Augmentation with implants and simultaneous mastopexy(uplift) is a common procedure. However it has one of the highest complication rates and these include insufficient lift, wound breakdown, capsular contracture, nipple areole loss, to name a few. Complications rates reported by experienced surgeons have ranged from 15% to 24%.
A recent study published in the Plastic and Recontructive Surgery Journal by Dr William Littler et al have suggested an algorithm which can be used to reduce the complications. If your nipple to breast crease distance under stretch is less than 10cm and your nipple stretches by more than 4 cm on direct pulling, you are likely to need a mastopexy with your augmentation. If it is less, you may get away with just an augmentation alone. Try doing this yourself.
If your new breast crease is more than 4cm from your original breast crease, he suggests a 2 stage procedure where you will have your mastopexy first followed by the augmentation about 3 months later. Your new breast crease depends on the choice of implant so this is something your plastic surgeon will have to advise you on.
By CC Kat, Plastic Surgeon
Mrs CC Kat is a leading Midlands female Consultant Plastic Surgeon specializing in cosmetic and reconstructive surgery. She is a full member of both British Association of Aesthetic Plastic Surgeons (BAAPS) and British Association of Aesthetic , Plastic and Reconstructive Surgeons (BAPRAS) as well as several international aesthetic surgery associations. She worked as a Consultant Plastic Surgeon at the Heart of England NHS Foundation Trust but now runs her private practice, CC Kat Aesthetics – Birmingham Laser, Skin and Cosmetic Surgery Clinic, full time. For more information, visit www.cckat.com or call 08453731818.