What is an augmentation mastopexy?
A breast augmentation mastopexy is surgery to enlarge and enhance breast size and shape. It is usually done by placing silicone breast implants behind the breast combined with a lift and reshaping of your breast tissue. Some people are suitable for lipoaugmentation where their own fat is transferred into their breasts.
Who is suitable for an augmentation mastopexy?
If you are concerned by having small breasts or sagging breasts or would like your breasts larger or fuller, you may be suitable for an augmentation mastopexy.
If you are soon after pregnancy or still breast feeding, plan to have more children in the future, are planning to lose weight or are overweight, it may not be the right time to have an augmentation mastopexy. If you smoke or have significant health problems, this will need to be assessed and you may be advised to wait or not to have an augmentation mastopexy.
Choosing the right breast implant is about much more than just the size of the implant. It is also about the right shape for your breast, the right size for your breast and body proportions and the implant that will fit your goal of surgery best as well. Silicone implants are the most common implants used. External breast sizers and 3D simulation can be used to help you try to visualise what your result might look like with a particular implant. You are advised not to choose too large an implant if you need a breast lift as well as it may be too heavy for your breast tissue to support.
There are variations depending on your individual anatomy and goals. The standard surgery is done under general anaesthesia although some people are suitable for surgery under local anaesthetic and sedation. Skin incisions are made in a way to allow a nice reshaping and lift of your breast tissue, a space is made behind your breast partially under or on top of your pectoralis muscle and the implant is placed there. Your breast is then reshaped and lifted over the implant. Drains are not routinely used. Stitches are usually absorbable.
Augmentation mastopexy can be done on its own or in combination with other procedures. Common combinations include abdominoplasty, labiaplasty and other body contouring procedures.
Duration of surgery
2 to 3 hours depending on the extent of surgery. If other procedures are planned at the same time, the overall surgery time is longer.
You will have tapes on the incisions. You will need to wear a support bra for 6 weeks. Augmentation mastopexy is a day case procedure or in some cases a one night hospital stay. You can shower with care after 48 hours.
On average 1 to 2 weeks off work are needed. No heavy lifting or strenuous activity is allowed for 6 weeks. Some forms of exercise can be restarted at 4 weeks. Most exercise is restarted at 6 weeks. Driving is not allowed until you are safe to perform an emergency stop.
Unfortunately, complications can occur after all surgery and you need to be aware of this. Ms Nugent will do her utmost to reduce your risk as much as she can. This includes the health and procedure advice she gives you before surgery, the care and precautions she takes during surgery and the advice she gives you after surgery. Some of the complications that can happen include slow healing, infection, bleeding, poor scarring, asymmetry, pain, numbness or sensitivity in the skin, contour irregularities, seroma (fluid build-up), clots in the legs and lungs, loss of nipple sensation, loss of nipple or breast tissue, recurrence of breast sagging, implant rupture, implant malposition, capsular contracture and BIA-ALCL (a rare lymphoma associated with some breast implant types).
Most patients who undergo an augmentation mastopexy surgery are very pleased with their results and describe it as very positive procedure. Success depends on being prepared for your surgery, choosing the right procedure, the surgery itself and recovering well. All steps in the journey are crucial!
Download the detailed information booklet on this page to read more and book a consultation to discuss your individual circumstances with Ms Nugent!