You do a lot of breast reconstructive surgery and cosmetic breast surgery. What is a mastopexy implant?

This involves an augmentation of the breast at the same time as lifting the skin and/or the breast tissue and it can often be
performed at the same time.

Who is Mastopexy implant surgery for?

Often following weight loss or pregnancy the position of the nipple/areola and breast tissue may lead to an unnatural shape where the nipple and areola hang off the end of the breast and one needs to increase the height of the nipple, areola and breast tissue. This is achieved by either a mastpoexy or a breast uplift alongside the breast augmentation.

Who is it for?

Often following weight loss or pregnancy the position of the nipple/areola and breast tissue may lead to an unnatural shape where the nipple and areola hang off the end of the breast and one needs to increase the height of the nipple, areola and breast tissue. This is achieved by either a mastpoexy or a breast uplift alongside the breast augmentation.

What type of implants do you use?

I choose a range of implants depending on the needs of the patients. There are different brands and different shapes. The two shapes offered by all manufacturers are round and tear drop shapes. The tear drop implants give a natural shape and are shaped like a breast.

What type of implants do you use for mastopexy implant surgery?

I choose a range of implants depending on the needs of the patients. There are different brands and different shapes. The two shapes offered by all manufacturers are round and tear drop shapes. The tear drop implants give a natural shape and are shaped like a breast.

What is your follow up?

I follow up all patients at a week and then again at 6 weeks. I like to see patients again at a year and leave an open appointment with all patients free of charge.

What are the different types of mastopexy implant?

Following breast augmentation one can lift just the nipple and areola by using a periareola mastopexy, where the resulting scar is positioned only around the nipple and areola. This gives a small nipple/areola lift and does not require any other scarring.

A vertical scar mastopexy implant requires the positioning of a scar around the areola and a scar vertically on the breast. This allows the breast tissue to be lifted and redraped over the implant as well as lifting the nipple and areolar. Nipples and areolars can be lifted as high as required aesthetically and provides a very flexible means of lifting the breast. This is often called a lollipop incision.

Where there is significant excess skin an inframammary scar may be required to give an aesthetic pleasing result. This is often called an anchor incision.

Is breast augmentation and mastopexy implant painful?

Patients make a rapid recovery following breast augmentation. I do not use drains and use minimal dressings. The results are apparent
immediately and patients do not experience a lot of pain. Patients can go home on the day of surgery if they wish. If patients have young children they may choose to stay overnight. I encourage early mobilization and pain postoperatively is uncommon although I do advise patients to wear a supportive bra for 4 weeks postoperatively. The recovery for a mastopexy implant is similar and again I do not use drains and use minimal dressings. Patients usually stay in overnight and are encouraged to mobilize immediately in a supportive bra that they should wear for 6 weeks.

How do you determine the size of implants?

To provide the most natural result the implant should be the same width as the natural breast width. Different implants can be chosen to give the shape that the patients wishes and there are variations in the height of the implant and the projection of the implant. I use a sizing kit and give patients a variety of implants to try and help determine size. I also show preop and post op results to try and determine the result patients wish to achieve.