Mastopexy, mastopexy, mammopexy or breast pexy operation

PATIENT PROFILE

Young women who wish to lift their sagging breasts.

Women who wish to reposition their breasts after breastfeeding.

Surgery for patients with skin or back problems, or who suffer from complexes that affect their self-esteem due to sagging and uncomfortable breasts.

SURGERY PROCEDURE

There are different techniques for the resolution of this pathology, and all of them aim to elevate the nipple-areola complex; reduce the size of the breast (if necessary) or reposition it in a physiologically correct situation; achieve a volume, shape and symmetry as perfect as possible, and all this with an operation that leaves a minimum of residual scars that are as hidden as possible. Thus, depending on the degree of breast ptosis, the scar will be periareolar, vertical or inverted T-shaped.

Clínica Sanza’s team performs this operation in 95% of its patients, only areola or vertical, and very rarely a small horizontal or inverted T. It achieves the same or better results without the need for long scars, which are totally unnecessary.

The choice of one technique or another will depend on the characteristics and volume of the breast. Among the breast characteristics that most determine the surgery are the height of the nipple, the width of the breast base, the extension of the breast and the intermammary distance.

In specific cases in which the amount of existing tissue is insufficient to achieve the desired volume, the placement of a small prosthesis would be considered at the same time the breasts are lifted.

Reduction and elevation surgery are similar and share common steps. Most patients who come to the office for a problem of breast hypertrophy usually also have some degree of breast ptosis, so both problems should be corrected in the same intervention, ie, reduce and lift the breasts at the same time.

DURATION OF THE OPERATION

• 1 to 3 hours of operation

PROTOCOL

Preoperative

• Evaluation of the area to determine the adequacy of the treatment.
• Follow specific guidelines determined by the doctor
• CBC and tests on cardiac and respiratory status
• Ultrasound and/or mammography

Anesthesia

• Local and sedation; in a few cases, general sedation

Hospitalization

• Ambulatory or 24 h admission after surgery

Postoperative

• Medication if required
• Drainage and compressive bandage 24 h to 48 h after surgery
• Special plasters for 4 or 5 days to contour the new submammary fold.
• Once the drainage, bandage and adhesive tape have been removed, a special bra is used.
• Mandatory check-ups after a few days, a few weeks and a few months, according to prescription

Convalescence

• 4 to 5 days
• Avoid carrying weights and making sudden movements from 5 to 15 days.
• Wearing a sports bra and comfortable, loose-fitting clothes for the first week.
• Do not practice sports or activities that require effort and extensive movement for at least one month.

RESULTS OF THE OPERATION

• Breast repositioning
• Breast balance and symmetry
• Excellent results, very natural and with minimal scarring.
• Improvement of the patient’s psychological profile and self-esteem.

DEGREE OF DIFFICULTY

• Surgery with simple/medium difficulty

LEVEL OF RISK

• Low-medium, depending on breast size or sagging
• Risks inherent to the operation: poor healing would lead to scar retouching.
• Risks of any operation: haemorrhage, infection, impaired healing.