Breast or sagging ptosis is an aesthetic problem that worries many women. He added insecurity to himself and sexuality.
If a woman is worried about this, she is embarrassed in front of her husband or boyfriend, it is good to try to lift the breast.
This procedure should not be confused with breast augmentation with implants. The lift aims to remove ptosis, giving the woman natural breast elasticity.
What is this procedure, what is it called?
Breast lift is called mastopexy.This procedure involves the remodeling of the mammary glands, giving them a natural elasticity and attractive appearance without the use of implants. Surgery is performed with minimal surgical intervention under local or general anesthesia.
The level of ptosis plays an important role in its selection. There are 4 degrees of disease. Accurate measurements are taken to make an accurate diagnosis. The degree of sagging is determined by the distance from the fold of the breast to the nipple.
Help!Ptosis is levels 1, 2, 3 and 4 and is measured by the distance from breast fold to nipple. Loose 1-2 cm wide is considered non-critical and refers to grade 1.
If the nipple is 8 cm or more below the fold of the breast, grade 4 ptosis is placed. Here, the surgeon has to cut a large amount of skin and adipose tissue, and without general anesthesia, this is not possible.
Reading
The skin on the chest is sensitive to any changes in the body. There is no natural muscular skeleton to maintain its shape. Therefore, it is difficult to maintain its original shape for life. The reason for changing its shape is:
- A sharp increase or decrease in weight.Skin that stretches the chest after losing weight loses its elasticity and looks fluffy.
- Large breast size.Breasts more than 3 sagging sizes under natural weight.
- Hormonal background changes.Hormone deficiency or excess contributes to swelling or "deflation" of the breast.
- Operation. For example, when a malignant tumor is removed, the gland becomes asymmetrical. In severe cases, the mammary glands become empty and sagging.
- Age.The chest, which lacks muscle support, loses its elasticity before other parts of the body.
- Incorrect bra installed.If not given adequate support, the mammary glands will deteriorate sooner.
- Breastfeeding.Milk-filled mammary glands can grow 3-5 times. After breastfeeding, it returns to its original size, but not in the same shape.
- Congenital anomalies.Breasts may not grow well since puberty. The only way out is to correct the shape.
Another problem with sagging breasts is that they are usually accompanied by stretch marks and sagging skin.
Contraindications, restrictions
Mastopexy means surgical intervention in the body. Any operation has its own indications and contraindications. This type of operation is not specified in some cases:
- pregnancy or planning it, because all results of the operation will be lost;
- less than 12 months after the end of hepatitis B, this is how many mammary glands need to recover from breastfeeding;
- presence of tumor in chest area;
- acute infectious diseases;
- diabetes mellitus;
- kidney failure;
- cardiovascular dystonia;
- under 18 (parental consent and medical emergency required);
- obesity, which is the result of metabolic disorders and can lead to postoperative complications.
Before deciding on mastopexy, the negative and positive effects should be weighed.
Display
Breast augmentation can be performed with or without surgery.In the first case, the tissue cutting method is used according to various schemes, the second is the effect on the deep layers of the skin. It should be noted that non-surgical methods are best used to prevent ptosis or at an early stage. Operational intervention helps solve problems in more advanced cases.
Endoscopy
A small area of skin is tapped on the lateral part of the breast.Endoscopy and instruments are introduced through them. Tissue is removed from the inside, so surgery after the scar has healed will not be visible.
This is one of the most expensive types of mastopexy. The success of this procedure depends on the qualifications and experience of the doctor performing the operation. But the results will not change for 10-15 years. Endoscopic mastopexy can remove ptosis from any severity.
Periareolar (round)
During thisoperation, the doctor cuts off the excess tissue around the areola.This way, you can not only tighten the mammary glands, but also change the diameter of the nipple. Traces after surgery and healing become invisible.
Among the disadvantages is the possibility of effects on breastfeeding. Also, it is only used with 1 and 2 degree slack. After surgery, some patients noted loss of nipple sensitivity.
Vertical
During surgery, the surgeon makes an incision over the breast and along the edges to lift the nipple upwards.This method requires minimal intervention in the structure of the mammary glands and practically does not cause complications and maintains the natural shape of the breast. It can also help shrink nipples.
This method is used in the early stages of ptosis. It should not be used if there are scars on the chest. It will also not help sagging breasts.
Anchor (T-shaped)
Indicated for severe ptosis or uncomfortable large breasts. Duringsurgery, an inverted T anchor or incision is made in the chest.Next, the surgeon cuts off the excess tissue, and the bottom is pulled up.
The operation has a significant aesthetic effect, it can be repeated until the patient is satisfied with the result. Its disadvantages include the use of a large number of cuts. This increases the recovery period and can lead to complications.
