The face-lift of Breasts is a surgical operation practised in case of ptôse mammary, collectively called " fall of breasts ".
The expression used by the patients is often the following one: " I have the breasts which fall ".
After the mammary ptose, the distance between the base of the neck and the nipple, which normally is between 15 and 18 cms, lengthens and can reach 40 cms.
This mammary ptôse is secondary in a feeding or in an important loss of weight. The mammary gland hypotrophie, the skin loosens, breasts fall.
The ptose is classified in 4 types, the classification of Professor CHAVOIN is the most adopted :
This chapter of the plastic surgery of the breast is one of the most difficult and of the most fascinating, indeed, in most of the cases, the patient asks only for a breast enlargement.
However, it would be a bad indication, indeed the breast will be weighed down by the prosthesis and will fall even more! The result of the only breast enlargement, in case of ptose, is bad.
It will be necessary to explain to the patient that if its breasts fall, it is because there is an excess of skin and because this excess can be handled only by a face-lift to to raise breasts.
The volume to give to the breast, we have two scenarios :
Consist in making " go raise breasts " and to re-concentrate the breast in its cutaneous case at the price of a face-lift.
LBreasts become again firm and gone back to the price of a scar which may be, either around the areola (block round face (figure) 1), or all around and below the areola: it is the vertical technique (figure 2).
The surgical operation takes place under general anesthesia, in seated semi position. The resection concerns only the skin, the mammary gland is not concerned.
The putting of an artificial breast can turn out to be necessary in the cases of mammary hypotrophie, in this case it will be a question of restoring a volume by the putting of a prosthesis and a lifter the breast at the same time.
According to the habits of every surgeon, the prosthesis is placed before or after the face-lift in muscular retro.
Here is the succession of the various operating movements which I propose in photos :
In all the types of face-lift a scar ransom exists, this scar will become fine and discreet and will become blurred almost completely at the end of a few months.
The choice of the technique and thus the scar must be reflected well, the circular scar around the areola is certainly interesting and less visible than the vertical scar, however this technique called ROUNDBLOCK, can be used only for girl ptoses, indeed, in the cases of ptose more important, this technique gives an aspect of " crushed and flat breast ".
I think very sincerely, that the shape of the breast has to dominate, and that it will be necessary to indicate a vertical line more easily.
In the cases of ptose very important, do not hesitate to propose a scar T inverted.
The face-lift of breasts in Tunisia with or without prosthesis is a surgery which requires 24 to 48 Hours of hospitalization, the used threads are absorbable, consequences operating are usually simple, it will be necessary to plan the bearing of a bra during 1 month.
When the face-lift of breasts is associated with the putting of mammary implants, consequences are a little ache, these pains are in touch with the dissection of the muscular retro in which will be placed the prosthesis. Consequences are the ones of a breast enlargement.
Are rare: bruises, infection, extension of the scar. The distant complications are in touch with a hull prothetic if a prosthesis was associated with the face-lift.
The second offense of the ptose after face-lift is possible, it is in touch with the evolution of the very breast on one hand and with the operating technique chosen on the other hand.
BESIDES IT WILL BE NECESSARY TO PLAN A WORK STOPPAGE OF ONE TO APPROXIMATELY TWO WEEKS.