Mastopexy – Cannes & Nice | Dr. Victor Médard de Chardon
SURGERY FOR BREAST PTOSIS OR MASTOPEXY
Breast ptosis is defined by a subsidence of the gland and distension of the surrounding skin (sagging breasts). The breast is in too low a position and the upper breast is often "flat" or "empty".
Ptosis can be as of puberty (congenital ptosis of breast hypertrophies or of "mammary malformations": for example tuberous breasts). Breast ptosis occurs most often, however, after a large weight loss or during a pregnancy with lactation.
>There are basically 3 cases according to the volume of the breasts:
1.
The volume of the breasts is pleasing: the procedure consists of a
mastopexy (breast lift to elevate the breasts).
2.The
volume of the breasts is insufficient:
the procedure consists of a mastopexy combined with a breast
augmentation using breast prostheses. For small ptoses (breasts that
are beginning to sag) and when volume is insufficient, correction is
possible by breast augmentation using breast prostheses without a
mastopexy incision.
3.The
volume of the breasts is excessive:
in such cases of breast hypertrophy, the procedure consists of a
breast reduction.
The choice of technique is assessed by your surgeon depending on your anatomical characteristics and your possible desire to also undergo a breast augmentation.
PROCEDURE MODALITIES
Hospitalization: One
night’s hospitalization
Anaesthesia: General
anaesthesia
Duration: 2
to 3 hours
PRINCIPLES
A
breast lift for breast ptosis
consists of reshaping the breast by acting on the skin pocket and the
glandular tissue.
Breast remodelling: the gland is regrouped
and placed in its correct position.
Concentration of the
skin to elevate the breasts: next the skin pocket must be adapted,
which involves removing the excess skin so as to ensure a nice,
harmonious shape to the new breast.
The
length of the scars will vary according to the degree of ptosis:
1.
Severe ptosis: inverted
T (or “anchor”) scar, that is to say periareolar, vertical and
inframammary.
2.
Moderate degree of ptosis: periareolar
and vertical.
3.
Minor degree of ptosis: periareolar
or with no mastopexy scar if a breast augmentation using breast
prostheses is considered
POST SURGERY
Oedema
(swelling): 2 months
Ecchymosis (bruising): 7 to 15 days
A
little pain, discomfort when raising the arms: 7 to 15 days
The
vast majority of sutures are not visible as they are below the skin
and are reabsorbable. Some sutures will require removing from each
areola on the 15th
day
The wearing of a brassiere: 6 weeks
Convalescence: 7 to
15 days
No driving: 7 days
No sport: 4 weeks
Visible
shape after 3 months: immediately after the procedure, the upper
breasts are deliberately very inflated and the lower breasts a little
flat giving them a little natural look. They adopt their shape within
2 to 3 months.
Definitive shape after 1 year
Scarring
is deemed definitive after 1 year
Problems of sensitivity of the
breasts are common and temporary. They improve after 6 months to 1
year.
HEALTH INSURANCE COVERAGE
Only ptoses due to breast hypertrophy or malformation (tuberous breasts) are reimbursed by health insurance.

PHOTO OF THE RESULT: MASTOPEXY WITH INVERTED T INCISION
Grade III mammary ptosis. Maxtopexy without breast reduction to lift and remodel the breasts.

PERI-AREOLAR MASTOPEXY
Scar around the areola
Suitable for an areolar reduction or minimal ptosis

VERTICAL MASTOPEXY
Vertical peri-areolar scar

MASTOPEXY WITH INVERTED T INCISION
Peri-areolar, vertical and sub-mammary scar
PRACTICALITIES
Consultations at the aesthetic surgeon's office in rue d'Antibes, Cannes
- Aim: to lift the bust
- Operation at the clinic in Cannes or Nice
- Hospitalisation: outpatient or one night
- Anaesthesia: general
- Duration: 2 to 3 hours
- Little pain
- Time off work: 7 to 15 days
- No stitches to remove
- Definitive scar healing: 1 year
- Wearing the Zbra®: 1 month