|
|
MASTOPEXY INTRODUCTION The elevation of the
breasts is not a medical decision, but a personal option. The way
people see themselves will define them as persons, helping them obtain
social recognition and approval. Some women do not view the elevation of their breasts as an advantage, but there are many women with drooping breasts (ptosis) who feel embarrassed and dissatisfied and this acts adversely on their psychical well-being. This operation will
offer much personal satisfaction. No other physical exercise or treatment
can have effect on drooping (ptosic) breasts. The procedure of the
breast elevation with or without mammary implants is the only solution
to achieve the elevation and anterior projection of the breasts, which
enhances the figure of the person. Your friends and the
members of your family may tell you their opinion regarding this procedure,
the plastic surgeon may offer you medical advice, but it is only you
who decides what is best for you. This type of surgery
has been practiced for more than 50 years and a large number of women
have reaped benefits from the procedure. Mastopexy is the plastic surgery used by women with pendulous breasts. The aspect of drooping breasts will commonly appear after pregnancy and breast-feeding the baby, after an aggressive diet or simply as the result of ageing. Such changes appear mostly between 20 and 40 years of age. SURGICAL INTERVENTION The surgery may be
performed with or without breast implants. The purpose of the
intervention is to elevate the breasts, correcting their position and
making them harder without modifying their volume. Breast drooping occurs
because of the changes in the tegumental layer that grows loose, becoming
larger than the volume of the mammary gland. This phenomenon is due to
decreased elasticity of the skin with enlargement of the tegumental tissue,
decreased volume of mammary gland or both. For this reason, the reduction
in tegumental skin or increase of the mammary volume will lead to breast
lifting. There are situations where best results are obtained by combining
the two techniques. There are various
techniques to correct this problem. The variety of techniques depends
on the degree of drooping (ptosis) of the breasts. Surgical intervention
consists in eliminating the tegument in excess from around the areola
or the excision of excessive tegument in the lower part of the breast
with introduction of additional volume in the form of an implant to create
an anterior projection of the breast. The areola and the nipple may also
be repositioned to create an aesthetic posture. Where a mammary implant
is used, this may be introduced either under the mammary gland in front
of the pectoral muscle, or behind the pectoral. The surgery is performed
under general anesthesia because it is safer and provides operating
comfort to the surgical team. The risks of anesthesia are low but they
cannot be completely eliminated. Please provide the anesthetist with your
case history in order to establish the course and conduct of the surgery. The time required
for the breast lifting operation depends on several factors, including
the surgical approach, patient anatomy and type of anesthesia. Generally, the procedure lasts for 2-5 hours. Most breast lifting operations require 1-2 days of postoperative hospitalization. In this way the medical and surgical staff may monitor the patient. POSSIBLE COMPLICATIONS Some of the complications that may occur are: infection, hematoma (clotted blood between the mammary tissue and tegument, which has to be eliminated), modifications in the sensitivity of the nipple, necrosis of soft parts. Follow the plastic surgeon's counsel to avoid the appearance of such complications. POSTOPERATIVE COMPLICATIONS After the operation
you must wear an elastic brassiere or a bustle. This will help the correct
positioning of the breasts during the healing period in order to maintain
their symmetry and compactness. The initial discomfort
shall be kept under control using analgesics. Removal of threads
shall be performed 7-14 days after the operation. The elastic bustle
shall be worn 2-3 weeks after the operation. The scars take approximately one year to disappear and exposure to sunlight should be avoided because of the adverse responses that may be caused. Usually, current activities
may be resumed 2-3 days after the operation. Pain may persist for
a period and if so, avoidance of activities requiring intensive use of
the arms is recommended. Intense physical exercise should be postponed
in order to ensure the proper healing of the scars. Complete activity
may be resumed 2-3 weeks after the surgery, but this period may vary in
length, depending on the technique employed and level of exertion during
current activities. The plastic surgeon will recommend the optimum time
when normal life may be resumed. Mastopexy will result
in the elevation of the breasts as much as possible to achieve a novel
equilibrium of the body. This will lead to increased confidence, as
the new look will be pleasing to the eye. The emotional and psychic benefits of the procedure are an increased self-assurance, a better self-image and a great personal satisfaction. SPECIAL INFORMATION · Wash thoroughly
before the procedure; This presentation
is made exclusively for information purposes. Radu
Voicu, MD Spital Clinic CF2,
63 Marasti Blvd, Bucharest, 1 e-mail: office@drvoicu.ro
|
|||||