Definition and objectives

Drooping breasts are caused by distension of the skin enveloping the mammary gland. In general, this is caused by substantial loss of weight or pregnancy with breastfeeding and is sometimes related to breast hypertrophy.

The aim of the operation is to recreate two shapely breasts by remodelling and lifting the mammary gland as well as removing excess skin.

In addition to this operation, implants may be used when breasts do not have sufficient volume.

Prior to surgery

A preoperative examination is carried out to examine the patient’s medical and surgical history and to verify mammary imaging from a mammograph or ultrasound. The anaesthetist will be seen 48 hours prior to surgery at the latest. Medication containing aspirin should not be taken for 10 days prior to surgery. General anaesthesia is usually used and the patient is hospitalised for 1 to 2 days. This operation is not reimbursed by health insurance.

The operation

Depending on the amount of skin to be withdrawn, the operation takes 1h30 to 2h30. Sutures on the edges of the skin, incised to carry out removal of excess skin, cause the scars. At the end of the operation, a compression dressing is made up from elastic strips.

After the operation

In general, as the after-effects of the operation are not very painful, the patient only takes simple analgesics. It is also common to notice oedema and bruising around the breasts after the operation and the patient may have problems lifting the arms.

2 to 3 days after leaving hospital, the surgeon replaces the bandage with a brassiere providing better support and this must be worn day and night for one month. In the case of non-resorbable suture threads, these are removed between the 8th and 20th day after the operation.

Work leave should be taken for 7 to 10 days and sporting activities can be resumed after 1 to 2 months.

Result

The result can only be judged after one year. During this period, the surgeon should be seen every 3 months. It should be noted that the operated breast remains sensitive, especially to hormonal variations. The patient may need a second operation one or two years later because scars are enlarged, white or brown or because the breasts are asymmetrical.

Possible complications

In the vast majority of cases, there are no complications following breast. Using a qualified plastic surgeon is a guarantee against such complications or at least gives you the assurance that complications will be treated if need be. After breast enhancement, it is possible that the scar may develop abnormally in the form of thickening or retraction. Breast pain and nipple sensitivity are also possible.

Complications characterising breast surgery are :

- an infection which requires antibiotic treatment and sometimes surgical drainage.

- haematoma which can require elimination of accumulated blood matter.

- skin necrosis, very rare, which delays healing.

- changes in sensitivity which usually reappear after 6 to 18 months.

- hypertrophic scars which are treated by specific local treatment.