or does not want breast augmentation. The best patients for mastopexy alone have fairly large breasts and ptosis. Usually, these patients desire nipple elevation and correction of glandular ptosis. The best operation for this group of patients is a vertical mastopexy similar in design to a vertical breast reduction.

The type of mastopexy procedure performed is dictated by the nature of the deformity. Patients with minor degrees of ptosis are frequently treated with periareolar mastopexy procedures. Periareolar mastopexy is often the procedure of choice when breast augmentation is combined with mastopexy. As the volume of the breast is increased by the implant, the need and degree of the mastopexy procedure becomes smaller. As the ptosis worsens, vertical mastopexy with a lollipop-type incision or conventional mastopexy with an inverted-T–type incision may be indicated.

Breast ptosis is caused by a relative excess of skin envelope for the amount of breast tissue that is present. The procedures to decrease the skin envelope and rearrange and reposition the breast volume have been discussed above. Another option is to increase the breast volume with breast augmentation. This will often help to correct the skin–breast volume disparity. Breast augmentation is frequently combined with mastopexy. The augmentation procedure usually decreases the size and scope of the mastopexy procedure.
 
Postoperative care
The postoperative procedures are the same described for augmentation mammoplasty. The operation is mostly done in general anesthesia after which a day of hospital care is necessary. 3-4 weeks the use of a surgical bra is advised. 1 week after the procedure the patient can go back to work if necessary.
 
Complications
 
Acute complications
Hematoma, seroma and infections, are acute complications that can occur with mastopexy and mastopexy augmentation.
 
Chronic complications
For patients going through mastopexy augmentation, chronic complications are the same related to augmentation mammoplasty.
Ptosis: During the years the breast form will change naturally from its new position. Weight fluctuation can influence the form as well.


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