The mammary ptosis

The mammary ptosis translates an update with depression of gland and an exaggerated distension of the cutaneous envelope.

The chest too low and in its upper part. A ptosis can exist from the start or occur after an important reducing.

Generally, however, it is following the pregnancies that mammary volume decreases and that the ptosis appears.
The purpose of the intervention is to move the areola and the nipple low located, to concentrate gland and to obtain a volume and a harmonious form.

The ptosis can be isolated or associated hypertrophy or with a mammary hypoplasia which of course will be also corrected in same operational time.

The best indications of the processing of a mammary ptosis are:

• important ptoses from the start, in the young woman, often associated with a mammary hypertrophy.
  
  
• the secondary ptosis with an important reducing and a reduction in mammary volume.
  
  
• the ptosis attends at the end of the pregnancies, associated with an involution of mammary gland.
  
  
• a mammary asymmetry can exist with a harmonious bosom and a bosom ptosis. The intervention will relate to the bosom ptosis.

This intervention can be carried out as from 17 years in the important forms, if not, it is advised to await the end of the pregnancies before considering it.

The first consultation is fundamental because it makes it possible to determine the motivations and to lay down precise objectives.

The medical history and surgical is referred to (allergies and capture…). The gynaecological and obstetrical past is specified thus that a possible capture of birth control pill. The clinical exam makes it possible to quantify mammary volume and to specify the importance of the ptosis.

It also makes it possible to specify if a hypertrophy or an hypoplasia is associated. Measurements are taken and support throat cuts it is noted.

The quality of the skin is noted (existence of stretch marks, pigmentation, tonicity), the type of gland is estimated (glandular, greasy or mixed bosom).
Photographic documents are useful for the operational evaluation.

A consultation with the doctor-anesthetist is programmed before the intervention to practice a complete physical exam and to prescribe the complementary examinations necessary.

This consultation makes it possible to refer to the various types of anesthesia, to take all the safety measures.
A mammography or an echography is carried out according to the antecedents, of the quality of gland and to detect a possible associated cyst which will be withdrawn at the same time.

Which type of anesthesia will be practiced?
The general anesthesia is indicated for this type of operation. Usually practiced with the Private clinic Elysium , she answers criteria of maximum security.

Which is the duration of the intervention?
The intervention lasts on average 1:30. However, if a hypertrophy is associated there, its correction being necessary, the entire duration is 2 a.m.

Will there be visible cicatrices?
This intervention leaves cicatrices of which the length depends on the importance of the degree of ptosis and possible associated hypertrophy. Generally, this cicatrice with the form of one T reversed in the important cases.
In other cases, its form is in L or I.

The role of the surgeon plastics technician is of course to avoid any useless cicatrice.
These cicatrices will be the subject of careful care and a rigorous monitoring as well as possible to improve the specific cicatricial potential to each patient.
In certain particular cases, when the ptosis is moderate and that mammary volume is not small, it is possible, according to the technical artifices recent, to correct the ptosis by only perish-areal channel.
The cicatrice is then, more discrete.
It is during the consultation that each case is specified and that the type of cicatrice is indicated according to the particular case of the patient.

How is held the intervention?
The drawing is carried out before the intervention on a patient upright in whom the measurements are taken with precision.
The intervention is made under general anesthesia and makes it possible to reposition the areola as well as the whole of gland according to the preoperative identification.
Glandular volume is concentrated to carry out the projection of a mammary cone.
The surplus cutaneous tissue is withdrawn. The cutaneous joining is carried out with wire .

Which type of bandage will be used?
It is a bandage modelling in the form of slightly compressive bra which is used the first day.
According to the intervention and skin type, the mode of application is adapted.
It is a bra which maintains well the chest which is advised and its port is useful at least the first two months which follow the intervention.

Which is the duration of the hospitalization?
From short duration, it does not exceed in general two days.

The continuations are not very painful in general, and of analgesics are prescribed in a systematic way.

The wire used are and there exists an edema which regresses into two or three weeks.

Some care are of course with advising, like avoiding significant efforts or a too physical sport during about fifteen day.

Like any surgical operation, the correction of a mammary ptosis can have some rare complications such as: infection, hematoma or an anesthetic complication.

In the case of mammary ptoses important, it can exist cicatricial problems (skin necrosis) on the level of the areola.
In fact, this risk must be as much as possible reduced by an adapted choice of the technique.
Indeed the importance of the ptosis can lead to an engineering change to ensure a better vascular safety of the areola.
It is also advisable to supervise the cicatricial development and to ensure the post-operative consultings as well as possible to reduce the risk of hypertrophic scar or .
There exist frequently disorders of the sensitivity to the level of the areola, related on the surgical gesture and the cicatrices. These amendments of the sensitivity often improve at the end of a few months.

Your breasts evolve/move in time and in particular with your hormonal cycle and of possible variations of weight. The processing of the mammary ptosis is thus effective and hard several years.

The processing of a mammary ptosis allows the correction of glandular depression and cutaneous excess, in the respect of the physiology of the function of the bosom.

So the bosom evolves/moves normally in time, in particular according to the hormonal amendments and of possible variations of weight.

It is necessary to follow the processing of the mammary reduction or the mammary increase if a hypertrophy or a ptosis is associated there.

This intervention is particularly satisfactory, when the need for the cicatrices was understood.

The result is still better if these cicatrices are discrete, i.e. if the nature of tissues of the patient lends itself to it and if the care is respected strictly.

The operated bosom is a bosom which remains natural, i.e., that there remains sensitive to the hormonal fluctuations and that he allows if necessary a possible breast feeding.