1206 Somerville Rd
Decatur, AL 35603
Breast ptosis (sag) is defined by the relationship of the nipple to the inframammary fold. The inframammary fold determines the position of the breast.
If the inframammary fold is low on the chest the breasts will be low on the chest.
Breast ptosis can be corrected by breast lifting, but it doesn’t mean the breast volume will be moved upward toward the clavicles!
An aesthetically attractive breast has the nipple position above the level of the inframammary fold and has normal skin showing between the lower edge of the pigmented areola and the inframammary fold.
The basic goal of a mastopexy is to re-shape the breast. It is a combination of a nipple lift and a tightening and modification of the breast skin. Natural, aesthetically pleasing breast shape does not have a lot of sagging. The nipple position on the chest should be above the level of the lower breast fold. The diameter of the areola should be in balance with the size of the breast. A mastopexy achieves these goals. Since we do not remove breast tissue in a mastopexy, we only re-shape and re-position it, your bra size should not change.
During your initial consultation we will discuss all of the aspects of the operation and how it relates to you. We will have a second visit that is the pre-operative visit where I will answer all of your final questions, write the prescriptions for the medicines you will need after the surgery and you will do your pre-operative visit at the hospital.
This is not an insurance covered case unless the breast lift is related to congenital or developmental deformities and asymmetries of the breast.
Patient Presented To Me And Was Not Sure About Her Breast Shape
She Thinks She Wants Implants To Fill Out Her Clothes And A Bathing Suit
The Problem Is She Has Too Much Breast Sag To be Augmented
She Needs A Mastopexy First To Get Normal Breast Anatomy And Landmarks
Approximately 8 Months Later She Loves Her Breast Lift, But Now Thinks It Would Be Nice To Be Larger.
We Augmented Her With Round 240 implants Filled To 270 cc.
The operation is done as an outpatient procedure or day-surgery at Decatur Morgan Hospital using general anesthesia. It is done in the main operating rooms at Decatur Morgan Hospital and takes just about 3 hours to perform. We do the operation in the morning and you will get discharged to home late in the afternoon or the early evening. You will go home with a drainage tube in each breast to remove postoperative blood and fluid so it does not accumulate in the breast.
All patients are unique and the response to post-operative discomfort is variable. Most patients state that the discomfort feels like tightness and burning in the bottom portion of their breasts. Some patients take the narcotic medicine only for a day or two and then switch to Tylenol for pain. Some patients take a narcotic medicine for 3 or 4 weeks after the surgery. As I said, patients are all unique and their pain tolerance is very different. Almost all patients feel normal by 3 weeks.
For a desk job that does not require any heavy lifting you should expect to be away from work for 1 week. Some women have gone back to a desk job in as little as 4 to 5 days. For a job that requires physical exertion or heavy lifting you should expect to be away from work for 2 weeks. If there are any small healing problems with your breast we may keep you off of work for an additional 1 week or consider light duty for a week if that is available at your job.
You will need to come to the office two days after your surgery and you should arrange for someone to drive you to this appointment because you will be sore and on narcotic medications. At this first postoperative check, I will change your dressings and remove your drain tubes. Removing the tubes pinches a little but is not terribly painful. You will go home with a light gauze dressing that you will change every day for 3 to 5 days. I do not use any special postoperative surgical bras. You can take a full shower 24 hours after you drains are removed. You will take off your dressings to shower. Soapy water will not hurt your incisions, pat yourself dry and replace your light dressings.
Your next appointment will be in approximately 1 week. The next appointment will be in 2 weeks and at that time we will begin discussing issues like returning to work and shopping for a regular bra.
Your next appointment will be in approximately 1 month. After that I will see you again in approximately 6 months. I will see you again about 12 months after your surgery and do a final assessment of your size and shape, assess the quality of your scars and get your final opinion on the surgery.
Generally you can resume all of you normal activities, including physical exertion and exercise after 4 weeks. If you are at the age where you were getting mammograms you should continue them after waiting at least 6 months. This wait is to allow postoperative density changes in the breast to soften and resolve.
The Next Four Patients Had A Breast Lift And A Breast Augmentation At The Same Time