Laser
This is a relatively new type of breast lift. It is widely used in the west, but in our country there are a small number of clinics with the necessary equipment.Lasers can be used to lift and enlarge breasts.This does not require the use of a scalpel.
Laser removal is effective in the early stages of ptosis. It takes about 6 treatments to achieve the desired effect. It is done with an interval of at least 14 days. This procedure does not require the introduction of anesthesia, as it is not painful. In some cases, an unpleasant sensation may occur.
Mesothreads
If the breast has lost its previous elasticity and caused internal discomfort in a woman, doctors recommend a procedure for implantation of mesothreads. It leaves no marks on the skin and does not cause complications.
Being in the mammary glands, the threadgradually grows with adipose tissue and creates a supportive effect.The yarn continues to function for 6-8 months, after which the yarn absorbs completely and does not require removal.
Non-surgical methods
Women with class 1 breast sagging are advised to use the method of lifting breasts without surgery. They help restore skin elasticity and restore the mammary glands to their previous form:
- Myostimulation - with the help of electrical impulses sent through connected electrodes, skin elasticity is restored and stretch marks are removed.
- Lipolifting - the transfer of adipose tissue from the inner abdomen and thighs to the affected chest area. Guaranteed 100% adipose tissue binding.
- Micro with serum - provokes active production of elastin and collagen, accelerates cell renewal, reduces sutures and stretching.
- Mesotherapy.
The choice of lift type is also influenced by the degree of stretching of the breast skin, asymmetry and its size. The surgeon will assess the general condition and select the safest and most effective option for each individual case.
Ready for plastic surgery
Before obtaining permission from the surgeon to lift the breast,must consult with other specialists: gynecologists, therapists, mammologists and anesthesiologists.You will also need to pass a number of tests:
- general and biochemical blood tests;
- blood tests for diabetes mellitus;
- general urine analysis;
- analysis for hepatitis, HIV, syphilis;
- EKG;
- Breast ultrasound;
- mamography;
- fluorography.
For 14 days before surgery and for the same period thereafter, you should not smoke, drink alcohol, take drugs that affect blood density, including birth control pills. You should also let go of vigorous physical activity. Immediately before surgery, no food should be eaten 12 hours before surgery. You can drink tea or water.
How is it done, is it dangerous?
How is the operation performed?Mastopexy is safe.It starts with a breast sign. The surgeon marks the incision site and skin area to be removed with a marker. Then the patient is given anesthesia. It can be of several types:
- intravenous;
- inhalation;
- local.
Mastopexy stage:
- surgeons make incisions along the mark;
- next forms the final result and cuts off excess skin and adipose tissue;
- if necessary, the surgeon reduces nipple girth;
- After that, antibacterial sutures and bandages are used, drainage is included (you can read more about what sutures are and how long they heal after surgery).
Duration of operation from 1. 5 to 3 hours.
What happens in the postoperative period?
- The patient regained consciousness after surgery.Chest pain begins when we recover from anesthesia. The doctor performing the operation should advise on painkillers and antibiotics that should be taken during the postoperative period.
- 3 days after mastopexy, the patient was observed in the hospital.If no complications arise, he will come out. The doctor should evaluate the main result, that is, whether the suture begins to tighten and whether it is asymmetrical. After a week, the stitches are removed.
- Edema is observed in the first week after surgery.The chest looks like a rock. In the first month, swelling persists, bruising may appear. After 1-3 months, it disappears completely, you can evaluate the results. During this time, the stitches will heal completely, edema and hematoma will subside.
- Corrective underwear must be worn for the first six months, which will help maintain its shape, use an ointment that accelerates skin regrowth. This will help get through the recovery period faster.
- Also, within 6 months after surgery, you should not go to the bath, sauna,so as not to infect open stitches. It is forbidden to go to the gym and lift weights - this contributes to the difference of stitches.
Patients who decide to undergo mastopexy should also be aware of possible complications. These include pain in the area of the mammary glands, bruises and hematomas, swelling at the site of incision, tissue inflammation, and loss of sensitivity.
Before and after photos
Next in the photo, you will see what the big breasts look like before and after lifting.
Procedure costs
The cost of services depends on the type of operation, the qualifications of surgeons and staff, the status of the clinic. Prices also include training programs, purchase of corrective underwear, patches, anesthesia.
Mastopexy is an opportunity for every woman to feel her sexuality and attractiveness again. But, before making a serious move, you should review the information about this operation, compare the positive aspects and possible risks, and only then make a final decision.
Mammoplasty is a type of surgery to correct the shape and size of the breast. Specialists change the contours, number of mammary glands, nipple shape and areola.