Breast Lift and Implants (Mastopexy with augmentation)
- Elective cosmetic procedure
- Possible rebates from Medicare and private health insurance if you have children between the ages of 1 and 7 years.
- Day procedure only
The best candidates for breast lift surgery with implants are women who not only have sagging breasts, but have also lost fullness in their upper breast area. Sagging of the breasts is common in women who have breastfed or lost significant amounts of weight. A breast lift with implants can restore fullness to the breasts, offering even better results than a breast lift alone.
What happens at the first consultation?
In your first consultation with Dr Norris he will focus on what you hope to achieve through surgery. He will ask you what concerns you have about the appearance of your breasts, and what you would like your breasts to look like. Dr Norris will evaluate your breasts by taking measurements, assessing skin tone and the condition of breast and fatty tissue, and noting the position and size of your nipple and areola on each breast.
A graph showing the grading of droopy breasts
Photographs will be taken for your medical records. Dr Norris will discuss how the operation is performed and where the scars are placed. At the end of this initial consultation you will have a very good idea of what is possible for you. You will then be provided with a detailed surgical quote which outlines your surgical options and the related costs for each.
If you decide to proceed with surgery, Dr Norris will see you for a second consultation.
How is the operation done?
The procedure is performed in a fully accredited hospital. Dr Norris’s anaesthetist will administer a general anaesthetic and you can expect the operation to take between 2.5 – 3 hours. At your consultation Dr Norris will discuss whether or not he requires you to stay overnight in hospital.
There are a number of techniques for breast lifting determined by where the incisions are made and the subsequent scars. Dr Norris has trained extensively in the use of short-scar techniques which are aimed at minimising the amount and length of scars. This will most commonly involve restricting your scar to one that encircles the areola (periareolar scar) and one that passes downwards from the areola to the fold beneath the breast (vertical scar). This is commonly called a lollypop lift as it resembles a lollypop. In some cases it is possible to leave a periareolar scar only. However, not all women have breasts that are suitable for the short scar technique.
Your implant will be inserted using the incisions made for the lift either behind (submuscular), in front of the muscle (subglandular) or half and half (dual plane).
At the end of the operation a drain might be placed beneath each breast. If this is the case it will normally be removed the following day. The incisions are closed with dissolvable sutures to save you the inconvenience of having them removed. A dressing is applied over the incisions and you will leave the hospital wearing a comfortable and supportive surgical bra.
What happens after the surgery?
- Procedure usually takes between 2.5 – 3.5hrs.
- Most patients can go home the same day.
- You will require a friend, family member or partner to drive you home from hospital.
- You will leave with written postoperative instructions and a prescription for pain-relief.
- You will not be able to drive for up to 1 week.
- Daily short showers are permitted, ensuring your waterproof dressings are dried adequately.
- Sleep on your back, elevated by a few pillows for the first 6 weeks. This will help reduce your swelling.
- You will experience the most discomfort in the first 3 or 4 days after the surgery.
- Your breasts and nipples will be bruised, swollen, tender, and sensitive to touch.
- You can return to normal duties after 2 weeks.
- Swelling may take up to 6 weeks to settle.
- You can start light exercise at two weeks after the procedure.
- Return to regular exercising after 6 weeks or as instructed by Dr Norris.
- You can return to work 1 week after the operation unless work involves heavy use of the upper body or lifting, in which case 4 weeks off work should be allowed.
- You will have an appointment on day 3 after the procedure to check and change the dressings.
- Rupture Breast implants are not a lifetime device. Breast implants rupture when the shell develops a tear or hole. Ruptures can occur at any time after implantation, but they are more likely to occur the longer the implant is implanted. Severe capsular hardening can cause an implant to rupture.
- Capsular hardening Hardening around the implant is due to shrinkage of the capsule that forms as the body’s natural response to foreign material. One breast may appear firmer and may look different to the other breast.
- Haematoma A collection of blood in the breast pocket, which is either naturally absorbed into the body or sometimes requires further surgical drainage. Symptoms include swelling, pain, bruising, hot to touch, or itchy breast.
- Infection Infections are unpredictable and normally occur in the first 3 weeks after surgery and treated immediately with antibiotics.
- Keloid Scarring Where your scars begin to look raised and lumpy and even darker in colour. If this begins to happen please inform Dr Norris and he can look at treating it with steroid injections. Wearing the supplied silicon gel strips after surgery 24/7 will aid in preventing this from happening.
- Numb Nipples This is common and normally resolves itself after a short period of time. Sometimes it can take up to 6-12 months to regain full feeling in your nipples.
- Asymmetry Though Dr Norris makes every attempt to create perfect symmetry sometimes this is not always possible and you must expect that some minor asymmetry might be visible after 12 months. Perfectly similar breasts is not possible naturally, therefore a real expectation is needed.