Mastopexy implies the surgical procedure performed to restore the upright position of sagging breasts. The surgery consists of three main procedures: Nipples are transposed to optimal position, the breast tissue is recontoured and excess skin is removed. If breasts are too large, the excess breast tissue is removed, or if they are small, they are supported with silicone implants. Mastopexy surgeries are combined with breast reduction for patients with large and sagging breasts and with breast augmentation for patients with lost breast tissue and sagging breasts following childbirth or weight loss.
Mastopexy is performed for patients with sagging breasts secondary to structural etiology, large size, loss of breast tissue, childbirth and lactation as well as excess weight loss or aging. Moreover, this procedure is also employed for patients with “Tubular Breast Deformity”.
Mastopexy procedures are usually performed in middle aged patients who have history of childbirth. However, the procedure may also be considered for very young patients if the breasts sag due to structural etiologies. Surgery can be performed at very young ages especially in patients with “Tubular Breast Deformity”. As is the case for all aesthetic procedures, mastopexy surgeries are not performed for patients who are younger than 18 years of age, unless it is medically necessary.
If the size of breast tissue is sufficient, mastopexy can be performed alone. However, mastopexy is often combined with breast reduction. Therefore, it is ensured that the lifted shape of breast is maintained for a long time. For patients with tissue loss in their breasts following childbirth or weight loss, it is necessary to augment the breast with silicone prosthesis in addition to the mastopexy. Thus, breasts will look lifted and augmented.
Every patient should have mammography/breast ultrasound before mastopexy. Radiologic imaging is crucial for follow-ups, before the procedure is carried out in the breast. Mammography/breast ultrasound is repeated 1 year after the surgery.
Mastopexy is performed under general anesthesia in operating theatre. Surgery lasts for approximately 2 hours. Duration of surgery is directly proportional to the severity of sagging. Patients can eat and stand up 4 to 6 hours after the surgery. The incision is covered with a small wound dressing. Patients may take a bath in and after postoperative Day 2.
Sport activities are not allowed for the first 3 weeks, except for walking. Patients should necessarily wear sports bra throughout the day (both daytime and night) for the first 3 weeks. All sport activities other than arm and chest training are allowed following postoperative week three. All sports activities can be done after the sixth week.
Breasts will somewhat sag as the patient gets older; however, there is no risk to return to the preoperative condition.
Scars may persist around the nipple, on the breast and in the inframammary fold depending on the level of sagging in mastopexy; those scars become unclear and barely recognizable in time.
Risk of inability to lactate is lower in patients who have undergone mastopexy than the patients who have undergone breast reduction surgery. It can be expressed that the lactation rates are not different than other women.
Temporary sensorial deficit may develop after mastopexy. Permanent sensorial deficit is not an expected condition. Nipples regain their sensitivity a few months after the surgery.
Mastopexy has no relation with breast cancer. When it is combined with breast reduction, it significantly lowers the risk of breast cancer. Moreover, pathological examination of the surgical pieces provides crucial information regarding the follow-up. Risk of cancer does not increase for patients for whom prostheses are used during mastopexy.
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