Breast lift with augmentation surgery, also known as breast augmentation-mastopexy, is for patients looking to alter the shape and increase the fullness of their breasts. This procedure combines a breast lift with an implant insertion. The mastopexy tightens the skin creating a perkier, lifted, more youthful breast shape whilst the augmentation enhances the breast volume to give a more balanced appearance to your body.
Why you might need this surgery
Augmentation-mastopexy is suitable for women looking to rejuvenate their breasts and improve the contour whilst increasing the volume of the breasts.
Often patients have completed their family and the effects of pregnancy and breast-feeding have left them with drooping breasts that lack volume. During pregnancy, the breast tissue grows, and this process prepares a mother’s breasts for breastfeeding. After breastfeeding, the tissues inside the breast shrink and the skin surrounding it doesn’t, causing the breast to look empty or deflated and therefore tends to sag. Many women after breastfeeding will lose breast volume and the breasts become smaller than the pre-pregnancy size. This can leave you feeling discontent with low self-esteem and self-confidence. Fortunately, these problems can be resolved with this surgery. Similarly patients that have experienced significant weight loss can be left with breast volume that is disproportionately small compared with their body proportions whilst excess skin is responsible for droop. Augmentation mastopexy can also be used to correct breast asymmetry.
Women suffering with tuberous breasts can also be suitable for an augmentation mastopexy as this technique is used to release the constricted tissue, increase the volume and stretch out the tissue. It also allows Mr Sherif Wilson MB, ChB, MS, FRCS (Plastic Surgery) to lift one or both breasts if required. The choice of operative technique involves careful analysis and Mr Wilson will discuss the procedure with you in detail. A secondary fat grafting procedure may be indicated 3-4 months after surgery to further refine the shape and aesthetic outcome depending of the severity prior to surgery.
Assessment for this surgery
Some patients are bothered by droopiness of the breasts. If you are bothered by droopiness and are happy with the size of your breasts then you do not need a breast augmentation, but may be offered a breast uplift operation called a mastopexy. This is a quite different operation that involves lifting the position of the nipple and breast tissue and tightening the skin of the breasts. There will be an incision around the areola and possibly incisions passing vertically downwards and underneath the breasts. So, the scarring is more obvious than simple breast augmentation, but no implant is used. All breast uplift operations will tend to droop again as a consequence of time and gravity. Mild degrees of droopiness can be improved by a breast augmentation alone.
Sometimes your situation falls between these two options and your surgeon feels that you may need a breast augmentation and mastopexy. In most instances it is best to do one or the other first and then see what result can be achieved with the proviso that the other operation can be done at a second stage if needed. However, in some patients it is clear from the outset that both operations will be needed and Mr Wilson will be able to advise you on the best option for you. This requires careful preoperative planning and counselling. This is difficult surgery and the results are not always entirely predictable in terms of size and breast shape.
Before and after gallery
Going home after surgery
You may be able to go home the same day after surgery, but many patients will spend one night in hospital. Patients are recommended to take around two weeks off work immediately after the operation in order to ensure they recuperate fully, and are advised to refrain from any heavy lifting for the first few weeks. At a month most patients can resume most exercise. At six weeks, patients are generally completely healed and can resume all exercises.
Mr Wilson will advise that you must wear a supportive bra during the first few weeks after the operation. Usually, a non-wired sports bra will be able to provide enough support, however there are bras designed purposefully for the post-surgical period that can be purchased. They will help to make your breasts comfortable and supported, aiding the healing process.
What are the risks of this surgery?
Complications with surgery are rare, but there are potential risks that you need to be aware of before deciding if you want to go ahead.
A collection of blood (haematoma) in the wounds can occur even if drains are used. This is normally obvious within a day of surgery, and if significant you may need to return to theatre to have this removed under general anaesthetic. A wound infection can also occur any time after surgery until the wounds have fully healed.
In addition, sometimes the nipple, areola and surrounding skin are more sensitive after surgery, and sometimes they are less sensitive. Such changes are often temporary and often settle after a few months but changes can be permanent in rare cases. The operation is not possible without creating scars. Normally these are narrow and start off red and fade over a few months.
How much does this surgery cost?
Depending on the type of procedure you require, the cost of surgery can vary. Please see prices below:
These are guide prices and are subject to change following an initial consultation with Mr Wilson, where a bespoke quote will be provided, specific to each patient.
At Nuffield Bristol Hospital
At BMI Bath Clinic
At Winfield Hospital (Gloucester)
At St Josephs Newport
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