Your breasts are lifted and tightened by removing skin from below and around your nipple. The nipple is raised to a higher position and the breast tissue inside is repositioned to give you more fullness in the upper part of your breast. The skin is then stitched leaving you with a scar around the areola (the coloured skin around the nipple), vertically down from the areola to the crease under the breast and usually a horizontal scar underneath the breast along the breast crease (i.e. the scar is shaped like an inverted letter “T” or an anchor).
The above pictures show a patient who has undergone a vertical scar mastopexy by Mr Pacifico
What does it involve?
A mastopexy is performed under a general anaesthetic (with you asleep). You will wake up with surgical tapes along the wounds and you may have a surgical drain (tube) coming out of each breast. You will need to go into a supportive post-surgical or sports bra following surgery.
What are the benefits?
Mastopexy techniques provide a breast lift and increase the fullness to the upper part of your breast. A mastopexy will not change the volume of your breast
How long does the surgery take?
The surgery takes about 2-hours.
What is the recovery period?
The procedure may be performed as a day case (in and out the same day) or you may stay in hospital overnight after the surgery. This is to ensure that there is only minimal fluid coming into your drains, which may then be removed. You should wear a sports bra day-and-night for at least 6-weeks after surgery, and sometimes for 3-months.
How long before daily activities may be resumed?
Strenuous activity should be avoided for at least 2-weeks. You may be able to drive after this period, but remember that you need to be comfortable in performing an emergency stop or similar manoeuvre. If you drive too early and you need to do an emergency stop, the wounds may come apart from pressure of the seatbelt.
What are the success rates?
Mastopexies provide a good breast lift, but with time and the effects of gravity your breasts will eventually have some recurrence of droop. This may not happen for around 5-years or more but will at some point.
What are the possible complications?
- Wound infection & wound breakdown (most likely at the “T” junction)
- Bleeding or haematoma (a collection of blood in the wound that would mean needing to return to the operating theatre to stop the bleeding)
- Lumpy scarring (hypertrophic or keloid scarring) which can be difficult to treat
- Change in nipple sensation (usually less sensitive, but occasionally more)
- Complete or partial loss of your nipple (a rare but important complication)
- Fat necrosis (dying of some areas of fat within the breast) – this either shows as an oily discharge from the wound or as the formation of lumps within the breast. Rarely it may mean that you need to go back to surgery, but can usually be treated as an outpatient with dressings (if the wound has opened) or with massage of any lumps
- Breast asymmetry – no breasts in any woman are identical, and although Mr Pacifico will strive to make both sides as equal as possible, there will be differences between them
- Bottoming out – this is the term given to when part of your breast descends below the level of the nipple – the effect is to make your nipples appear above your bra. With good planning and surgical technique, this is fortunately an unusual complication.
- Deep vein thrombosis (DVT) and pulmonary embolus (PE) – these are blood clots that may occur in the leg (DVT) and travel to the lung (PE) which may be very serious – fortunately they are not common in breast lifting surgery.
- Further surgery may be needed to make adjustments to correct for imperfections or significant differences between the breasts (in up to 20% of cases)
My decision to have breast reduction surgery has been a life changing experience for me, as for the last two years I had noticed that my breasts were getting larger (even though I had lost over a stone in weight) and one noticeably more than the other. This was having…read more→
Having surgery is something I've wanted and been considering for a number of years. When I decided to finally bite the bullet, I had to start looking for a suitable surgeon. After doing some research and speaking to a number of sources, I had Marc Pacifico recommended. Marc made me…read more→
A year has gone by since my Breast Implant Surgery and I would like to say a big thank you to Marc who has totally changed my life. I wouldn't hesitate in recommending Marc as my experience from the very first Consultation to my last aftercare appointment was superb. Marc…read more→
The results of 2 children and breast feeding. My breasts were a 34B and very empty with a bit of a droop, and I wanted to have back what I was like when I was breast feeding (a full C cup). Mr Pacifico advised me to have an uplift as…read more→
You have really transformed my life and I am very grateful to you and you are now officially my hero.
The whole team: from the amazing secretary to the super duper Mr Marc Pacifico. I had life changing breast enhancement in Tunbridge Wells. The team there were great too but from the initial consultation right through to the after care, Marc and his team have been honestly fantastic. I would recommend…read more→
From my first consultation with Marc I felt I would be in safe hands and I have been. I had a full abdominoplasty along with breast augmentation-mastopexy at the same time. I returned to work three weeks after the operation. My breasts look and feel completely natural, I actually forget…read more→
My operation was very successful and was exactly what I wanted. I found Mr Pacifico to be very professional, competent and understanding. Mrs Ireson was very efficient, friendly and pleasant, and the nursing staff kind, attentive and helpful.
From the moment I walked in for my first consultation Mr Pacifico made me feel at ease with his friendly and professional manner, telling me about the pros and cons of what I was to expect during surgery. I was confident I had chosen the right surgeon and I was right :)…read more→
I would say to anyone who is considering surgery - Do it now! Marc Pacifico was recommended to me by a friend who had recently undergone breast surgery. Having breast fed two children over twenty years ago, my breasts had sagged considerably and age had not helped. After reading through Marc…read more→
I could not have hoped for a better result, and I am surprised at how quickly everything healed without any problems at all. I am so happy that my breasts now look just as they did before I breast fed three children, and they look and feel natural. I feel…read more→
He's been fabulous from start fo finish - great to deal with, professional but also really approachable. He's clearly a very talented surgeon and I'm really really pleased with the end result - everything I wear feels so much nicer and fits so much better. I haven't had to buy…read more→
A couple of years ago my health hit a bump in the road. Anyway without boring you with the details, I'd gained weight and was left feeling frumpy, bumpy and lumpy and inside I was miserable! I had to do something about it and so started researching my options. With my…read more→
I have rated Mr Marc Pacifico as above because of the overall excellent experience and result. I located him through internet research. The whole experience from my first consultation to the post operative appointments have been excellent. I found Mr Marc Pacifico very professional and friendly. He explained the procedure…read more→
I researched on the net (which is why I thought it important to write a review so others can share my experience) and then attended one of his information evenings. I had the surgery at The Spire Hospital in Tunbridge Wells. I have written a diary of my experience which…read more→
My wife had her "bingo wings" done on 10/12/12 by Mr Pacifico at the Chaucer Hospital (Canterbury). The appointment before where all things are explained, the care during the operation and the care after surgery was top class! I would highly recommend Marc Pacifico for this operation - full marks…read more→
I found him on the Internet after extensive research into the best surgeon within the south of England. I was willing to travel anywhere to get the best care. After all elective or not surgery is a big decision. I was very lucky to come across him. From start to…read more→
I contacted the McIndoe Surgical Centre due to it's excellent reputation and experience in plastic surgery. Mr Pacifico was put forward by them as the right surgeon to discuss a complex nose problem. Nose Reconstruction (Open septorhinoplasty & Tutorplast graft) After two NHS operations on my nose by ENT surgeons…read more→
I met with Mr Pacifico to find out about the procedure. He was very honest and caring from the first consultation, explained everything there was to know and made me feel very at ease. The procedure was as I expected, and the after care was amazing. With all the advise,…read more→
I decided a couple of years ago to enter the, what I thought, unreal world of cosmetic surgery. I have never had a tattoo, my ears pierced or anything else I would shudder at - so how desperate was I when I signed up for a lower face and neck…read more→