An augmentation mastopexy is a procedure that increases the size, and improves the shape of a breast, whilst simultaneously lifting the position of the nipple. Most patients seeking an augmentation mastopexy have a degree of ptosis, or sag to their breast shape. It is a procedure that is designed to:
- Enhance current breast size
- Improve breast shape after pregnancy or weight loss
- Provide balance to your current body shape
- Increase projection of your breasts
An augmentation-mastopexy operation takes approximately 60-90 minutes, and is performed under a general anaesthetic.
The incision for an augmentation mastopexy depends on the degree of ptosis of the breast. Ptosis is the amount of descent, or sag in the breast tissue, skin and nipple as a result of ageing, weight loss, or post-pregnancy changes. The 3 types of incisions are around the nipple (periareolar), a vertical (or lollipop), and a combination of vertical and horizontal (or anchor/keyhole). Depending on the degree, and type of ptosis present, one incision will be better than another.
The location or placement of an implant is most commonly behind the chest muscle (pectoralis major, or ‘pec’ muscle). Typically, part of the implant is behind the muscle, and part is behind the breast tissue (dual plane). There are variations to this technique, and they are used in variable ways. The technique used depends on a patients individual anatomy, and the type, and size of implant.
Recovery can be variable, but usually takes about 2 weeks before you feel ‘back to normal’. Return to full physical activity (gym work/heavy lifting) should be avoided for 2-3 months to allow your breast to heal and your implant to ‘velcro’ to the surrounding tissues. Breast swelling can persist for several months before a final result is seen.
There are risks with any procedure. The general risks, as with any procedure include the following:
- Blood clots
Specific risks associated with a breast augmentation include the following:
- Capsular contracture
- Asymmetry to breast size, and nipple position
- Collection of fluid around the implant
- Change of sensation to the breast and nipple
- Sore shoulders
- Implant rupture
Each patient has different anatomy, and specific expectations. Not everyone is a good candidate for an augmentation mastopexy. Discuss your particular circumstances with Dr. Perron before deciding what is best for you.