Mastopexy (Breast Lift) CPT A Comprehensive Guide for Patients and Plastic Surgeons

• 08/12/2024 08:00

Mastopexy, commonly referred to as a breast lift, is a surgical procedure aimed at lifting and reshaping sagging breasts to restore their youthful appearance. In this article, we will explore various aspects of mastopexy from both the perspective of the patient and the plastic surgeon, providing valuable information on the procedure, recovery, risks, costs, and more.

Mastopexy (Breast Lift) CPT A Comprehensive Guide for Patients and Plastic Surgeons

I. Understanding Mastopexy

Mastopexy is a surgical procedure that addresses sagging breasts caused by factors such as aging, pregnancy, breastfeeding, weight fluctuations, and genetics. During the procedure, excess skin is removed, breast tissues are reshaped, and the nipples are repositioned to achieve a more youthful and aesthetically pleasing breast contour.

II. Candidacy for Mastopexy

Potential candidates for mastopexy are individuals who experience sagging breasts, have nipple position below the breast crease, uneven breast appearance, or loss of breast volume. It is important to consult with a board-certified plastic surgeon to assess candidacy, discuss expectations, and determine the appropriate surgical plan.

III. Surgical Techniques

There are different surgical techniques available, including:

1. Anchor (Inverted-T) Mastopexy: This technique involves an incision around the areola, vertically down from the areola to the breast crease, and horizontally along the breast crease, creating an anchor-shaped scar.

2. Lollipop (Vertical) Mastopexy: This technique involves an incision around the areola and vertically down, resulting in a lollipop-shaped scar.

3. Donut (Periareolar) Mastopexy: This technique involves an incision only around the areola, resulting in a circular scar.

4. Crescent Mastopexy: This technique involves a crescent-shaped incision along the upper half of the areola.

Each technique offers specific advantages and disadvantages, which will be discussed in detail during the consultation with your plastic surgeon.

IV. Preoperative Preparation

Prior to mastopexy, patients may be required to:

1. Undergo a thorough medical evaluation to assess overall health and identify any potential risks.

2. Quit smoking and avoid certain medications that may increase the risk of complications.

3. Discuss the desired breast shape, size, and nipple position with the plastic surgeon to ensure realistic expectations and optimal results.

V. The Mastopexy Procedure

The mastopexy procedure generally involves the following steps:

1. Administration of anesthesia to ensure patient comfort throughout the surgery.

2. Creation of incisions along the predetermined technique, which will allow the plastic surgeon to reshape the breast tissues and remove excess skin.

3. Repositioning of the nipple to a higher, more youthful position.

4. Closing the incisions with sutures and applying dressings or bandages to support the breasts during the initial healing phase.

VI. Recovery and Aftercare

The recovery period following mastopexy may include the following:

1. Wearing a supportive bra for several weeks to help reduce swelling and support the breast tissues during healing.

2. Avoiding strenuous activities, heavy lifting, or any activities that could strain the surgical site for at least four to six weeks.

3. Following the prescribed medication regimen to manage pain, prevent infection, and aid in the healing process.

4. Attending follow-up appointments as scheduled to monitor progress and address any concerns.

VII. Risks and Complications

As with any surgical procedure, mastopexy carries certain risks, including:

1. Scarring: Although efforts are made to minimize scarring, it is an inevitable outcome of mastopexy. Scars typically fade over time but may remain visible.

2. Changes in Sensation: Temporary or permanent changes in nipple or breast sensation may occur, including hypersensitivity or decreased sensation.

3. Infection: Infection at the surgical site is a possibility but can be minimized through proper preoperative preparation and postoperative care.

4. Unsatisfactory Results: While skilled plastic surgeons strive to achieve optimal results, patient satisfaction can vary. Realistic expectations and an open line of communication with the surgeon are crucial.

VIII. Cost of Mastopexy

The cost of mastopexy varies depending on several factors, including geographic location and surgeon experience. As of 2021, the average cost in the United States ranges from $6,000 to $12,000, while in the United Kingdom it ranges from £4,000 to £8,000. Prices in Canada, Australia, and Brazil may fall within a similar range.

IX. Conclusion

Mastopexy is a surgical procedure that can effectively address sagging breasts and provide patients with enhanced confidence and satisfaction. By understanding the procedure, selecting a qualified plastic surgeon, and following preoperative and postoperative instructions, individuals can achieve optimal results and enjoy long-lasting benefits.

References:

1. American Society of Plastic Surgeons

2. British Association of Aesthetic Plastic Surgeons

3. International Society of Aesthetic Plastic Surgery

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