Breast Uplift with Implants

Mastopexy with Implants

Purpose

There are many ways to enhance a droopy breast, what is generally called ptosis. Scar distribution may vary and partly depend on the surgeon preference and partly on the degree of skin excess, nipple position and its relation to the breast crease. Implants in these procedures are generally placed in front or behind the muscle depending on the findings of assessment and perhaps choice of the surgeon.

Procedure

Where is the implant placed the and how is the patient informed regarding the distribution of scarring?

In breast enhancement, breast implants are generally placed in front of or behind the muscle depending on the quality and thickness of breast tissue. Unfortunately breast tissue is changing all the time and a decision made at the time of consultation may not be able to sustain its results in the long term. Mr Khan performs breast enhancement using the Muscle Splitting Technique which has been published in the Aesthetic Plastic Surgery Journal in the USA (see Mr Khan's Profile for more information).

This technique has the ability to give most natural results with the capacity to adept normal breast changes seen in a breast. Mr Khan does all his breast augmentation procedures using this technique where the implant is placed through the breast crease and is partly covered by the muscle, where the muscle lies in front of and behind the implant at the same time. The muscle is not detached from the ribs making it a body and muscle friendly technique that allows the patient to go home same day with out having drains. Most of the patients are able to perform routine activities with in a week and exercises and jobs involving heavy work or lifting are left little longer. The technique gives the most natural results with a nice cleavage, and has the capacity to give longer lasting results. Routine body weight, body fat and breast changes; especially seen after pregnancy, are tolerated better to give the breasts a natural shape for longer period of time.

Selection of scarring:

In minor ptosis or in patients where the level of nipple is on the same level as that of breast crease, what is known as Grade A ptosis, there is no need to lift the breasts provided an adequate size high profile implants are chosen. In breasts where nipple position is just below the breast crease, I lift the breast form inside what I call augmentopexy and the procedure is performed through the breast crease with no additional scarring on the breast. This can only be performed if a muscle splitting procedure is performed and unused space in front of the muscle can be utilised for lifting the breast from inside. The use and selection of this procedure is limited to breast with early ptosis without excess skin envelope and is not a replacement of mastopexy or uplift for advanced ptosis. In more advance ptosis and where nipple has not dropped more than three centimetres, I usually performed breast enhancement with uplift through nipples. Scars are very wrinkly initially and may take up to four to six months to settle down. Majority of the augmentation in ptotic or saggy breast can be treated by appropriately using one of the above procedures. Less commonly breast uplift need to be done using a scar running through the front of the breast or even more uncommonly uplift with implant may require a scar running on the front or on the front of the breast as well in the crease of the breast.

Results

The breasts should be larger, and asymmetric breasts can be evened up. The results will be permanent, but further surgery may be needed if problems arise. All breast implant surgery will leave some scarring.

Risks

General risks associated with any surgical procedure apply. The surgeon will discuss all associated risks with you in detail. The surgery leaves permanent scars which initially may be lumpy and red but which normally fade close to your natural skin colour over several months. These scars may be more noticeable, eg. wider, if you smoke.