Mastopexy Surgery – Fort Worth
A breast lift, or mastopexy, elevates breast tissue on the chest wall, revealing a more firm, rounded, youthful breast. Pregnancy, breastfeeding, aging, and changes in weight contribute to drooping of the breast tissue over time. Stretched areolas (the pigmented area surrounding the nipple) can be resized during a breast lift as well. Depending on your breast exam and your goals, a breast augmentation may be recommended in addition to your breast lift. You can read more about Fort Worth breast augmentation to learn more about how these two procedures can work together.
Where will my incisions be?
Several different incisions can be used to perform a breast lift. The appropriate technique will be chosen by you and Dr. Kirby together, and will be based on your breast size, shape, and position. The incisions made will depend on what type of breast lift procedure is appropriate for you. Incisions can be made around the areola (the pigmented central portion of the breast), or in the “lollipop” or “anchor” (also called “inverted T”) configuration. During the breast lift, areolas are typically reduced in size to match the shape and size of your new breasts. A breast lift can also be performed in combination with breast augmentation for added volume of the rejuvenated breast.
How long will the procedure last?
A breast lift, if performed alone, typically takes 2-3 hours. Breast augmentation may be performed in combination with a breast lift for optimal results. Combination surgery will take longer.
What kind of anesthesia will I have?
Breast lift surgery is typically performed under general anesthesia for optimal comfort. It can also be done using intravenous sedation that gives you medicine through an IV in your arm that makes you drowsy. Dr. Kirby will discuss these options with you so that the best choice can be made.
How do I prepare for surgery?
Prior to any procedure, it is necessary to review medications you are taking that may affect your surgery. You may be asked to stop or adjust some medications you are on. As always, it is important to include supplements on your list of medications. Aspirin and aspirin products (Alka-Seltzer, Carisoprodol, Excedrin, Goody’s, Midol), anti-inflammatory medications (except acetaminophen, or Tylenol), and herbal supplements must be avoided for 10 days prior to your surgery. For more details about which medications and supplements to avoid, click here. Dr. Kirby will discuss your medications with you.
Depending on your medical condition, you may be asked to get lab testing or a medical checkup prior to your surgery. You may also be asked to have an updated mammogram prior to your surgery if you have not had one recently.
Tobacco products impair your body’s ability to heal. You will be asked to stop smoking for 6 weeks prior to any surgery. Tobacco step-down products such as chewing gum and Nicoderm continue to provide your body with tobacco and must be stopped as well. Please ask Dr. Kirby if you will need assistance with quitting.
Be sure to arrange for a responsible adult to drive you to and from your surgery. You will need someone to stay with you the night following your surgery as well.
You will receive specific instructions for your surgery day from Dr. Kirby’s office.
What are the risks?
Your decision to undergo breast lift (mastopexy) surgery is a personal decision and should be made with a full understanding of the benefits and potential complications. Most breast lift incisions are made in areas that are visible on the bare breast, resulting in scars that are not visible under clothing. A few breast lift techniques disguise the scars in hidden areas. Ask Dr. Kirby if you are a candidate for this type of procedure. Other risks are bleeding, infection, contour irregularities, skin discoloration, asymmetry and permanently altered sensation in the nipple and/or other areas of the breast. Although good results are expected, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgical procedure and another surgery may be necessary.
What will recovery be like?
Immediately after surgery you will be able to notice a change in your breasts. You will also notice that you have quite a bit of swelling that will decrease over the next few weeks. You should expect to have some soreness and possibly some temporary changes in sensation as well. You will be asked to wear a supportive or surgical bra following surgery as your breasts heal from the procedure. Dr. Kirby will discuss with you when your dressings will be removed and when to return for a post-operative visit. Depending on your job, you can expect to return to work in 7-10 days. More strenuous activity, however, cannot be resumed until 4-6 weeks after surgery. You will be directed on scar massage techniques by Dr. Kirby when the timing is appropriate.