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Mastopexy (breast lift)
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Mastopexy (breast lift)

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Mastopexy is an aesthetic surgery to correct breast prolapse. Often it is performed in parallel with introducing breast implants or reduction mammoplasty. Breast lift is relevant for women with a mammary gland size of 5 and above, for those whose breasts have lost their shape during lactation, and for women who have undergone serious age-related changes. In the Kyiv clinic of MC “Dobrobut”, this operation is the second most popular after breast augmentation.

Our plastic surgeons carefully examine each patient, offering the most optimal solution to the problem. There are modern operating rooms, fully equipped according to all standards, and comfortable inpatient wards.

What does a breast lift in Ukraine include?

Patients need to understand what they will receive when they go to the clinic. For a breast lift in Kyiv, the cost includes:

  • consultation with a plastic surgeon and anesthesiologist;
  • anesthesia (the type is chosen by the doctor based on the examination);
  • the operation itself (the method is determined by the plastic surgeon);
  • breast implants (if required);
  • compression underwear;
  • dressing;
  • medications;
  • hospital (2-3 days).

All required examinations, consultations of related specialists, analyzes, and physiotherapy for rehabilitation are paid by the patient separately. The price for mastopexy cannot be low - this is a serious surgical intervention, which requires the work of a highly qualified surgeon.

When is breast lift done more often in Kyiv

Noticeable changes in the tone of the mammary glands, signs of ptosis, and pseudo description of a woman’s breasts are often observed after carrying and breastfeeding children. Another reason is a sharp decrease in body weight. If it was adipose tissue that prevailed inside the bust, and not glandular, then with a sharp weight loss, the bust suffers in the first place. Prices for a breast lift vary greatly. Besides the high qualifications of the surgeon, many criteria determine the final amount of the bill.

Those who managed to keep fit in their youth begin to observe age-related changes after 35 years. This is because of a decrease in the body’s natural production of collagen and elastin. If a woman, in addition, neglects to wear supportive underwear, the force of gravity gradually pulls the body of the mammary glands down, beyond the boundaries of the submammary fold (the place where the lower pole of the breast is attached to the sternum).

Indications

For this operation, aesthetic indications prevail, namely, objective prolapse of the mammary gland relative to the initial position. When determining the stage of deformation, our plastic surgeons are guided by the following indicators:

  • pseudo-ptosis - the nipple remains in place, but the lower part of the breast drops noticeably;
  • the nipple dropped to the level of the submammary fold - stage 1 of ptosis;
  • the nipple is below the inframammary fold, but the areola is not lowered to the lower contour of the mammary gland - stage 2 of ptosis;
  • the nipples descend to the level of the lower breast contour they look down - stage 3 of breast ptosis;

Also, indications are:

  • loss of firmness and original shape of the breast;
  • asymmetry of the mammary glands;
  • the formation of stretch marks.

In a normal position, the nipple is at the mid-shoulder level, above the submammary fold. Before asking of how much a breast lift costs in Ukraine, a woman should find out the current state of her mammary glands, because the surgeon’s methods of work and, accordingly, the total cost of the operation will depend on this.

Contraindications

If a woman is interested in mastopexy and the prices for the operation, you should find out if any contraindications prevent the surgeon from performing the task.
  • If a woman is planning a subsequent pregnancy and breastfeeding, the operation should be postponed. Lactation is one of the reasons for the prolapse of the mammary glands, which means that the result of the operation will be lost.
  • Minor age. Girls under the age of 18 are in the stage of growth and body changes, this can also neutralize the result and lead to unpredictable consequences.
  • Inflammatory processes in the chest and mammary glands.
  • Diseases of the skin in the chest and chest wall of any genesis.
  • Diseases of the cardiovascular system that are not amenable to therapeutic control.
  • Blood clotting pathologies.
  • Mental disorders.

The operation will have to be postponed for the period of menstruation, in case of acute respiratory viral infections. The doctor also recommends postponing mastopexy if the girl is overweight and intends to lose significant body weight.

When losing weight, it is the mammary glands that lose volume in the first place, therefore it is advisable to carry out a tightening after reaching the optimal weight.

Preparation for surgery and stages of mastopexy in Kyiv

The surgeons of the Dobrobut Clinic are based on international standards for breast lift surgery protocols.

The doctor carefully examines the structure of the patient’s mammary glands, assesses the condition of the tissues, the degree of prolapse, the ratio of glandular and adipose tissue. During breast surgery, besides standard tests, women receive the conclusion of a therapist, mammologist, and sometimes an oncologist.

