With the passage of time and in a completely natural way, the breasts sag due to the effect of gravity and the loss of the elastic conditions of the skin and connective tissue. At the same time, there are general factors that can facilitate breast ptosis (breast sagging), such as sudden and sensitive changes in body weight or hormonally induced changes, such as pregnancy, lactation or climacteric periods, among others.
Mainly, breast factors that facilitate ptosis are volume and weight, as well as the poor tissue consistency of the breast. Obviously, the genetic factor also influences, even in the location of the breast, since there are women with breast implantation lower than others, without any ptosis.
Can breast sagging be prevented?
Although it is almost impossible to act against genetics, it is possible to influence the general factors. It is important to maintain an adequate weight, through a healthy lifestyle and a balanced diet, which prevents sudden changes in weight. At the same time, it is important that the woman does not gain more than ten kilos in non-twin pregnancies. In addition, a good hydration of the breasts and the continuous use of a good bra are factors that help to maintain a good shape and position to the breast.
Mastopexy means breast lift, and basically consists of surgically repositioning the breast to its original place when it has fallen. Generally, it consists of a bilateral application technique, although in breast asymmetries or after oncological treatment sequelae it is done unilaterally so that the plastic surgeon can symmetrize both breasts.
As such, mastopexy is the surgical intervention that corrects breast ptosis. Thus, there are several mastopexy techniques, and most of them have in common a major skin resection and a glandular relocation until the breast returns to its original position by placing the areola-nipple complex in the area of maximum projection of the breast. This necessarily implies a periareolar surgical scar and another vertical one from the areola to the submarine suco, where the breast ends underneath. In turn, a minimal transverse scar may be necessary in the same groove in cases where in addition to a pexy is necessary a reduction of breast volume, also eliminating weight of the breast being more stable results. The opposite case is a sagging and empty breast, where a prosthesis will be inserted to achieve an adequate breast volume.
Finally, it is also worth mentioning the post breast prosthesis removal pexy. Thus, the previously implanted prostheses are removed and the breast is reshaped with its own tissues.
A simple postoperative period and effective recovery
In order for a patient to undergo surgery, she must first of all be in good health, and at the same time the patient must have undergone a complete preoperative examination to confirm her state of health. In turn, patients over 35 years of age must undergo a mammogram at the discretion of the radiologist. If the patient has been a mother previously, at least one year must have passed since the birth or the end of breastfeeding. Also, it is not feasible to intervene on those who are seeking or expect to become pregnant in a short period of time. In the same line, the patient should maintain a regular weight, and smokers should be aware of the risks they face, such as dehiscence or poorly closed scars if they do not stop or reduce their habit.
Mastopexy is an operation that is performed under general anesthesia, and usually requires an overnight hospital stay. Recovery is usually quite fast, as the procedure is not very painful since the muscle is not touched and no drains or stitches are included. The patient will be able to shower without any problems the following day, and will have to wear a sports bra day and night for at least a month. At the same time, the patient will avoid exertion and sudden movements, and will not be able to play sports or drive for the same period of time.