Breast Lift (Mastopexy)
The effects of pregnancy, gravity, and time can take their toll on breast tissue and skin. Regardless of size, breasts can begin to sag over time, losing firmness and fullness. A procedure known as mastopexy, or breast lift, is available at our Gold Coast practice in Queensland and Ballina Practice in NSW for women who want to restore their breasts to a more youthful shape. Our experienced plastic surgeon looks forward to helping you reach your goals.
- What is a breast lift?
- Who is a candidate?
- What can you expect after the operation?
- What are the potential risks?
- Pre-operative Instructions
- Post-operative Instructions
What is a breast lift?
A breast lift (mastopexy) procedure is designed to correct the issues associated with breast ptosis ‘saggy breasts’. This may be due to genetics, ageing, weight loss, or pregnancy. Depending on the degree of ptosis, the sagging may be improved by either the insertion of a breast implant, insertion of an implant with a surgical correction of the position of the nipple and breast tissue or by a surgical correction of the nipple and breast tissue without an implant. If you are not satisfied with the size of your breasts or if your breasts are sagging or dropping, Dr Layt can also perform a breast reduction to meet your needs.
A general anaesthetic is usually required and most patients can return home on the same day as the surgery. The procedure involves in depth planning of the current position of the nipple and breast fold and where the desired position is to be. This can involve correcting the position of the nipple and areola, removing excess breast tissue and skin and creating a more desirable breast shape. Patients having undergone Mastopexy surgery tend to see a great improvement from this procedure.
Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified practitioner.
Breast Lift Photos
These photos are of actual consented patients of this clinic. The photos have not been altered or digitally enhanced. Every patient is an individual and therefore final surgical results will vary from patient to patient. Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified practitioner.
Who is a candidate?
Any woman who desires breast lift surgery at our Gold Coast, Queensland or Ballina, New South Wales practices. Dr Craig Layt will consult with the patient to assess if this surgery is suitable for the patient. Suitable patients are woman who have breast ptosis due to pregnancy, ageing, weight loss or genetics. Women who have large areolae may also proceed with this procedure to reduced the areolae size.
What to expect after the operation?
Drains are rarely required. Your pain will be controlled by oral medications. You will have an appointment to see us 24 – 48 hours after the operation for review of dressings, medications and exercises. If distance is a problem we can often address this over Skype, FaceTime or phone. You will also be seen approximately seven days post surgery to change dressings and review your surgical progress. Light activities can be resumed as tolerated. Aerobic activities can be started in about three weeks. We are always available to help should concerns arise. You are expected to attend three month and 12 month reviews with Dr Layt.
Post surgical pain is usually controlled with oral medication and the patient will go home on the day of surgery. Sutures are placed under the skin and are dissolvable. The end of the suture will be ‘trimmed’ at your post operative appointment.
The breasts may have patchy areas of numbness during the early post operative period. Tingling, burning or shooting pains indicate healing and should not alarm. Some asymmetry is normal after the operation as each breast swells to a different degree. The breast will often appear a little flat at the bottom for a period after surgery. This is normal and is done on purpose as the breasts tend to bottom out more with time.
Potential risks of surgery?
Modern surgery has developed over the years and the safety of surgery has improved greatly. There is however no such thing as ‘risk free’ surgery. The important thing is to understand any potential risks and minimise their occurrence by appropriate planning and management. Some possible risks include a lack of nipple sensation and asymmetry of the breasts after healing. At your consultations, the risks and complications will be explained and you will also be given information regarding these for your procedure.
Specific Pre-operative Instructions
WASHING: Wash the evening prior to surgery and the day of surgery paying particular attention to the breast region. This decreases the bacterial count and should decrease the risks of infection.
PRODUCTS: Do not apply moisturisers, make-up, perfume/deodorant, nail polish or hair products after washing. Remove all jewellery.
CLOTHING: Wear loose, comfortable clothing and footwear. A shirt with a button or zipper opening is ideal for removal.
SMOKING: Smoking increases the risks of complications significantly and should be ceased 6 – 8 weeks prior to surgery.
FASTING: You should have nothing to eat or drink for six hours before your operation. If you are required to take medication during this time please speak with your physician to check if this can be taken before the six hour fasting period or after your procedure.
