• What is a Mastopexy-Augmentation (breast lift and implants)?

    The mastopexy portion of a mastopexy-augmentation raises the nipple position, decreases the size of the areola and repositions the breast tissue giving the breast a more youthful appearance. The breast augmentation uses a silicone or saline implant to enhance the size and shape of the breast. A mastopexy-augmentation is used when a patient needs the breast tissue and nipple position lifted and needs increased volume for better shape.

  • When is a Mastopexy-Augmentation used?

    As you age, loose a significant amount of weight or after having children, the breast skin loses its elasticity and the volume decreases. The breasts often lose their size, shape and firmness resulting in sagging. To correct this, excess skin must be removed and the breast tissue reshaped. An implant is added for additional volume and better cleavage.

  • What is involved at a consultation for a Mastopexy-Augmentation?

    When you come in for your initial consultation, you will meet with both Dr. Maloney and one of our clinical coordinators. Maloney Plastic Surgery is one of the only practices in Tucson, AZ to offer Vectra 3D (three dimensional) technology to our patients. One of the first things we will do at your consultation is use VECTRA imaging technology to take a 3D image of your body from the bellybutton to the neck.   This exciting technology will perform breast measurements to determine which implants will work best for you and your breast. It will determine if one breast is smaller or larger than the other and by how much. With Vectra 3D imaging technology we can “implant” the exact manufacturer, size and shape implant you are considering and show you how that implant will look on your body. A mastopexy can also be simulated so you can view the virtual result. After Vectra imaging, Dr. Maloney will examine you to determine if you are a good candidate for the procedure. He will discuss the details of the operation and show you before and after photos. Dr. Maloney will explain the differences as well as the pros and cons of both the saline and silicone implants. Saline implants are a silicone shell filled with saline (salt water). Silicone implants are a silicone shell filled with a silicone cohesive gel. The silicone implants give a very natural look and feel to the augmented breasts and are the most popular implant in our practice today. The new generation of silicone implants are much different than the old ones that were taken off the market years ago. The new generation of silicone implants are made out of a silicone cohesive gel, not a silicone oil as they were in the past. The silicone implants have a low rupture rate and are very safe. The saline implants are good in a patient who is looking for a lot of cleavage and roundness of the breasts or a patient or someone wanting a very small incision.

    Once you have met with Dr. Maloney, one of our experienced coordinators will review surgical fees, financing options and answer any other additional questions you may have. If you choose to have surgery with Dr. Maloney, you will return for another consultation about three weeks prior to your operation. At this pre-operative appointment Dr. Maloney will review the surgical plan with you as well as go through consent forms and give you your prescriptions. We will review your Vectra images to make a final decision about the implant style and shape. You will be provided with Dr. Maloney’s personal cell phone number and our after-hours phone number. A member of our team will go over all of your surgical instructions and give you a packet of information so when you leave this appointment you are ready for surgery.

  • How do I prepare for a Mastopexy-Augmentation?

    Once you have met with Dr. Maloney and have chosen a surgical date for your mastopexy-augmentation, you should plan for your care and recovery after the operation. You will need to arrange a ride to and from the surgery center as well as arrange for someone to stay with you for the first twenty-four hours.  You should take three days to two weeks off of work for this operation depending on the type of work you perform. Please speak to one of our team members for more specific questions related to returning to work. If paperwork is required by your employer for your time off, please obtain it ahead of time and bring it to our office. If you smoke, you must quit a minimum of three weeks before surgery. We suggest six to eight weeks, but three weeks is the minimum. Smokers heal more slowly and can have wound healing problems. If you take aspirin or another medication that cause bleeding, you should stop taking it three weeks before surgery. This is because it causes increased bleeding at the time of surgery and therefore more bruising. If you are taking any diet pills (prescription or over-the-counter) or if you are taking Metformin (a common diabetes medication), you should stop one week prior to surgery because of anesthesia risks. All medications, herbs, vitamins and dietary supplements you are taking should be carefully reviewed with Dr. Maloney prior to surgery. If you are under the care of a physician for any health issues, we may require surgical clearance from your physician and/or cardiologist.

    At your pre-operative consultation with Dr. Maloney you will be given a map to the surgery center and your prescriptions. You should get these prescriptions filled before surgery because you will need one of them the morning of your procedure. You will leave the operating room in a surgical bra. We suggest you purchase an inexpensive sports bra to wear for the first two weeks after surgery. Sports bras that zip up the front are ideal. Bags of frozen peas or corn work well as icepacks after your procedure. You need to stay hydrated after surgery. We suggest you begin a stool softener as narcotic pain medication and anesthesia can make you constipated.

    If you are having surgery before 10:00am, you cannot have anything to eat or drink after midnight, this includes water. If your procedure is scheduled for after 10:00am, we suggest drinking 16-24 ounces of Gatorade or other “sports drink” (the full sugar version, not diet) four hours before your operation. Studies have shown this will decrease dehydration and nausea post-surgery. You should not have anything to eat or drink other than the Gatorade. Do not put any lotions, deodorant or make-up on the day of surgery. Please do not wear any jewelry to the surgery center. You should wear comfortable clothes that are easy to get on and off. A shirt that zips or buttons up the front is preferable, as are loose workout type pants or sweat pants. Bring your picture ID when you check into the surgery center. You will check in and then be taken back to the pre-operating area where Dr. Maloney will come and discuss the surgical plan, answer any additional questions you have and mark the surgical site. At this time you will meet the anesthesiologist and ask him/her any questions you may have.

  • How is the Mastopexy-Augmentation performed?

    A mastopexy-augmentation operation takes about three hours. The anesthesiologist will put you to sleep for this operation for safety and comfort. Dr. Maloney will remove the excess skin and reposition the breast tissue using an anchor incision or inverted T incision (which he will show you at your consultation). He will then create a pocket large enough for the implant to be placed. He will insert the implant and check for symmetry. Dr. Maloney will then close the incision with dissolvable sutures. You will wake up in the recovery room and be ready to go home in about an hour.

  • What should I expect after a Mastopexy-Augmentation?

    You will leave the surgery center with a small dressing over your incisions. You should rest and eat a healthy diet high in protein for optimal healing. Please avoid alcohol and refrain from smoking. We recommend early and frequent ambulation after surgery to reduce the risk of blood clot formation in the legs and to speed up your recovery. You may remove your dressings and shower the day after surgery. You will return to the office for your first post-operative exam one to three days after surgery. Discomfort and tightness of the chest are normal after surgery.   Be sure to take your antibiotics starting the morning of surgery until they are all gone. A low grade fever is usual after any surgical procedure. You may wear a sports bra for the first few weeks. You will not be your final size/shape for about three weeks because the implants need some time to fall into the pocket.   Because of this, we do not recommend buying new bras or getting measured for new bras until this three week period is complete. At your pre-operative appointment you will receive our after-hours number and Dr. Maloney’s personal cell phone number. If you have any questions during the recovery phase, please do not hesitate to call the office any time, day or night.

  • What are the benefits of a Mastopexy-Augmentation?

    After a mastopexy-augmentation your nipple position and breast tissue will be repositioned, you will have added cleavage and a more youthful appearance to your breasts.

  • What are the risks of a Mastopexy-Augmentation?

    Mastopexy-augmentations have both aesthetic and health risks, and it is the woman’s personal decision whether the benefits outweigh those risks. More commonly seen risks include scars, bleeding, infection, breast asymmetry, excessive firmness, slow wound healing or changes in nipple or breast sensation.  There are also more uncommon, but more complicated risks such as loss of the nipple and deep vein thrombosis. For a full list of risks, go to www.plasticsurgery.org.

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