This procedure is indicated for patients that have an appropriate mammary volume but it has fallen or taken down for skin excess generated by pregnancies or excessive weigh loss.
Anesthesia:
General or local anesthesia in special cases.
Procedure:
It is carried out a specific demarcation for each individual case, depending on the skin excess or if it is required a drying up of a small portion of the mammary content leaving a scar around the areola in light cases, a vertical one if it is a more severe one or a L or an inverted T if there is too much skin excess or if it is required to dry up some of the breast. Some cases are managed with the combination of the reduction of periareolar skin with a mammary implant that gives superior relief more stability and less scar.
Postoperative antibiotics and analgesics are formulated, brassier for 15 to 20 days is managed ambulatorily.
Procedure or surgery:
Rising of the breast.
Methods:
– Periareolar technique or superior pedicle technique.
– Combined technique plus periareolar mammary implants.
Objective:
– To ascend and relocate the breast.
– To give bigger stability and relief in patients that use implants.
Preoperative Preparation:
– Fast 8 hours before.
– To communicate possible medical allergies.
– To go the day of the intervention with comfortable and wide buttoning or zipper dressing. – To take the post operative brassier.
Type of Anesthesia:
– General in most of the cases.
– It can sometimes be carried out by means of local anesthesia and sedation.
Incisions:
– Depending on the technique you will get only periareolar scars in small cases or with your implant or scars in L or inverted T if the skin adjustment is bigger.
– The scar is usually almost invisible 6-12 months after the intervention
Effects and/or convalescence:
– De pigmentation or hyper pigmentation of the skin surface (it can last up to 12 months)
– Swelling during approximately three weeks.
– Ecchyimosis (bruises) during fifteen days.
– Located changes of sensibility (they disappear in weeks)
– Do not to carry out any effort during 15 days.
– Coetaneous hardening during one month.
Complications:
– Bruises. Superficial and hard skin, 7-10 days. Exceptional an important bruises.
– Infection. Not very frequent.
– Dehiscence of sutures (open wound), especially in patients of big reductions or smokers. It is managed with bandages.
– Seroma. Exceptional.
– Asymmetry.
Post operative instructions:
– Relative resting during the first 5 days.
– Do not to carry out efforts during the first 7 days.
– Post operative Bra with or without orthopedic superior band during the first month.
– To take the recommended medication.
– Do not to take the sun at least in one month.
– The patient can travel in one month, according to the evolution.
– Stitches removal within 15 to 20 days.
– Post operative ice during 48 hours.
Hospitalization:
– Usually ambulatory.
Results:
– To lift up and relocate the breast according to the patient’s pleasure.
Final time:
– Two months
