Mastopexy and reduction mammoplasty are surgical procedures that lift and reshape the breast. These operations address breast ptosis (drooping), low nipple position on the breast mound and breast asymmetry. Dr. Smith’s surgical technique is similar for the two procedures.
With a mastopexy, excess skin and sometimes a very small amount of breast gland are removed. The remaining breast tissue is re-positioned on the chest wall, elevating and reducing the size of the nipple areolar complex. Scarring is usually in the shape of a “lollipop” around the areola extending downward vertically into the breast fold. With larger breasts the incision may be extended under the breast fold.
Reduction mammoplasty decreases the cup size of the breast. This procedure can improve symptoms of neck and back pain secondary to the weight of a heavy breast. Breast gland and fatty tissue are excised to produce smaller, lighter breasts that may offer better proportion to the rest of the body. The breast tissue that is removed will be sent to the lab for screening of breast cancer.
Breast surgery is done under a general anesthetic and can take one to two hours in duration. Patients are discharged from our clinic with small bandages over their incisions and a supportive bra. These dressings are left intact for 72 hours, at which time patients may shower and change their dressings. Incision care and changing the dressings will be reviewed by our nursing staff prior to discharge.
Post-operative pain is managed quite well with medication and we ask patients to rest at home for 7 – 10 days post-op. You should refrain from any strenuous lifting or strain to the upper body while you heal.
Mastopexy and reduction mammoplasty patients are seen in office for follow-up 5 – 10 days after their surgery. Our nursing staff will help with incision care and scar management to achieve the best possible result.
As with any surgery, there are some risks. Complications can include infection, bleeding (hematoma), asymmetry of breast shape or size, fat necrosis, delayed healing, altered nipple sensation or loss of the nipple areolar complex.
Dr. Smith will see patients 4 – 6 months post-op to assess their result and take photographs.