| Today, women
who are disturbed by sagging or loose breasts as a result
of pregnancy, weight loss or natural aging, can be helped
by a remarkable surgical technique called a breast lift or
mastopexy. This procedure is designed to elevate and reshape
the breast. The size of the areola, the dark pink skin circling
the nipple, can also be reduced through the procedure. Mastopexy
is often performed in conjunction with surgery designed to
enlarge the breasts.
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Before Surgery
Prior to surgery, a complete medical history is taken in order
to evaluate the general health of the patient. A thorough
examination of the breasts is also made to determine the most
effective surgical approach. Dr. Edds describes with you the
type of anesthesia to be used, the procedure, what results
might realistically be expected, and possible risks and complications.
Mammograms are required on all patients
30 years old and over. Preoperative instructions often include
the elimination of certain drugs, which contain aspirin in
order to minimize the possibility of excess bleeding. Antibiotics
may be prescribed prior to surgery to prevent infection. Women
who anticipate breast-feeding after surgery should discuss
this with Dr. Edds, as the ability to breast-feed after mastopexy
varies with each individual.
The Procedure
A breast lift is usually performed in our accredited outpatient
surgical facility. Dr. Edds may choose from a variety of procedures,
depending on what changes are desired. Prior to surgery, premedication
is administered to relax you, and the breasts are carefully
marked to indicate where incisions are to be made.
One of the techniques most frequently used
involves incisions made on both sides of the breast and around
the areola. A keyhole shaped incision is then made directly
above the nipple. Dr. Edds works through the incisions to
remove excess skin from the lower part of the breast. The
nipple, areola and underlying tissue are then repositioned
into a new, higher location and the skin from both sides of
the nipple is brought down and sutured together to reshape
the breast.
A modified procedure can be done on patients
who have minimal sagging. This involves the removal of skin
from the areola and surrounding areas. When breast augmentation
is performed in conjunction with mastopexy, an implant is
placed in a pocket created under the muscle of the chest wall.
The surgery can last two hours or more, depending upon
the procedure.
Following
Surgery
Following surgery, you will have a dressing and/or surgical
bra for several weeks. Patients who are operated on in a hospital
or surgical center are released the same day. Pain connected
with the procedure is treated with oral medication. Antibiotics
will be prescribed to prevent infection. Instructions for
the day of surgery include bed rest with limited activities.
Dr. Edds determines when normal activities can be resumed;
however, strenuous exercise and overhead lifting must be avoided
during the immediate post-operative period.
Sutures are removed in seven days. Numbness
around the treated area may occur, but this condition is usually
temporary. Swelling and discoloration disappear in a few days,
and scars from the incisions, although permanent, will fade
significantly with time.
Complications of infection and blood clots
are rare; however, there are certain inherent risks connected
with every surgical procedure, which should be thoroughly
discussed with Dr. Edds. Because of the degree of tissue elasticity
varies from patient to patient, the amount of recurrent ptosis
or droopiness following mastopexy also varies. You can minimize
complications by carefully following directions given by Dr.
Edds. Following mastopexy, there may be slight variations
in size or shape of the breasts; however, these variations
are common even before breast surgery.
If you are interested in learning more about
this procedure, please call our office at (270) 926-9033
and we will be happy to answer questions about the
procedure itself or about procedure cost and financing.
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