Breast lift, Mastopexy

In plastic surgery, there are several surgical techniques for breast lift.

• The first technique is periareolar mastopexy.  It is recommended only for small and medium-sized breasts with slight sagging. The incision is made along the upper edge of the areola, after which excess tissue is removed. The suture is almost invisible at the border of the areola and skin.
• The second technique is circumareolar mastopexy.  This technique is used to correct breast asymmetry, when it is necessary to remove excess tissue, to reduce the areola with simultaneous skin tightening, with minor ptosis. The scar will be inconspicuously located around the areola.
• The third technique is vertical mastopexy , which is used for severe sagging of the mammary glands. Two incisions are made – one around the areola, the second – vertically downwards. The nipple with the areola is moved upwards, the breast tissue is redistributed and moved upwards, and excess skin is removed. This breast lift technique has many modifications, and is most effective for ptosis of the upper pole of the breast (which has been proven by  clinical studies ).
• The fourth technique is T-shaped or anchor mastopexy.  It is an option for pronounced sagging of the breasts, with a large amount of excess tissue in the lower part of the breast. The surgeon makes one vertical incision down from the areola and the second submammary. The voluminous excess tissue (skin, fat) is removed, and the edges of the wound are sutured. The scar after this procedure resembles an inverted T or an anchor. This breast lift technique is the most traumatic, but according to  clinical studies,  it is considered safe for breast correction after significant weight loss.

Breast lift can be supplemented by the installation of implants to increase volume. And in cases of slight sagging of the breast, surgical lifting can be replaced by the installation of breast implants (mammoplasty), due to which the breast will be raised, the volume will be replenished and the patient will not have visible scars.

The complexity and duration of rehabilitation depends on the method of mastopexy used and the initial degree of prolapse of the glands.

In order to speed up rehabilitation and reduce the risk of complications, all patients at the ANACOSMA clinic undergo Endoret plasma therapy 1-2 weeks before breast surgery . These are intradermal injections of the patient’s own plasma, enriched with growth factors that regenerate the skin. Just 1-2 plasma therapy procedures contribute to better healing and recovery in the postoperative period.

Conventionally, there are 3 stages of rehabilitation:

1. up to 3-5 days;
2. up to 1 month;
3. from 1 month to six months.

After the operation, the entire area of ​​the mammary glands will be swollen, painful, possibly with bruises, fluid will come out through the drains (painkillers and hemostatic drugs administered during the operation), a small amount of blood. In individual cases, swelling and mild pain may go away for several months. Therefore, at the first stage of rehabilitation, the patient must be under the supervision of a surgeon in the hospital. The stitches are removed after 7-10 days. Compression underwear must be worn for 1-1.5 months (in some cases up to 3 months). It is put on while still on the operating table. It is not necessary, but it is recommended to use compression underwear for six months after the operation when playing sports (for the aesthetic formation of scars).

At the second stage, it is necessary to undergo regular medical examinations with a doctor (1-2 times a week). In addition, the patient must strictly follow an individual rehabilitation program.

At the ANACOSMA clinic, from day 3-5, we recommend the following rehabilitation procedures for quick and comfortable recovery after breast lift:

1. a course of mesotherapy with lymphatic drainage drugs (3-6 procedures) to relieve swelling and improve lymph flow.
2. LED lamp sessions to relieve inflammation, accelerate healing, and improve tissue trophism.
3. hirudotherapy – leeches suck out stagnant fluid in the necessary places, drain the tissues lymphatically (an accessible and effective method).
4. a course of IV drips that affect both general well-being and tissue regeneration.

At the third stage, you need to come for an examination approximately once a month.

The process of scar maturation can last up to six months. After this period, they are almost invisible. If necessary, scar correction is performed.

The patient will observe the effect of mastopexy immediately after the breast lift. The final formation of the breast will be completed after 3-4 months. During the operation, cosmetic sutures are applied that do not leave rough scars.

After a breast lift, two groups of postoperative complications are possible:

1. early – marginal necrosis of skin flaps, divergence of wound edges, disruption of blood supply to the nipple, hematoma, wound suppuration;
2. late – deformation of the nipple or areola, secondary ptosis of the gland, asymmetry of the glands, deformation of the gland, loss of sensitivity of the glands, nipples, areolas.

All early postoperative complications are rare. To reduce the risk of their occurrence, the rules of asepsis and antisepsis are observed during the operation, and postoperative treatment, dressings (regular monitoring of the breast condition by the doctor) and a rehabilitation program are prescribed.

As for late postoperative complications, most of them depend on the initial severity of the problem with the glands and the professionalism of the surgeon. And the sensitivity of the glands, nipples and areolas is usually restored within a month. This is facilitated by an individual rehabilitation program (especially in such cases, the Endoret plasma therapy procedure is recommended) and compliance with the recommendations prescribed by the surgeon.

• autoimmune diseases;
• diabetes mellitus;
• oncology;
• thyrotoxicosis;
• arterial hypertension (severe);
• heart failure;
• renal failure;
• infectious diseases (active state);
• pregnancy;
• lactation period and one year after the end of lactation;
• mastopathy;
• any mental illness;
• diseases associated with blood clotting;
• severe obesity.