Depending on the position of the nipple, breast drop is divided into the following categories:
Grade I: Pseudoptosis, slight breast ptosis, nipples remain above the inframammary fold
Grade II: slight breast ptosis, nipples remain at the level of the inframammary fold
Grade ΙΙΙ: Moderate breast ptosis, nipples below the inframammary fold but visible
Grade IV: Severe breast ptosis, nipples barely visible
Grade V: Severe breast ptosis, nipples hidden behind the lower pole of the breasts
Pseudoptosis: Breast is drooping, with the breast contour below the inframammary fold, but the nipple - areola complex is above the fold.
After the operation, a special pressure bandage is applied for about 2-3 days. The pressure bandage is then removed and replaced by a special bra.
A mild massage can help to remove the swelling and decongestion of the area. Stitches are removed at 10 days and avoiding vigorous hand movement and exercise is recommended for the first month.
Complications are not common and are limited by the correct application of the appropriate technique, the experience and expertise of the surgeon, the placement of the appropriate size of the implant, preventive antibiotic treatment and the patient's adherence to the instructions. The main complications are haematoma formation (which will require drainage), hypertrophic scarring and loss of nipple sensation. After the breast lift procedure, swelling, numbness in the breast area or bruising may occur, which resolves within a month.
Postoperative pain can be managed with analgesics, and the patient can return to mild work after 1-2 weeks and to full activity in 3-4 weeks. As far as breastfeeding is concerned, if implants are also placed, it is not affected in any way.
In cases where there is also a "ptosis" of the breasts, which needs lifting, then a breast lift can be performed in combination.
In cases of small breast size, then the placement of small silicone implants is required. Also, there are cases when the patient also wishes to have a breast augmentation, in which case the two procedures are combined in the same surgical time with the placement of silicone implants to restore the breast volume.
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