Breast lift or mastopexy

The aim of breast lift or mastopexy is to remodel the breasts with an improvement in shape, for example after pregnancy, breastfeeding or a weight loss. Sometimes, the cause of saggy and droopy breasts in young women is unknown or genetic. Mastopexy surgery is an ideal solution for women with sufficient breast volume who want just to lift and reshape their breasts, without changing the size or putting implants. A breast lift is used to restore harmony to the breasts.

WHO IS IT FOR?
  • Your breasts are too small (mammary hypotrophy)
  • You experienced breast sagging after breastfeeding and pregnancy
  • You are hung up about the size of your breast because you think it does not match your age
  • You are uncomfortable with the size and position of your areolas (too large and/or too low)
  • You cannot find a bra that fits you perfectly
  • You systematically wear padded bras
  • Your breasts are asymmetrical
  • Your breasts have a deformity (Poland syndrome, tuberous breasts)

It is important for young women to reach milestones in growth and physical maturity before considering surgery. Indeed, there is often a variation in body weight and size and hence the breast shape. It is also recommended to wait until puberty before considering surgery.

To consider having a mastopexy in the best possible conditions, it is important that your weight be stable. In fact, variations in weight can alter the result of the surgery, as well as excess weight increases the risk of post-operative complications.
Of course, each situation should be discussed with your surgeon who will be best able to advise you.

SCARS POSITION

Regardless of which technique is used, breast lift always causes a scar around the areola. Dr Thomet usually performs the inverted-T lift (this technique produces a vertical scar between the areola and the fold under the breast as well as a horizontal scar in the fold). This technique allows removing the excess skin efficiently, thus avoiding a touch-up procedure in most cases. In some cases, surgeons create a unique vertical line down to the breast crease in addition to the scar around the areola. The peri-areolar technique is sufficient for women with a moderate degree of sagging. Your surgeon will advise you in order to ascertain what treatment is most appropriate in your case.

BEFORE SURGERY

The first consultation with Dr Thomet will allow you to get to know your surgeon, talk about your personal situation and present your expectations. In order to complete your medical record, she will ask about your medical history, previous operations you may have had, and the list of medicines and allergies.
A physical examination will be carried out with measurements and sometimes photos that will remain confidential and only used for your medical file. At the end of the consultation, Dr Thomet will make a diagnosis and tell you if you are a good candidate for surgery. She will explain to you the contemplated surgical procedure, scar positions, the recovery time and the risks of complications.
After you have had time to think it over, a second consultation will be scheduled, in order to answer your questions and set a surgery date.

A radiologic control (mammography and/or breast ultrasound) dating back than one year is required before any operation.

INSURANCE

The surgery is rarely covered by health insurance (after significant weight loss, due for example to a gastric bypass). Your surgeon must make a prior request by sending a letter with your photos. Otherwise, a cost estimate will be forwarded to you after the first consultation.

TYPE OF ANAESTHESIA

Mastopexy is undertaken under general anaesthesia. A preoperative consultation with an anaesthesiologist will therefore be organised before surgery.

HOSPITALISATION

Mastopexy does not usually require hospitalisation. In some cases, it may require one or two night’s hospitalisation.

POSTOPERATIVE PERIOD

When leaving the clinic, you will just have dressings which will be changed the following week for the first time at the practice. You are allowed to shower around 5-7 days after surgery. You will need to wear a sports bra (without underwire, with a wide elastic band, if possible with front opening for greater comfort) day and night for 6 weeks.

CONVALESCENCE

It is not recommended to drive and carry weight (more than 2-3 kilos) when leaving the clinic. Activity resumption may be considered after 10-15 days depending on the type of activity. It is necessary to wait 6 to 8 weeks before doing sports.
If the surgery is covered by health insurance, Dr Thomet will issue you with a medical certificate for the duration of your incapacity for work.

Coronavirus COVID-19
Following the recommendations of the Federal Council and the State Council, the office can welcome you while respecting the barrier gestures. Consultations and interventions under local anaesthesia in the practice will be maintained. Concerning the interventions in the clinic, a point is carried out each week in view of the evolution of the sanitary situation. In order to continue to treat you in the best conditions, we put the emphasis on the strict respect of the health instructions: -Respect of distances, washing of hands and wearing of the mask is mandatory. -Arrive on time for your appointment. In case of early arrival, please wait outside the office. -Only come with someone else when strictly necessary. In case of symptoms: fever, cough, loss of smell and taste, please keep us informed by calling 022 342 35 32 or contact@drthomet.com. More information is available at https://check.ofsp-coronavirus.ch/screening. Take care of yourself and your loved ones. We look forward to continuing to treat you as well as possible during this difficult time. Elia and Dr Céline Thomet
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