Modelling (mastopexis) allows for improvement of appearance of sagged breast which may be innate or result of pregnancy, breastfeeding, weight loss or age.
The purpose of modelling is upward transfer of breast tissue and shape firming. Tissue (except skin) is neither added nor removed. Therefore the breast size remains the same. The papilla also moves upward and may be reduced by the modelling.
There are different methods of breast modelling. The method is determined by the size, shape and place of the sag (see the link to the modelling methods).
Breast modelling: methods
Very small sag or non-round (pointed) breast can be modelled by mini modelling (periareolar modelling, round block). This method may also be used for correction of a small difference in breast shape (asymmetry). By this method the breast is drawn circularly towards the centre (papilla). The scar is minimal, only around the shifted papilla. The effect is not big.
For medium breast sag there is the globally most popular modelling method by the single scar technique (Le Jour, vertical scar). The result includes scars around the papilla and a vertical scar down to the under-breast line.
For medium to large breast sag this method may be extended with a short horizontal section in the under-breast line towards the side (L technique) or towards the side and the centre (short horizontal scar).
Large sags or large breasts require the classical modelling method used for years. The result includes a round scar around the papilla, a vertical scar down from the papilla towards the under-breast line and a semi-circular scar in the under-breast line across the breast size (the anchor).
If you want your breast to be firmed, uplifted, shaped and enlarged at the same time, then modelling may be combined with implants in a single intervention. This is possible unless you require too large augmentation or unless your breast is too sagged.
In the case of the requirement of a radical enlargement or in the case of heavily sagged breast the augmentation with implants is recommended to be performed after six months to one year from the modelling. This will result in a better resulting shape and more permanent effect of the operation.
All these methods are offered by our clinic and the best one for you will be recommended in the preoperative consultation.
Breast modelling: your surgery
The surgery is performed on the day of admission to the clinic, the hospitalisation usually takes 2 days and the operation takes about 2 hours and is performed in overall anaesthesia. Right before the operation your surgeon will take photo documentation, draws the operation procedure on the skin and answers potential questions.
The principle of modelling is removal of excessive breast skin, upward movement of the papilla and potential reduction, upward shift of breast tissue and conical shaping ad fixation. The tissue is sutured in the required shape by inside absorbable sutures. The skin may be sutured with either absorbable or nylon sutures (if you badly tolerate absorbable suture) removed in about 2 weeks after the operation. After the surgery you need to wear post-operative medical bra. This post-operative underwear will be prepared for you at the reception.
Breast modelling: recovery
Hospitalisation at the clinic usually lasts until the following day. Arrange transport and accompaniment for the day of release.
When leaving the clinic you will receive a release report with the date of the first post-operative visit and instructions for the first few days after the operation. You can also buy a post-operative care packet at the reception. The packet includes analgesics, a disinfecting shampoo, a disinfectant and other items. Do not expose the scars to direct sunlight or solarium sun for 6 months after the operation. For their quicker disappearance you can buy healing support at the reception. The scar appearance can be improved 2-3 months after the surgery by laser treatment.
Recovery after breast modelling takes about 1 week, after which you can return to work. In 10 – 14 days you must come for the first post-operative visit at the clinic. You can resume your sporting activities in a month. Compression post-operative bra must be worn day and night for 14 days. After that day wearing is sufficient.
Breast modelling: possible risks
Like all operations, breast modelling is associated with certain risks which you must be aware of. These are general operation-related risks connected with the total anaesthesia (bleeding - hematoma, infection, pulmonary embolism, poor healing, operation wound splitting, development of colloid scars etc.) plus intervention-specific risks.