MEDICATION: If you are having the operation as a day case, you will be given a script for antibiotics and pain relief tablets that you will need to purchase from the chemist and bring with you on the day of your procedure. Do not take these prior to surgery. The nursing staff will advise you and your carer after your procedure on how to administer them.
Certain over the counter products and prescription medicines can cause complications before and after surgery. They can reduce the ability of your blood to clot and could increase your tendency to bleed during and after surgery. Do not take any medication containing or related to aspirin two weeks prior to your procedure. This includes NSAID’S, anti-Inflammatory medications, blood thinning medications. Please see your doctor regarding if and when to cease this medication. *This is not an all inclusive list*.
Also avoid Vitamin E supplements and red wine. Stop all herbal medications before surgery. The most common herbs used are Echinacea, Ephedra, Garlic, Ginseng, Ginkogo, Kava, St. John’s Wort, and Valerian. They may adversely effect anaesthetic drugs, prolong bleeding and impair healing after surgery. Please consult your physician before ceasing any medication.
ADMINISTRATION: Unfortunately, paperwork is a necessary evil. Each theatre complex has its own procedures. We have attempted to make it all easy by providing a simple series of steps to follow titled “SURGERY CHECKLIST” specific to the surgery centre you are attending. Please follow these instructions. If you have any queries about this or anything else don’t hesitate to contact us on (07) 5597 4100.
Specific Post-operative Instructions
POSITION: For the first week after surgery, try to sleep on your back, instead of your side. This will help reduce swelling. (It is more important for you to sleep than to rigidly adhere to this suggestion).
DRESSINGS & DRAINS: Drains are rarely required. You may have ‘splash proof’ dressings over your suture sites. Your pain will be controlled by oral medications. You will have an appointment to see us 24 – 48 hours after the operation for review of dressings, medications and exercises. If distance is a problem we can often address this over Skype, FaceTime or phone. You will also be seen approximately seven days post surgery to change dressings and review your surgical progress. Light activities can be resumed as tolerated. Aerobic activities can be started in about three weeks. We are always available to help should concerns arise. You are expected to attend three month and 12 month reviews with Dr Layt.
You will be fitted with a support bra, which you should wear day and night for two weeks after surgery. (You may, of course, remove it to shower and launder.) After two weeks, you may sleep without the bra. You should not go braless during the day for 4 – 6 weeks after surgery. Once the swelling has decreased you can buy new bras to fit your new size. This usually takes three months.
SHOWERING: You may shower, remembering that your dressings are splash proof rather than waterproof. If water gets underneath the dressing it is best to change it. If you prefer to bathe, do not allow the incision lines to soak for more than a few minutes in the bath water. It is fine to take off your bra while you bathe or shower.
DRIVING AND ACTIVITIES: You may take a gentle walk the day after your surgery. It is advised to try to get up and move about as soon as you feel you can. Do not return to aerobic exercise for three weeks. You may drive when driving does not cause you pain, and your vision, reflexes and thought processes are not impaired and you are confident in your driving ability. This usually occurs in 4 – 6 days if you have a car with power steering.
SUTURES: The sutures used in the operation are usually dissolvable and don’t require removal.
SUNLIGHT: Scars take at least one year to fade completely. During this time, you must protect them from the sun. Even through a bathing suit, a good deal of sunlight can reach the skin and cause damage. Wear a sunscreen with a skin-protection factor (SPF) of at least 30 at all times when in the sun. Be extremely careful as areas of your breast skin may have reduced sensitivity.
TAPE: Dr Layt advises taping the wounds with Fixomull initially then Siltape for 8 – 12 weeks after your operation for optimal scar healing. Our nurse will change these dressings one week after your operation. You will be given a sample pack of Siltape that will last approximately six weeks, after this you will need to purchase the Siltape yourself.
TED STOCKINGS: You may be required to wear TED stockings for compression to prevent DVT (blood clotting) post-operatively. If required these will be fitted at the hospital on your admission day. The nursing staff will advise you on how long you need to wear these for.
MEDICATION: Take your pain relief and antibiotic medication as directed. Any medication you ceased prior to surgery must not be taken after your surgery until you are completely healed or as directed by your physician.
To schedule a consultation with Dr Craig Layt, or to learn more about breast lift surgery, contact our Gold Coast practice in Queensland today. We will be happy to answer any questions you have. Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.