Breast lift with implants (augmentation-mastopexy)

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The augmentation-mastopexy is a breast lift with implants that is done during the same procedure. The procedure is performed under general anesthesia and gives very satisfactory results.

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Indications

All patients desiring improvement are potential candidates.
In case the patient only requires an augmentation, the lift is not necessary. If the breasts are ptotic ("fallen") following childbirth, weight loss or with age, an additional lifting of the breasts is often necessary.
There is no upper age limit for this operation (patients must be of age, except in cases of a congenital problem).
During the consultation we will look at what you wish to achieve in terms of aesthetics. The surgeon will explain to you which results can be expected and will also explain the potential risks of the surgery.

The indication for placing implants will be discussed during the preoperative consultation.

During the preoperative consultation the surgeon will explain the scars necessary to give you the desirable breast-lift.

Based on the lifting to be achieved the scar will be: circular around the areola (periareolar), the previous + a vertical scar ("lollipop" scar), the previous + horizontal scar ("Anchor" scar).

Your surgeon will also discuss with you the desired augmentation and the prosthesis will be chosen together.

The procedure is performed under general anesthesia and requires an overnight stay.
All anticoagulant medication should be stopped (acetylsalicylic acid, vitamin K antagonist) at least one week before surgery.

Smoking is prohibited for one month before surgery.

Surgery

The surgeon draws your breasts while standing in order to evaluate the effect of the lifting.
Any asymmetries are noted at that time.
Depending on the scar chosen for your presentation, the first prosthesis will be placed (in front of or behind the muscle). Once the desired volume is in place, the surgeon proceeds with the breast lift.
The patient is positioned in the sitting position during the operation to assess the effect of lifting and symmetry.
Meticulous closure is necessary to minimize complications.
A bra for support will be given to you in the immediate postop.

The procedure lasts 2 to 3 hours.
The patient can return home after a doctor's approval the day after surgery.

Your surgeon will see you for a follow-up consultation 5-7 days after surgery.
A second visit is desirable a few weeks later.

Convalescence

Relative rest is necessary for two weeks. Heavy physical work and/or sports should be avoided for a month. Light physical exertion is permitted (office work, minor household activities ...).
After four weeks all activities can be resumed.

Intervention effects

The results of the operation are visible immediately. Blues and edema may be present for several weeks.
Support is to be worn for 4-6 weeks.

Possible Complications

As for any intervention, the possible complications are: wound healing problems, infection, bleeding. Nipple sensitivity problems can rarely be seen.

In the long term the following problems can be seen: capsule on the prosthesis, implant rupture, dislocation of the prosthesis from its place of origin, breast ptosis on the prosthesis.
These problems can necessitate a reintervention to solve the aesthetic problems.

Contraindications

Healing problems are common among smokers and it is advised to stop a month before surgery and 4 weeks after surgery to minimize risk.
In some cases, to avoid risks, your surgeon will perform the intervention in two stages. First the breast lift and then the augmentation, or vice versa.

Conclusions

The augmentation-mastopexy is a procedure that gives very satisfactory results when the indication and good preoperative planning is done and all the precautionary measures taken.
The procedure is performed under general anesthesia and an overnight stay. The results are stable in most cases for many years.

Updated: 2015-04-02

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