Breast Augmentation with Periareolar Mastopexy Lahore Pakistan
There are almost always two reasons why many women request breast augmentation with mastopexy: after pregnancy or for significant weight loss. After both events, for Breast Augmentation with Periareolar Mastopexy Lahore Pakistan visit our clinic. the breasts undergo 2 processes:
- A decrease in its volume. The breasts are made up of fat and gland. After lactation, the glandular tissue undergoes partial atrophy. And after the overall noticeable weight loss, the fat portion also loses volume.
- Breast distension during pregnancy and marked obesity cause a “stretch” of the supporting internal ligaments (Cooper’s ligaments), the posterior laxity of which causes breast ptosis.
The correction can be carried out effectively in a single intervention, provided that these hypoplastic and ptotic breasts meet some requirements:
- Breast glandular ptosis should be mild-moderate
- The areola-nipple complex should not need to rise more than 3 cm.
- Excess skin at the base (lower pole) should be moderate
- The patient should not smoke at least 4 weeks before and after the intervention.
The intervention is performed under general anesthesia. It begins with the implantation of the silicone gel prostheses, of the size previously agreed with the patient according to her preferences. The position can be retrofascial or retromuscular, depending on the anatomical characteristics and sports habits of the patient. Once the implants have been placed, the mastopexy is performed following a donut marking: a circle on the areola and another eccentric around it that will achieve two objectives: reduce the size of the areola (usually large) and increase its position (between 1 and 3 centimeters).
The most important part of the intervention are the closure sutures, since most of the postoperative complications are due to poor healing. Being a circular periareolar scar, there is a centrifugal force that tends to distend and widen said scar. To counteract this force, it is highly recommended to make a special continuous suture (known in the Anglo-Saxon literature as Interlocking Purse-String Suture) and with a material that must be non-absorbable, such as Gore-Tex or Prolene.
Except for the periareolar suture, the postoperative period is similar to any breast augmentation using implants. The recommendations to avoid sports activities for 4 weeks, permanent use of a special bra during that same period and take the recommended postoperative medication are identical. The only difference is the specific care of the circular scar.
In cases where the breasts are too ptotic or do not meet the requirements for this technique, vertical mastopexy is indicated, which is similar to this but includes a vertical scar from the areola to the inframammary sulcus. Although patients are initially reluctant to this procedure for causing a more “visible” scar, the results in the medium term (1 year) show that this scar becomes practically negligible, so the indication for the periareolar technique should not be forced when it is not appropriate.