Breast tightening or mastopexy can be used to firm and reshaping sagging female breasts and to compensate for asymmetries. Many women suffer from a loss of breast volume, especially after pregnancy. A breast tightening operation (mastopexy) can be used to reconstruct the original shape of the breast.
Fluctuations in the volume of the breast, caused by weight loss, pregnancy and breastfeeding, can all lead to a slackening of the skin and the gradual “sagging” of breasts. If the overstretched skin does not retract, it can lead to heavily sagging breasts with deep nipples and large areolas. The loss of volume in the breast is generally most visible in the upper parts – in other words, the parts of the breast that are responsible for creating a full-looking chest. The breast hangs off the chest like a drooping sack and there may be tears in the subcutaneous tissue – a sign of weak connective tissue. Increased sweating can also cause pockets of moisture to form in the inframammary fold, which irritate and can lead to recurrent skin inflammation. This can cause considerable psychological distress for those affected, resulting in limitations to the patients’ social life and sex life.
Breast tightening focuses on restoring the breast to a youthful shape. In many cases, tightening the outer layer of skin can restore the volume deficit in the upper part of the breast. The patient’s own tissue is used to create a kind of internal bra, which supports the breast from below. For breast tightening, we place particular emphasis on techniques that minimise scarring, such as periareolar tightening or the I-incision. Sometimes a so-called T-incision is required to achieve the desired results from a breast tightening operation. In certain cases, it may be necessary to add silicone implants in order to provide sufficient breast volume.
Your first step? Get in touch for a no-obligation consultation. We want to make sure that you can feel comfortable in your own skin after your treatment. As such, our main goal is to give you a realistic idea of the results that we can achieve.
6 weeks wearing a special bra
RECOMMENCE SOCIAL ACTIVITIES
After 6 weeks
Do not take any aspirin or other blood-thinning medication 14 days prior to the operation. In addition, a gynaecological examination of the breast should be carried out prior to surgery, if there is an increased risk of breast cancer in the family.
The surgery takes around 2 hours and is carried out under general anaesthetic.
Periareolar tightening is the technique considered to cause the least amount of scarring. A ring-shaped strip of skin is removed from around the nipple and the wound is then closed below the top layer of skin using a fine thread. This method is especially suitable in cases where the excess skin that is to be removed is not too large and the breasts only need to be tightened a little.
The greatest tightening effect can be achieved with the T-incision. In this case, the surgeon cuts around the areola, from its lower edge, vertically downwards to the inframammary fold and from there further inward and outward. The incision resembles an inverted T. The L-incision follows the same course up to the fold below the breast, but then only continues outwards. If there is no horizontal cut, the technique is referred to as the Lejour technique or an I-incision.
In all of the surgical methods mentioned here, the excess skin is removed, and the nipple is also usually moved upwards. Drains are then inserted. This is to allow blood and secretions to flow out. The wound is then stitched. In the case of an I-incision or the Lejour technique, the skin is gathered with a special stitch. The result is a curled scar, which smooths after a few months as the skin naturally shrinks.
You can see the results of the treatment immediately. You will need to wear a compression bra for 6 weeks after surgery to get a perfect result. You can return to your normal routine after around 3 days. During the first 6 weeks after the operation, you will need to avoid raising your arms above your shoulders, as well as strenuous physical activity.
We will discuss and explain all potential risks in detail prior to your operation. All operations carry a risk. As cosmetic surgery constitutes what is known as an elective, voluntary intervention, it is even more important that the patient is fully informed and prepared for the operation. We offer our full support to you before and after the operation, and are available 24/7 during this period.