Patients, depending on age, are prescribed MRI, ultrasound, mammography of the mammary glands. If the woman is over 40, additional research may be included. Everyone, without exception, should have a fluorography (FLG) / X-ray of the lungs and an electrocardiogram.

10 days before the planned tightening, you should give up nicotine, alcohol, and drugs that affect blood clotting.

Based on the data obtained, the doctor plans the course of the operation, chooses the most suitable surgical method for the patient, the type of anesthesia, and the rehabilitation plan.

Plastic surgeons of the highest category perform breast lift in Kyiv, the operation lasts up to 3 hours.

During the operation, the following types of anesthesia can be used:

  • local anesthesia in combination with intravenous sedation;
  • intubation or inhalation anesthesia;
  • intravenous anesthesia.

Important: local anesthesia is used in any case. Sedation is rarely used, in exceptional cases. Inhalation is the most convenient for control of falling into sleep, if necessary, the anesthesiologist will introduce a new dose of the drug, without distracting the surgeon from work. Intravenous anesthesia is used for young patients in good health.

The required correction performs preoperative marking.

Making incisions. Here the surgeon can use different schemes:

  • circular or periareolar - along the borders of the areola of the nipple;
  • vertical - from the lower edge of the areola to the fold under the breast;
  • T-shaped incision or anchor - a vertical incision is complemented by a dissection along the submammary fold;
  • dermal - for excision of excess skin folds;
  • endoscopic - punctures are performed in the submammary zone.

The surgeon through the access points performs corrective manipulations on the internal tissues, returning the body of the mammary glands to its normal position.

Intradermal sutures are applied, they are also called cosmetics.

The patient is sent to the ward for recovery and medical supervision.

What can / cannot be done after mastopexy, terms of rehabilitation

The hospital stay can be up to 5 days. The patient must follow all the doctor’s recommendations: use medications, use ointments and creams to heal wounds, and form an invisible scar.

  • It is important to regularly dress and wear compression garments to relieve stress and reduce swelling for several weeks.
  • Sleep on the back is shown for the next 3 weeks.
  • 2 weeks will have to do without water procedures.
  • Sports activities are contraindicated for 2 months.
  • After 12 months, a woman can apply for a scar resurfacing procedure to make them as invisible as possible.
  • If the patient’s work is not related to physical activity, after 7 days, you can return to work.

Result

If you have a breast lift, the cost of physiotherapy will be added to the cost of the operation. After 8-12 weeks, patients can observe a preliminary result. After 12 months, all restoration processes have already been completed, the bust takes its final shape. Mastopexy provides a long-lasting aesthetic effect.

Service benefits

It is worth deciding on a breast lift if only because no cosmetic procedures, massages, and hardware cosmetology will give the same effect. At the same time, the elastic shape of the bust directly contributes to a woman’s positive self-esteem, determines her quality of life, the ability to choose the lingerie she likes, and not be ashamed of her body in the pool, on the beach, or in the bedroom.

Appointment at the clinic MC “Dobrobut” in Kyiv

You can find out how much a breast lift costs in your case at a consultation with our plastic surgeon. You can make an appointment with a specialist in Kyiv by phone and on our website.

Registration for a consultation

Bibliography

  1. Ramanadham SR, Rose Johnson A. Breast Lift with and without Implant: A Synopsis and Primer for the Plastic Surgeon. Plast Reconstr Surg Glob Open. 2020;8(10):e3057. Published 2020 Oct 28.
  2. Austin, Ryan E., et al. Periareolar augmentation-mastopexy. Aesthetic surgery journal 39.9 (2019): 953-965.
  3. Summa, Pietro G., et al. Systematic review of outcomes and complications in nonimplant-based mastopexy surgery. Journal of Plastic, Reconstructive & Aesthetic Surgery 72.2 (2019): 243-272.
  4. Qureshi, Ali A., Terence M. Myckatyn, and Marissa M. Tenenbaum. Mastopexy and mastopexy-augmentation. Aesthetic surgery journal 38.4 (2018): 374-384.
  5. Галич, С. П., et al. Хірургічне лікування тубулярних грудей II типу. Хірургія України 2 (2016): 76-82.

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Chmeliuk Ihor Olehovych
Chmeliuk Ihor Olehovych
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“Dobrobut” Multidisciplinary Hospital 24/7 on Idzikowsky Family street
st. Idzikowsky Family (M. Mishina), 3, Kyiv
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