Breast lift surgery or mastopexy is performed under general anaesthesia as a day case procedure. At the Cadogan Clinic we use TIVA (Total IntraVenous Anaesthesia), so you wake up quickly and do not feel sick. You are ready to go home. Pain is minimal, but you will be given simple analgesia as a stand-by.
There are various methods of breast uplift, but essentially the breast tissue is repositioned higher as a firm mound, the nipples put at the appropriate level with matching areolas and excess skin removed.
This will always necessitate a scar around the areola, the darker skin around the nipple. This may be adequate for a small breast lift, but usually more skin has to be removed leaving a vertical scar below the nipple and frequently another horizontal one in the fold beneath the breast. These scars are on the underside of the breast and therefore less obvious. Inevitably they will be red to begin with, but with The Cadogan Clinic scar treatment will eventually become inconspicuous.
The specific mastopexy used by your surgeon will depend on the size and shape of your breasts, skin elasticity, the size of your areolas, and the expected extent of the lift. Immediately before surgery your surgeon will mark the breast lift on the skin in a standing position, establishing the position of the nipple on the lifted breast.
We rarely use drains and the sutures are dissolving to avoid stitch marks and their removal.
Light dressings cover the wound and a sports bra or equivalent takes the weight of the breast.
You will need to maintain this support day and night for 4 weeks and during the day for 3 months. Dressings will be changed at a week and you can probably shower between dressings or when they are finally removed. Our wound care nurses will give detailed advice.
You can work from home in couple of days, but a week away from the office would be common.
Light exercise with bra support is permissible after a couple of weeks but serious training should wait another 2 weeks.