Why does the female breast become ptotic or droopy?
The female breast undergoes enlargement during pregnancy and lactation and due to weight gain. It subsequently undergoes involution once breast-feeding stops or weight loss occurs. As a result of this the breast decreases in size, the skin becomes lax, stretch marks appear and the breast becomes saggy in appearance. The upper part of the breast appears hollow due to loss of volume and appears unattractive.
What is the treatment for breast ptosis or droop?
Breast ptosis can be corrected by a procedure called mastopexy which involves removal of excess slack skin and repositioning of the breast tissue and nipple resulting in a more youthful appearance of the breast.
What does the operation involve?
A mastopexy is carried out under a general anaesthetic and usually involves one night in hospital. Following the operation a tube drain may be placed within the breast to remove any fluid or blood that collects after surgery. This tube drain is removed one or two days after surgery and the patient is allowed to go home. Most patients are able to shower daily and replace their own dressings at home.
When not to have this procedure?
Patients who are actively smoking or on blood thinning medication such as aspirin or warfarin have a higher risk for postoperative complications such as bleeding, wound infections and delayed wound healing. It is advisable not to consume nicotine in any form for at least two weeks before this procedure and at least two to three weeks after. Medication such as aspirin or warfarin may need to be stopped if they are not absolutely essential at the appropriate time before surgery. This should be discussed with your Consultant or GP.
Post-Operative Parient Care Information:
What is the normal post-operative course?
Most patients have minimal discomfort, which is well controlled with painkillers. They may have slight difficulty in lifting heavy weights or stretching the arms above the head which normally resolves within a few days. The breasts are usually bruised and swollen for two to six weeks after the operation. During this period patients are advised to wear a sports bra or a soft bra with no under wires. The vast majority of patients are virtually back to normal in three to six weeks and are able to participate in gym, aerobics and swimming six weeks after the operation
How much time do I need off work?
Most patients are able to return to work within two weeks of the surgery.
What are the complications of this operation?
Just like any other operation mastopexy has its own complications such as bleeding, haematoma (blood clot in the substance of the breast), infection, delayed wound healing, visible or unfavourable scars, minor asymmetry in size, shape or position of the scars and loss of sensation in parts of the breast or the nipple. These complications are relatively unusual. Sometimes patients may require a small secondary revision procedure to trim parts of the scar under the breast. This is usually undertaken under local anesthetic.
FACTS AT A GLANCE
| Surgery time | 2 1/2 hours |
| Hospital stay | 1 night stay |
| Anaesthetic assessment | No |
| Pre admission tests | Yes |
| Sleeping position | Sleeping on back recommended for 2 weeks. |
| Reasonably mobile | 1 day |
| Washing | Shower after 1 day. Bath only after 2 weeks. |
| Driving | 2-3 weeks |
| Sport & exercise including gym | 6 weeks |
| Full recovery | 6-8 weeks |
| Time off work | 2 weeks |
| Bras and garments | Fitted bra worn for 2 -3 weeks |
| Long term issues | May require scar management |