Mastopexy is most commonly known as a breast lift, and is indicated for the correction of breast “ptosis”, or saggy breasts. This condition is most commonly seen in women who have had children or breast-fed. The breasts then begin to sag which is unpleasant to the person. Surgical correction then involves reducing the excess skin, as essentially the breast is “deflated”. The procedure is similar to a reduction mammaplasty the important difference is that, in a mastopexy, no breast tissue is removed.
While the most common method of lifting involves an “anchor-shaped” or “inverted T-shaped” incision, we now tailor the surgery to match the degree of ptosis. If the patient has pronounced ptosis, where the nipple mound is below the inframammary fold (the fold under the breast), this method is still the best.
For very “mild” ptosis, where the nipple is above the inframammary fold, a “doughnut-shaped” or “concentric circle” mastopexy can be recommended. This leaves only a circular scar around the nipple-areola, and lacking the vertical scar which results from the “anchor-shaped” incision.
For “moderate”ptosis, a “lollipop” with a short vertical scar is indicated which leaves a circular scar around the nipple-areola with a short vertical scar underneath; hence the “lollipop”.
While all this seems quite complicated, nothing takes the place of a proper consultation with the surgeon who can direct you in right direction.
The procedure is performed under general anesthesia, and takes from two to four hours. As with it’s sister procedure, the reduction mammaplasty, there is very little discomfort associated with this procedure. Complications are similar as with reduction, but generally milder and less frequent.