The combination of Breast Augmentation with Mastopexy is for those women who have small breasts that have sagged due to aging, pregnancy, breast feeding, weight-loss or any other reason. Breast augmentation alone cannot be helpful in such cases as the loosened skin needs to be removed before enhancing the size of the breasts. You can be a good candidate for this surgery if you have one or combination of following conditions:
Your breast augmentation and lift procedure is performed under IV sedation or General Anesthesia your surgeon will guide you what is better for you.
Breasts sag when the skin gets looser and when the amount of breast tissue decreases. There are two ways to tackle the problem.
The problem of loose skin is covered with the breast lift (mastopexy) procedure.
To address the issue of loss of volume or fullness in the breast, a US FDA approved breast augmentation (implant) is often recommended at the same time as the lift. The breast implant fills up the extra skin of the breast to restore the fullness that was in the upper aspect of the breasts.
In some cases with just slight sagging of the breasts, an implant alone without any additional mastopexy (breast lift) may lift the breast. Implants can be placed above or below the pectoral muscle, through a number of incision techniques. In most cases, the implant is placed beneath the pectoral muscle and the breast lift is then performed. The shape of the breast mound is usually better when both breast augmentation and breast lift are performed together.
The placement of an implant (even a small one) will fill out the top part of the breast and improve the projection. This additional weight on the chest may accelerate the rate of ongoing breast ptosis if the implant is placed above the muscle. For this reason, the implant is usually placed below the muscle.
Procedure usually takes between 3– 4 hrs. Sleep on your back, elevated by a few pillows for the first 6 weeks. This will help reduce your swelling. You will be instructed to wear a support bra for a few weeks, until the swelling and discoloration of your breasts diminishes. Generally, stitches will be removed in stages over a period of approximately three weeks, beginning about one week after surgery. You may notice that you feel less sensation in the nipple and areola areas. This usually is temporary. It may, however, take weeks, months or even more than a year before sensation returns to normal. Your breasts may also require some time to assume a more natural shape. In many instances, you can resume most of your normal activities, including some form of mild exercise, after several weeks. You will not be able to drive for up to 1 week. You may continue to experience some mild, periodic discomfort during this time, but such feelings are normal. You can return to work 1 week after the operation unless work involves heavy use of the upper body or lifting, in which case 4 weeks off work should be allowed.