Breast uplift / mastopexyRisks and complications

Anaesthesia

A general anaesthetic on it's own carries a small risk irrespective of the type of surgery associated with it. You can discuss this aspects in more detail with the anaesthetist but overall in this age general anaesthesia is considered to be very safe.

Bleeding

Bleeding is approximately 1% or 2% risk after mastopexy surgery and will mandate return to the operating theatre to wash out the blood clots.

Pain

Pain after breast uplift surgery is usually moderate and on discharge there are two types of medications prescribed, a moderate one based on paracetamol and codeine and a stronger one which is tramadol. Aspirin must be avoided as it will increase significantly the risk of bleeding after surgery.

Occasionally long term or chronic neuropathic pain can also occur after mastopexy surgery or indeed after any type of surgery. This type of pain reflects a predisposition of the host and is typically treated by pain specialists rather then more surgery.

Deep vein thrombosis (DVT)

The risks of deep vein thrombosis and pulmonary embolism is related to formation of clots in the leg veins that can travel to the lungs and produce significant health risks. Because of this it is important to be mobile after the surgery and using anti-embolism stockings as well injections that thin the blood is also beneficial.

Breastfeeding

Breastfeeding after any surgery on the breasts becomes difficult to predict and if you feel that breastfeeding is very important for you, you should defer the surgery until you have completed your family.

Nipple sensitivity

The feeling in the nipple areola complex can decrease following breast surgery including breast uplift. Most of the time there is a temporary decrease in sensation which recovers within 3 to 4 weeks and a more prolonged decrease in sensation in the lower half of the breast.

On occasion the nipple can be over-sensitive for several weeks after breast uplift surgery due to irritation of the nerves.

Scars

The scars of the surgery are typically fine and soft but will retain redness for several months. In some instances the scars can become thicker and lumpier which is called hypertrophic or keloid scaring and may require treatment. The sooner the treatment is instituted the better in terms of the speed and quality of the outcome.

Loss of nipple areola

Loss of part or all of the nipple areola is very uncommon with breast uplift surgery as the intervention is less intrusive compared to breast reduction.

Fluid collection

It is possible in some instances for clear fluid to collect in the operation side or around an implant used at the same time with the uplift. This is called seroma, and sometimes requires drainage to allow the tissues to settle down.

Capsular contracture

When breast implants are used in combination with the surgery, capsular contracture is also a risk which means tightening of the breast tissues around the implant. Depending on the degree of this tightening the breast may become firmer or distorted and sometimes painful and in those cases it will require further surgery to improve the situation.

Implant migration

Breast implant failure is a recognised possibility and although implants used today typically involve cohesive gel silicone it is still possible for some of the silicone content to wash towards the regional lymph nodes in the armpit.

Implant migration is the situation where the implant moves up or down in relation to the original position and requires adjustment of the shape.

Get in touch. Talk to our helpful team or book a consultation with Mr Lucian Ion. Call 0207 486 7757

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