Mastopexy

It is important to accurately assess the need for a mastopexy before considering breast augmentation because attempting breast augmentation when a lift is needed can lead to an undesired outcome known as a "waterfall" deformity, resembling the character Snoopy. It is important to make an informed decision and avoid such outcomes.

To assess whether you need a breast augmentation or a mastopexy, stand in front of a mirror and position a pencil horizontally where the bottom part of your breast lies. Allow your breast to overhang if it droops downward. If the pencil remains in place and the skin supports it, chances are you may not require a mastopexy.

However, it is important to consider the position of the nipple in relation to the pencil when assessing the need for a mastopexy. If your nipple is located below the pencil, it indicates that a mastopexy may be necessary to achieve your desired outcome. It is important to consider the nipple position to avoid undesired outcomes, such as the "waterfall" deformity resembling Snoopy, which can occur if a breast augmentation is attempted when a lift is needed.

The shape and position of the breasts typically continue to settle for up to 8 weeks after mastopexy surgery. Patients undergoing mastopexy (breast lift) usually go home the same day with a surgical bra and some dressings on the wounds. Patients are advised to take it easy for 2 weeks following the procedure, with some women being able to return to lighter work during the second week. However, heavy work or gym activities should be avoided for a period of 4 weeks from the date of surgery. It is not uncommon to experience mild swelling during this time, which gradually resolves over the settling period.

All operations have a small risk of bleeding and infection. When mild these problems can be managed with dressings and antibiotics but when more severe they may require further surgeries.

There will be some scarring after mastopexy (breast lift)- usually a scar around the areolar and down from the areolar to the fold under the breast, and often with a small incision in the fold under the breast (this is the so-called mini T scar).

Occasionally there can be problems with these wounds healing which can require dressings and result in thicker scars. If the breast implant becomes exposed this can be a problem requiring further surgeries.

Although every effort is made to achieve symmetry, after changing the size, shape and position of the breasts it is common to have some subtle asymmetry after the surgery. It should be noted that when objectively measured most women have some subtle asymmetry of the breasts naturally.

It is possible for mastopexy (breast lift) to interfere with nipple sensation and breast feeding.

It should be noted that breast implants have a finite lifespan and often need to be replaced after 10-15 years for problems such as rupture and scar-capsule formation. Occasionally these issues can occur earlier. Furthermore, there is a very rare type of lymphoma (blood cancer) which has been associated with breast implants. This association is not fully understood and the risk is very low however more detailed information will be provided during your consultation.