Breast Lift (Mastopexy)

Breast lifting surgery (mastopexy) can be performed so that the breast volume is maintained but the internal breast tissue is lifted to enhance upper pole fullness of the breast with excess skin (only) being removed.  Titus Adams has perfected an “auto-augmentation” technique in which the breast tissue is enhanced without the need for an implant to provide a more natural appearance.  This type of surgery is designed for those women who are happy with their size (volume) of breast but feel that there is too much breast sagging with inappropriate nipple position.  

Breast lift - before and after

There are a number of different approaches to a mastopexy  and each one will be described to you at the time of your consultation.

Photographic and video examples of this surgery will be available to patients during the consultation to aid in decision-making.

Mastopexy can also be performed in combination with the use of breast implants.  This is predominantly in those women where there there is significant breast skin and soft tissue laxity and a lack of upper pole fullness of the breast.  This combination of techniques provides a more robust fullness with a tightening of the breast skin envelope and a nipple lift to achieve a more aesthetic appearance of the whole breast. This combined implant and lift requires significant breast reconstructive skills and experience to balance the competing tension that occurs  with “filling” the breast,  whilst at the same time “tightening” the breast skin envelope around it.

Photographic and video examples of this surgery will be available to patients during the consultation to aid in decision-making.

Breast lift before removal of 15 year old implants Breast lift - after removal of 15 year old implants and auto augmentation mastopexy technique in 52 year old, 6 month after surgery

Breast lift – removal of 15 year old implants and auto augmentation mastopexy technique in 52 year old (before and 6 months after surgery)

Breast lift - removal of 15 yr old implants and auto augmentation mastopexy technique in 52 year old Breast lift - removal of 15 yr old implants and auto augmentation mastopexy technique in 52 year old - 6 months after surgery

Breast lift – removal of 15 year old implants and auto augmentation mastopexy technique in 52 year old (before and 6 months after surgery)

Breast Reduction

What You Need to Know

What Happens when I Leave Hospital?

Micropore tape is applied to the scars in theatre. Occlusive waterproof Opsite© dressings are used to cover the tape, and the nipples are exposed for monitoring purposes. Drains will be in place but removed the following day before leaving the hospital. Dressings are required for up to 4 weeks and usually involve micropore tape only, which can be replaced if it comes away. Showering can take place from 7-10 days and the tape can get wet (it is not waterproof) and it will dry on the skin whilst retaining its position and support.
All the stitches are dissolving. At follow-up, trimming of stitches may be required.

A soft, front-fastening supportive bra, that protects but does not restrict, with no under wire, should be worn as much as possible day and night to provide shape and support for up to 6 weeks. Thereafter, a normal bra can be used. Accurate bra sizing can be established at 3 months after swelling has receded.

Severe pain is not a significant feature of breast surgery. Regular analgesics are prescribed on discharge from hospital.
Initially the breasts will appear firm and pert and even too high. This is more pronounced with short, vertical scar techniques, with wrinkling of the skin noted. Over the first few weeks, the breast skin envelope will relax and the breast will take up a more natural shape, but will take 6 months to normalise.
The breast will feel tight and firm for 2-3 weeks and then soften. Some bruising and swelling is to be expected. A degree of numbness over the lower skin of the breast might be found. Lumpiness might be present but resolves over a few weeks. Some disturbance of nipple sensation (up or down) may occur, which might be permanent. Hypersensitivity of the nipple can occur which will require regular massage of both the breast and nipple from 3-4 weeks.
Scarring can be unpredictable. The scars may go red and lumpy. When healing of the skin is complete at 4 weeks, and after tape removal, massage with Vitamin E containing cream is useful. Occasionally, a steroid treatment to the scar or a silicone gel or sheeting may be required to settle lumpy scars. Red scars can take up to 18 months to fully fade.
Minor wound infections or small areas of delayed healing can occasionally occur but should not cause significant concerns. These wounds respond well to antibiotics or regular dressings or both. A delay in healing may occur. If significant breakdown does occur, occasionally, secondary surgery might be required. If there are any causes for concern, then either contact the hospital or Mr Adams’ secretary.
Appointments are made to see the cosmetic nurse at one week post surgery. Further dressing clinic appointments can be made as required. Mr Adams will arrange an outpatient appointment for 6 weeks and 6 months to be sent by email.

Resources

For more information on Breast Lift surgery, please download our fact sheet.

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The first step of your cosmetic surgery journey should be a consultation with your plastic surgeon. It is your chance to get accurate information and professional reassurance, both of which can be hard to find online.
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“Recommendation after recommendation has put Adams firmly on the Cotswolds map (he has clinics in Berkshire and Oxfordshire). It’s partly down to his nature (he’s a wonderful conversationalist and has charisma in spades), but also his manner, which is thoughtful and careful. His forte? Womanly tummies, with curves in the right places. New mummies in particular love the way he recontours the waistline and creates the illusion of a lightly toned abdomen.”

“Titus Adams makes light work of postpartum tummies, slimming the silhouette and nipping in waists by pulling the underlying muscles tight, like a corset. ‘Though it’s best to leave some fat behind,’ he says. ‘It allows fluid to drain from the body, rather than building up in the tissues’. The fat he does take, however, is useful if there’s need to plump a deflated cleavage. And, because he’s chatty and approachable, smoothing over even the most awkward of questions (like ‘how do you wear your undergarments?’ – crucial, as it ensures the best positioning of scars), you feel at ease. You trust him.”

“Adams listens carefully & closely. And his results are truly top notch whether he is tidying things up after some impressive weight loss or putting you back together after the last baby. The key phrase is ‘preservation of tissues’, to retain a natural appearance.”