Incision is made around the nipple extending vertically down to the mammary crease. The so-called “lollipop” incision allows the skin to be removed and re-draped allowing the nipple position to be elevated and to achieve a more “perky” breast.
The procedure is performed as a day stay. No drains are required. Patients usually return to work after 1 week.
Different procedures are available to improve the size and shape of breasts. A common complaint is a breast being droopy or saggy (ptosis). This can be because of heredity factors or acquired (breast feeding or significant weight loss). At times the droopiness may affect one breast more than another (asymmetrical ptosis).
The procedure is performed under anaesthetic as a day surgery procedure. The procedure takes approximately 45 minutes per breast. Three small 4mm incisions are made around the inframammary crease where the underwire of a bra lies. Bruising is present for about 1-2 weeks post-operatively. Swelling can take up to 3-4 weeks to subside. An elastic sports bra is worn during this time, apart from showering. The final result may not be evident for at least 6-8 weeks.
The incisions vary depending on the amount of skin to be removed. The incision can either be: – Around the nipple only (Benelli approach) – Around the nipple and a vertical extension to the inframammary crease (“Lollipop” approach) – The above procedure with an extension along the mammary crease.
A mastopexy can be performed in conjunction with a breast implant. At times, depending on the desired final breast shape and size, a mastopexy can be performed as a primary procedure once the breast sagginess has been corrected. Then a breast augmentation, with an implant, can be performed as a secondary procedure four months later.
At times patients who initially are requesting a breast augmentation find that they have sufficient breast tissue after all. Following a breast lift they find they no longer need, or desire an implant, to improve their breast shape and size.
Patients must remember that a mastopexy procedure does leave scars of some sort on the breast which may or may not be visible. The vast majority of times these scars are not unsightly and patients are not concerned by their scars once they have matured.