What Are The Consequences?
This is a good operation to improve the appearance of droopy breasts but you would be left with scars, possibly some numbness of your nipples and you may not be able to breast feed again. Mastopexy can be carried out by a number of different techniques and the scars will differ accordingly. The most common technique involving scars is illustrated below. It may be possible for the operation to be performed with less scars and your surgeon will discuss this with you. Usually these scars are fine but they are not invisible and could be noticed by others for example, if you were topless on the beach.
What Are The Limitations?
Because it is not possible to recreate the natural attachment of the breast to the tissues underneath, a mastopexy alone will not greatly increase the fullness of the breast above the nipples. Fullness above the nipples can be achieved, however, by increasing the size of the breast with silicone implants. The extra weight of the silicone implants may accelerate the return of the droopiness of the breasts and in any event there is a tendency for the breast to sink downwards as time goes by. You can lessen the rate at which this happens by supporting your breasts in a bra as much as possible.
What Are The Risks?
As with any major operation under general anaesthetic, there is a small risk of chest problems particularly if you are a smoker and a small risk of thrombosis of veins in your legs, particularly if you are taking a contraceptive pill. In addition there is a small risk of one of the following complications.
Rarely heavy bleeding from the broken blood vessels can occur after the operation, which requires treatment in theatre under a general anaesthetic. Occasionally, infection (usually from germs that are lying dormant in the ducts of the breast) can cause part of the wounds to break down which prolongs the healing period and worsens the quality of the final scars.
Some people have an inborn tendency for scars to stretch and some people produce scars which remain thick, red and irritable for a long time.
If silicone implants are used you will need to refer to the leaflet on breast augmentation which will discuss the issue of breast implants and the potential complications in much more detail.