It is important that read and re-read this text before you consider this surgery.

Over time time, breast tissue tends to undergo a decrease in volume  and begins to sag. This  occurs primarily due to weight gain and gravity. Other causes include multiple pregnancies and breastfeeding. Reshaping and lifting the breasts returns the bust to the height, shape and volume that it once had. But in addition, like breast augmentation and reduction, this surgery raises  a woman’s feelings of self esteem.

The majority of women, who ask for this surgery, are between ages 30 and 45, although in some cases of familial inheritance of sagging breasts, the request will come from from women as early as 27.

There are two groups of women who want this surgery: those who want the least possible of scarring, and those who can tolerate the scars provided that the bust will be back in place.

Fortunately, both groups have the possibility of cosmetic improvement.

For the first group, there is a technique called Periareolar, or “Round Block”, which was popularized by a surgeon named Benelli. This surgery  lifts the breast leaving a single scar around the areola. It is a very successful procedure, when there is sufficient mammary gland to work with, even if the glands are flaccid.

The disadvantages are that the breast will show tiny pleats for a few months, or ruffles at the circumference of the areola, and at the beginning will appear somewhat flattened. This technique cannot be done when there is too little or too much mammary gland. This technique  is best suited for women with a B or C cup.  Outside those parameters, it is better to use a different technique.

The alternative technique for those who are not good candidates for the Periareolar technique, the inverted T technique is   used.This technique produces a more aesthetic breast from the beginning for women with inadequate or excessive amount of mammary gland tissue. The main disadvantage of this technique is  that  that it leaves a scar with three components: one around the new areola, a vertical one from the aerola to the fold beneath the breast and another in the   fold beneath the breast. In most cases this scarring fades to the point of being  inconspicuous  6 months to a year after the operation.

During the initial consultation, the decision as to which technique to use will be made.
In some cases, if the breast are small and rather flabby and hang like an empty “envelopes”, it may be advisable to insert a small implant while we do the reshaping and suspension.

Usually the average distance between the sternal notch and each nipple is about 18 cm in young people who have had no previous pregnancies. The range of descent in which we perform  breast lifts ranges  from 23 to 28 cm. Greater distances is generally indicate higher mass and volume of breast  tissue and patients who fall into this category  are  candidates for breast reduction (click Breast Reduction for details).

Mastopexy lasts approximately 3 hours, because it is very laborious and requires much attention to detail. You’ll stay overnight in the clinic to be discharged the next morning. Please click To my patients that live outside of Tijuana for more information, if you are coming from out of the area for your surgery.

Often I ask patients to purchase a compression garment in advance of the surgery. You should bring this to the hospital and it will be fitted in place at the completion of the surgery. (click

The overall recovery in this surgery is approximately 18 to 21 days.

Below are some important pointers regarding “before and after” your breast surgery:

1. Order a compression garment that you should use for 21 days after the operation. In the office we will give you more information on how to select a good one. Bring this bra to the clinic when you check in.
2. Do not take aspirin or aspirin products for 2 to 3 weeks prior to surgery. (Click Non recommended Medicines for more information.)
3. For three consecutive nights before surgery wash the entire chest, and as far as you can reach towards the back, with Isodine foam (Betadine in the US) shampoo. Your pharmacist may suggest an alternative product if you are unable to find it.
4. Do not eat food or drink any fluids  from 12 PM the night before surgery.
5. For your own convenience, bring loose comfortable clothes with zippers or buttons.

1. Go directly home and remain at rest for 24 to 48 hours. You should be resting with pillows under your knees and have your back elevated to a semi-sitting position.
2. You may get up to use the toilet and for meals only.
3. The first day at home you should take sips of fluids, gradually increasing to a soft diet. If you do not have nausea, you can eat normally.
4. Try to avoid sudden movements. Don’t elevate your arms to prevent forming a hematoma. Take care not to  get up suddenly or to stretch completely during the first week.
5. From the first day you should do leg exercises to avoid problems with your veins.
6. Do not take aspirin or aspirin derivatives after your operation. Also check Non recommended Medicines for details on other drugs. Do not use alcohol while you are taking medications.
7. Bathing with warm water is allowed after the drains have been removed at your first post-operative visit. Excessive heat may result in tissue injury.
8. Avoid any strenuous activity for a minimum of two weeks. Lifting heavy weights, carrying your baby or reaching for very high items could result in serious scarring problems, inflammation, bleeding or re-opening the wounds.
9. Wear your bra continously, except for bathing, for the first 10 days after surgery. At your second follow-up visit, non-absorbable stitches will be removed. After 10 to 14 days, you can purchase a bra that fits your new size. (You can go without a bra after 21 days).
10. You may drive after 2 weeks but only for short periods.You may resume social activities in 3 weeks.
11. Refrain from sexual activity during the first 3 to 4 weeks to prevent internal bleeding, infection or re-opening the wounds.
12. Sports or exercise programs may be reumed 6 weeks after surgery.

To view some cases of this surgery click Photo Gallery
Any questions before and after your surgery may be answered in person by calling the office, 684-2551  (US: 619-730-1917) or my cell 664-283-0976 or click Contact us for more information.

I wish you an excellent experience in Plastic Surgery and a speedy recovery.

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