Ptosis and breast augmentation
Patients who benefit from a straight Augmentation don’t have ptosis and they can choose from rounds implants or tear drops depending on the look they want.
What if you have a bit of Ptosis. The best test for this is to raise your arms up. If the Ptosis is corrected and the nipple sits in a better position and the overhang disappears, then you would only need an augmentation. In this case the implant would be tear dropped shape and we would have to do a few surgical manoeuvres to get the implant to sit in the right place and adjust the breast tissue over it.
What if you have a lot of ptosis. So, you have done the arm lift test and the breast is still sitting a big low. Then you need an augmentation mastopexy. This means we put the implants under the muscle and then arrange the breast tissue higher. This give us more control about nipple position and breast shape but does involve more scars.
Of course, if you don’t want to go bigger, then a breast lift, maybe the perfect operation for you as a stand-alone operation. However, a breast lift can result in a half a cup size drop. Not because the volume is smaller, but because by rearranging the breast tissue higher on the chest wall, you won’t need such big bra cup to support the breast.
Best practices in plastic surgery
- The 14 step plan of infection prevention
- Use of the Keller funnel. This is used to insert the implant with minimal contamination and shortest possible scar. It has become the new standard in Breast implant surgery to try and minimise risk of capsular contracture. You will be able to see and feel the funnel during your consultation.
- prevention of breast implant animation (through careful muscle dissection)
- prevention of bleeding through Meticulous haemostasis
- Special blocks to prevent post operative pain
- Use of the internal bra sutures. These are used to anchor the tissues down to near the rib cage. These reinforce the inframammary fold which help prevent implant migration downwards with time.
- Use of fat grafting as needed. This can give you fuller cleavage or help hide the upper part of the implant in very thin patients.