Loss of skin elasticity, weight loss, pregnancy and breast feeding ultimately affect the shape and firmness of a woman’s breast. Breast lift surgery, also called mastopexy, removes excess breast skin in an effort to reshape the breasts to a more appealing form. When this is combined with the insertion of a breast implant during the same operation, the procedure is called an augmentation mastopexy. Some women only have a small degree of breast droop, and can achieve a breast lift using implants alone and do not require surgical re-positioning of their nipple.

The Procedure

An augmentation mastopexy is a 2 to 3 hour procedure performed under a general anaesthetic in an accredited operating theatre. When undergoing a breast lift with an implant, a breast skin envelope is made to function like a well-fitted bra, holding the implant in an appropriate position. Our surgeons will then insert an implant into the breast pocket. The size and shape of which implant will be discussed at length in your consultations.

During the surgery the nipples are also repositioned to a higher point creating a more youthful looking breast.

Recovery from Augmentation Mastopexy

Following the surgery your breast maybe bruised, swollen, and may ache for a day or two. You may feel slight discomfort which can be controlled with medication. To control swelling and help the breasts retain their new shape, your surgeon and nurse will help you into a surgical bra which is worn over gauze dressings. These will be removed within a few days and replaced with scar managing tape. Most patients will spend one to two nights in hospital.

Most of the stitches used are dissolving and do not need to be removed. Very few patients will require a drain after the operation as there is not much swelling after a breast lift procedure. You may expect loss of sensation around your nipple and areola areas. This is usually temporary and may take six weeks or more to return to normal.

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Frequently Asked Questions

Women of all ages can be helped by a breast lift with implants if they would like to improve significant breast droop and also enhance their breast volume. Most women lose breast volume and also acquire sagging breast skin after weight loss or breast feeding. It is best to have the surgery after you have completed your weight loss journey or after you have finished child rearing. Some young women’s breasts have a saggy and deflated appearance from the moment they develop. An augmentation mastopexy can help restore confidence in women who feel they have unusually saggy breasts.
Augmentation mastopexy is performed under a general anaesthetic in an accredited hospital such as St George Private, East Sydney private or Kareena private hospitals. Most patients are able to go home the day after their surgery.
The long term results of augmentation mastopexy are dependent upon the strength of a woman’s natural skin. All women’s breasts droop over time with the effects of gravity. The droop will therefore occur more quickly in women who have poorer quality skin or heavier implants. Placing the breast implant under the pectoralis muscle will help to support the implant higher, but can lead to a “waterfall breast”. This is where the implant stays in its high position, but the nautral breast can start to droop or “waterfall” off the implant mound. Placing the implant under the breast gland and on top of the muscle allows the breast and its underlying implant to move and age together. However, both the implant and breast will fall over time as well.
The scar will encircle the areola and extend as a vertical line from the 6 o’clock position of your areola to the lower pole of the breast (lollipop shaped). The scars are initially pink and become white fine lines over the next year. In patients who have a tendency to make thick, pink scars (keloid or hypertrophic scars), then your surgeon will prescribe steroid injections or silicone patching to help make the scars softer and flatter.
The cost of augmentation mastopexy surgery is determined by the expected complexity and duration of your operation and will be estimated following your first consultation. Prices start from

insured: $10,100

uninsured: $15,500

including the surgeon’s fee, assistant’s fee, anaesthetist’s fee, hospital stay and 12 months post-op care.

This procedure may attract an item number from Medicare which allows you to claim a rebate if you have had a child in the past 7 years and that child is over one year of age. For the breast lift component of the procedure, Medicare requires preapproval to use item number 45558. If you have the appropriate level of health insurance cover, they may pay for your theatre and accomodation fees.
A breast lift with implants involves breast tissue and skin remodelling in addition to the insertion of an implant. It is also a longer procedure. It is slightly more painful than having breast implants alone and also places scars around the areola and lower pole of the breast. However, in patients with significant sag and loss of volume, it is the best operation to achieve full cleavage and a youthful shape.
Your surgeon will help you determine how you will get the best result from your surgery. Our 3D digital simulation with the VECTRA machine will also allow you to see your post-operative results with an implant alone or with an implant and breast lift. The VECTRA can also show you how you will look with a variety of different implant sizes. An approximate rule is that if your breasts rise up to a youthful level on your chest when you raise your arms to touch your head, then you will likely benefit from using an implant alone.
The sensation in your nipple may change straight after the surgery. This usually returns to normal within 6 weeks, but in some patients this can take one year.
You should be able to return to exercise gradually after surgery, with a return to brisk walking approximately one week following your breast reduction operation. However, it will take four to six weeks to be able to return to more vigorous activities such as swimming, tennis, and upper-body gym work.
Breast reduction surgery slightly reduces the risk of breast cancer as a significant amount of breast tissue is removed during the procedure. A baseline mammogram should be performed one year after the operation in women are over 50 years of age. An augmentation mastopexy does not increase your risk of breast cancer. Women with breast implants actually are more likely to live longer if they develop breast cancer as they are more likely to detect their cancer when it is smaller.

You will be seen by your surgeon within 7 days of your surgery.Regular appointments are made to remove sutures and to check on your healing following surgery.

You will be given a Plastic Surgery Recovery guide upon booking your surgery. This document explains in great detail all of your after care following surgery.

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