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Wound opening after breast lift
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Wound opening after breast lift

25th Nov 2018

The lifting of the breasts can be performed during a simple and easy surgical procedure that may or may not include the use of breast implants. Genetic factors, weight fluctuations, hormonal changes, wearing unsuitable bras, as well as pregnancy and breastfeeding are among the most important causes that can lead to breast sagginess and the unaesthetic appearance of the breasts. Many of these factors are difficult (if not impossible) to prevent, and many women end up suffering breast sagginess sooner or later in their lives.

In a vast majority of cases, mastopexy (also known as breast lift surgery) provides impressive and satisfactory results. However, as is the case with other surgical procedures, complications can occur. One of these complications is wound opening after breast lift surgery.

In this article, we will discuss more about mastopexy procedure and the complication mentioned above.

The breast lift procedure

Mastopexy is the most efficient and the only solution to provide long-term or permanent results when it comes to elevating the breasts to a more natural position. The unaesthetic appearance of the breasts caused by sagginess can have a significant negative impact on a woman’s emotional condition. Despite this, many women avoid undergoing the breast lift procedure because they tend to associate it with a breast augmentation with implants surgery. These are completely different procedures, performed for different reasons and providing very different results. While the breast augmentation should always be performed in association with a lift (if the patient presents moderate or severe breast sagginess), the breast lift is often performed as a stand-alone procedure. On the other hand, mastopexy can also be associated with a breast reduction procedure, if the patient also desires a decrease in breast size.

Some patients might choose to have implants inserted during the breast lift procedure. This is because after the skin excision and repositioning of the mammary gland, the breasts might look smaller after the operation.

The breast lift procedure is a safe and efficient way to eliminate the excess skin and fat tissue in the breasts. After the procedure, the breasts are more elevated and firmer. During the procedure, the plastic surgeon might also change the position and dimensions of the areolas to become more proportionate with the new breasts.

The procedure is often performed after pregnancy and breastfeeding as during these periods, radical changes in appearance can occur. However, the procedure can also be performed during the youth years and before having a family if the size of the breasts causes posture problems or makes it difficult for the patient to integrate into society.

Depending on the level of breast ptosis, smaller or bigger incisions will be made that allows the plastic surgeon to reposition the breasts and excise the surplus of skin and fat tissue. The procedure usually takes no longer than two to three hours and doesn’t involve particular risks when performed by a board-certified and experienced plastic surgeon. The patient is usually ready to leave the medical facility within the first 12-24 hours after the procedure and only needs to come back for the post-operative follow-up and to have the sutures removed.

Wound opening after breast lift

In many cases after breast lift surgery, the patient will have a small incision around the areolas and other incisions, either vertical from the areola to the inframammary fold or in the shape of an anchor.

The incisions are closed with sutures. The suture is a surgical connection of the two edges of a wound. The sutures are essential for the cicatrization process and for the well-being of the patient after the surgery. Depending on the tissue that was sutured and the type of wound, the plastic surgeon can use a resorbable wire (will be absorbed by the body over the course of a few weeks or months) or a non-resorbable wire (needs to be removed once cicatrization is achieved). It is during the cicatrization process that wound opening can occur and complicate both this process and the recovery of the patient.

Wound opening can occur after a breast lift if the patient is a smoker, if unnecessary pressure is put on the surgical wound, and if an infection occurs, among other things. There are certain recommendations that need to be followed to the letter to avoid wound opening. These indications are meant to help with the cicatrization process and allow for a smooth and uneventful recovery for the patient.

The recovery period after mastopexy is quite important. Even if the procedure itself is a big success and the plastic surgeon only performed small incisions that are not supposed to leave big scars behind, the end results depend on the patient.

The first weeks after the procedure are decisive for the recovery process. The discomfort will be gone within the first week, and the results will start to be visible shortly if the patient will follow the plastic surgeon’s recommendations. The patient should avoid sleeping on the tummy at all costs as this can cause unnecessary pain and incorrect displacement of the breasts. Very hot showers are also to be avoided, and proper hygiene at the surgical site is essential for the cicatrization process to begin.

Conclusion

Wound opening after a breast lift can be a sign of infection but may also trigger an infection. Make sure to contact your plastic surgeon as soon as possible if you notice that the edges of the surgical wound are pulling away from each other. The recommendation is never to try to correct this issue at home by using traditional wound remedies as this might trigger significant complications and prolong your recovery process unnecessarily. Even if wound opening occurs, your plastic surgeon will give you an optimal treatment plan to correct the issue.


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