Why does breast pitosisoccur?
The structures ensuring that the breast tissue keeps its vivacity, fullness and position are the cooper ligaments having connective tissue supporters hanging the breast on the chest wall, fatty tissue which has not lost its vivacity and fullness and the skin protecting its elasticity. As these structure holding the breast in its place become deformed in time due to the effects like gravity, periods of excessive weight-gain and weight-loss, pregnancy and breast-feeding, etc., the breast cannot keep its form, fullness and position at young ages and the nipple changes its place downwards. That event is called ‘mastoptosis’.
How is the breast pitozis classified?
The nipple should normally be at the level of or just over the lower breast line. Mastoptosis is classified in 3 different grades based on the level of the nipple. Another case is that the nipple keeps its level and only the glandulous structure of the breast moves downward, and that is called pseudo mastoptosis.
What is done in the event of mastoptosis?
The surgery to be made for the mastoptosis is the mastopexy, i.e. plastic surgery for breast steepening. The purpose of the mastopexy is to make the breast get a new and upright form. If the dark colored area around the nipple (areola) is very broad, that can be narrowed during this surgery. If the inside of the breast tissue is emptied together with the ptosis, silicon breast prosthesis is placed during the mastopexy, and the lost fullness of the breast is re-gained.
Does any trace remain from the mastopexy?
If there is not any excess skin in the 1st degree mastoptosis and the pseudo mastoptosis, it is possible to perform mastopexy without causing any large scars by only inserting silicon prosthesis. However, mastoptosis is mostly 2nd and 3rd grade where at the same time excess skin exists. In such cases, traces will remain around the nipple and going from the nipple downwards vertically in the mastopexy, since this excess skin has to be removed. Rarely, in addition to these scars, scars running along horizontally on the lower breast line may remain. These scars are red and apparent in the early post-surgery era, however, their color fades in time, and they become less apparent.
Does mastopexy hinder breast-feeding?
Mammary ducts are generally not cut and not removed during mastopexy. Hence, if a person who had mastopexy gives birth to a baby thereafter, she may nurse her baby comfortably. Generally, no problems are experienced during the pregnancy. However, excess kilos gained during the pregnancy period and the growth of the breasts may cause the breasts to be deformed to a certain extent again.
When should a mastopexy be performed?
Mastopexy is performed generally after childbirth. However, sometimes mastoptosis occurs in the event of excessive weight-gain or weight-loss. If the person is disturbed too much due to this situation and if she does not want to wait for the delivery, then that surgery may be performed before the pregnancy. Mastopexy does not generally hinder breast-feeding.
Is mastopexy a painful and difficult surgery?
Mastopexy lasts approximately 2-2.5 hours and is performed under general anesthesia. Post-surgery pain is generally light, and severe pains do not occur. The person may reach a position to walk on the streets after 4-5 days, however, medical dressings will be applied for a while.
What are the risks of the mastopexy?
The risks of the mastopexy are generally similar to those of the breast reduction surgery. In spite of the fact that the possibility of occurrence is low, risks like making a wound and a need for re-stitching, infection, loss of feeling in the breast, full or partial loss of the nipple and the colored tissue around it may occur. In order to reduce the possibility of these risks, if you smoke, you should not smoke in a certain period before and after the surgery.