FORM AND FACADE, COSMETIC PLASTIC SURGERY, DR BENJAMIN NORRIS, SYDNEY,NSW, AUSTRALIA FORM AND FACADE, COSMETIC PLASTIC SURGERY, DR BENJAMIN NORRIS, SYDNEY,NSW, AUSTRALIA
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Breast
Lift
 
More on Breast Lift (Mastopexy)
 
 
What happens at the first consultation?

As with any cosmetic procedure it is important to establish what your goals and desires are, so Dr Norris will focus on what you hope to achieve by having a mastopexy. There will be a discussion about the concerns you have regarding your breasts, and ultimately what you would like your breasts to look like. It may become apparent during this initial consultation that you have concerns not only about sagging of the breasts but also about small size or loss of volume due to the effects of pregnancy and age. If this is the case, an option is to use a breast implant at the same time as the breast lift.

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 side. Photographs will be taken for the medical record. The evaluation helps Dr Norris to discuss with you the ideal way of achieving an optimal result that meets your personal goals.

There will be a detailed discussion about how the operation is done and where the scars are placed. You will be encouraged to ask questions and voice any concerns you may have, and there will be a frank discussion about the risks, complications and consequences of having a breast lift procedure.

At the end of this initial consultation you will have a very good idea of what will be possible for you. Dr Norris will give you an information sheet to read at home and he will arrange for a cost quotation to be sent to you.

Dr Norris prefers to see you again at a second consultation if you decide to go ahead with the surgery. This allows you to ask any new questions you may have, to discuss anything you are not sure about, make a final decision on the most appropriate type of breast lift for you, and give a date for your procedure.

 
 
How is the operation done?
Your breast lift procedure is done in a fully accredited facility. This is for your safety and to ensure optimum quality of care throughout the operation and the immediate postoperative period. Your anaesthetist, Dr Ross Foreman, will give you a general anaesthetic and you can expect the operation to take between 2-3 hours.

There are a number of techniques for breast lifting and this determines 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 minimizing the amount and length of your 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). In some cases it is possible to leave a periareolar scar only. However, not all women have breasts that are suitable for short scar techniques. The best option for you is something you will decide with Dr Norris after a complete assessment of your breasts.

If you are having an implant inserted at the same time as your breast lift procedure, then this will be placed either directly beneath the breast tissue or beneath the chest wall muscle.

At the end of the operation a drain may be placed beneath each breast. If this is the case it will be removed the following day. The incisions are closed with absorbable 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? How long until recovery?

Many patients will go home the same day as the surgery, but some will go home the next day after a night of rest. When you go home you will require a friend, family member or partner to drive you as you won’t be able to drive yourself for 1-2 weeks. You will leave with written postoperative instructions, a prescription for pain-relief and antibiotics, and a follow-up appointment with Dr Norris for one week.

At home you will experience some mild discomfort for the first 2-3 days after the surgery. Some degree of discomfort is normal and your breasts and nipples will be slightly bruised, swollen, tender, and sensitive to touch. These symptoms settle quickly so that you can return to light daily activities by the end of the first week and many women will also return to work around this time. More rigorous and strenuous exercise and activities should not be started for 4 weeks.

At one week after the procedure you will have a follow-up appointment with Dr Norris in the consulting rooms. This is to check on how you are feeling, make sure the wounds are healing without problem, change the dressings, and reassure you that your postoperative course is going to plan.

If at any time before this first follow-up appointment, or at any time after this you note a problem or have any concerns at all please contact Dr Norris immediately.

The scars will be at their most prominent at 6 weeks and may remain this way for a few months. However, they will then begin to fade and become much less noticeable. Dr Norris uses various methods to minimize the impact of your scars and recommends massaging and moisturizing the scars to help this process.

 
 
What can go wrong?

Despite the best efforts of your surgeon the results of your procedure are not always as predictable as you and your surgeon would like. Any surgical procedure will have consequences and potential complications.

The final appearance of your breasts may be affected by any weight gain or loss after the operation. Inevitably gravity will continue to have an effect on the breasts although this will vary between women.

There are a number of other potential complications of your surgery that Dr Norris will discuss with you at length during your consultations.

 
 
 
 
 
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