DEFINITION
Mammary ptosis is defined by a sagging of the gland and a distension of the skin surrounding it. The position of the breast is too low and is often “empty” in its upper part. Ptosis may exist in any case but in most cases occurs after major slimming or as a result of pregnancy with breastfeeding.
It may be isolated : in case of pure ptosis. It may also be associated with a certain degree of mammary hypertrophy.
Conversely a mammary ptosis may be observed in the context of too small a breast (mammary hypoplasia or hypotrophy).
AIMS :
The purpose of the surgical operation is to restore the areole and the nipple to their correct positions, re-concentrate them, “lift” the gland and remove the excess skin in order to achieve harmonious breasts.
PRINCIPLES :
When the ptosis is more severe the scar takes on the appearance of an inverted T the peri-areolar ,the vertical and the horizontal.
In most cases, if the mammary ptosis is minor, a so-called “vertical” method can be used which makes it possible to eliminate the transverse scar in the mammary groove and to reduce the cicatricial ransom to its peri-areolar and vertical components
If the mammary ptosis is very mild, it is possible to use a technique which makes it possible to effect the correction of the sagging only with a scar around the areola.
Finally, if the ptosis is accompanied by a mammary hypotrophy (insufficient breast volume), it is possible to proceed with fitting a prosthesis during the same operation to enable the breast to regain an appreciable volume.
A breast lift is an operation which can be carried out once the breast has stopped growing, then any time throughout life. It is then quite possible to become pregnant and give milk, but the patient must then wait six months after the operation.This surgical procedure by no means increases the risk of the incidence of cancer.
BEFORE THE OPERATION
A preoperative assessment is normally conducted as required.
The anaesthesiologist will be seen in consultation before surgery.
A radiological breast study is prescribed (mammography, ultrasound).
Smoking cessation is strongly recommended.
Stopping a possible oral contraceptive may be required.
No medication containing aspirin should only be taken within 10 days prior to surgery.
TYPE OF ANAESTHESIA :
This is general anaesthesia, during which you sleep completely.
HOSPITAL STAY :
Usually is required a hospitalization of one to two days.
THE PROCEDURE
Each surgeon adopts his/her own technique that adapts to each case to obtain the best results. At the end of surgery, a modelling bandage, with elastic bands, shaped like a bra, is made.
AFTER THE OPERATION: POSTOPERATIVE CARE AND FOLLOW-UP
The postoperative course is usually less painful, requiring only simple analgesics.Swelling (edema) and ecchymosis (bruises) in the breasts, and a slight pain on elevation of the arms are frequently observed.
It is recommended to wear the bra day and night during the first month. The suture, if not resorbable, is withdrawn between the eighth and the twentieth day after surgery.
A convalescence and a work stoppage of 7 to 10 days should be considered. It is advised to wait one to two months to resume a sports activity.
THE RESULT :
It cannot be judged until one year after surgery: it just needed to have the patience to wait the time required for the improvement of scars .
The operated breast is natural and sensitive, especially to hormonal changes and weight.