Before
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Most women will
experience varying degrees of breast sagging and loss
of firmness at some stage in their lives. The cause
may be a tendency that one inherits. It may be due to
pregnancy, alternate weight gain and loss, or simply
be part of the normal ageing process. These progressive
changes are normally noted between the ages of twenty
to mid forties. The size of the breast in total volume
may remain the same, but the firmness and erect position
of youth are lost. The breasts have become pendulous,
flattened and displaced to varying degrees, with loss
of female contour.
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Mastopexy
is the surgical name for the operation that can restore
the firmness of the breasts, and correct their position
on the chest wall without increasing or decreasing their
size. The operation involves a rearrangement of the
soft tissues, shifting of the nipple position, and increasing
firmness by tightening the skin covering. Position of
the incisions can vary and this should be discussed
with the surgeon. The incisions are intended to be as
minimal and as concealed as possible. Nipple sensation
usually returns to normal although there could be some
numbness during the healing process. “Perfect”
breasts are not a realistic expectation, but symmetry
is the goal. The question of long term results with
regard to scarring, nipple sensation, asymmetry and
permanency of effect should be discussed with Mr. Erian.
The
operation is performed under general anesthesia and
an overnight stay in the clinic is required. Stitch
removal usually takes place at first post operative
visit and patients may return to work within one to
two weeks. Post-operative care instructions will be
given by the surgeon and these must be carefully followed.
This includes avoiding strenuous exercise, and being
careful not to stretch the scars and skin. After the
operation there will be some swelling and bruising and
perhaps a sensation of skin tightness but these are
temporary and only last a few days.
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With this operation there
is a minimal risk of soft tissue loss, and the usual
risks attached to any surgical procedure such as infection,
bleeding, haematomas (blood collection under the skin)
would apply. These risks are unlikely to occur, are
usually not hazardous, can be treated by routine methods
and would not affect ultimate results. They should
be discussed fully, together with any other questions
you may have, at consultation with the surgeon.
Mastopexy can be performed
on its own or may be combined with breast augmentation,
which is the insertion of implants to achieve the
desired result. An implant can add size and firmness.
This is a decision you would ultimately make on your
own after your consultation with the surgeon who can
advise you on this point.
Mastopexy is an excellent surgical
procedure. It produces rejuvenated breasts, which
is the anatomical objective, but it must be remembered
that the benefits extend way beyond this in terms
of enhanced self-image and self-confidence. It has
helped many women return to more youthful and feminine
contours and thus makes a significant contribution
to feelings of femininity and a general sense of well-being.
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This
web site has been prepared to give a basic understanding
of the procedure before a consultation takes place,
and to cover many of the questions frequently asked
about this type of cosmetic surgery. Final decisions
should not be made until an individual assessment has
taken place with the surgeon. There is no obligation
on the part of the patient to undergo surgery by attending
for consultation. If you have any further questions
or would like to arrange a consultation please do not
hesitate to call us.
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