breast enlargement with simultaneous breast lift

What is it?

Augmentation-mastopexy is the simultaneous lifting and augmentation of the breast. This information sheet should
be read in conjunction with the information sheets on “breast augmentation” and “breast lift“.

Is Mr Callan experienced at this procedure?

Mr Callan has over 20 years experience at this procedure. He performs augmentation-mastopexy regularly and keeps up
to date with the latest techniques. As a fully trained plastic surgeon, Mr Callan performs this procedure to the highest
standard available.

Can I see photographs?

You can see photographs of people who have had this procedure when you have your consultation. As Mr Callan
performs this procedure frequently, we have a large number of photographs of people who have had augmentation mastopexy
many of whom will be similar to you.

Who has augmentation-mastopexy?

Usually women whose breasts have sagged and lost volume after breast-feeding or after weight loss. Occasionally younger
females have breasts which sag and they perceive as being too small because they have formed that way.

Am I suitable?

You need to be sensible and honest about your reasons for wanting mastopexy and happy with your informed decision.
You should also be as healthy as possible. A time of personal crisis is no time to be making decisions about such surgery.

If you have a family history of breast cancer, this will need to be discussed at your consultation.

What would stop me from having the surgery?

Smoking, being outside the BMI (body mass index) range of 18-28, under stress when making your decision, or having a
medical condition that would make surgery unsafe.

How is it done?

Mr Callan performs all his surgery at St John of God Hospital in Geelong, a fully accredited hospital.

The breast augmentation is done first through a small 3.5 cm incision in
the fold under the breast. An incision is then made around the areola (coloured part around the nipple), and another
vertical incision below that. The excess skin is removed and the breast remoulded around the implant into an aesthetically
pleasing shape.

Will I have scars?

The incision lines are ones around the areola and one vertical incision line below that, as well as the small horizontal one
in the fold under the breast. You may ask why we don’t put the implant through the incisions for the mastopexy. The
reason is that we need to keep the operations separate to help minimise capsule formation (see the information sheet
on breast augmentation). The incision lines are always there but they usually improve to the extent that they are not a
great concern for most women. As a rule the incision lines are inconspicuous.

What are the benefits?

What you get out of surgery is entirely a personal matter.
If the appearance of your breasts currently distresses you, elevated and larger breasts may make you feel better about
your appearance in general. Back, neck and shoulder pain may be relieved in some women.

What are the risks?

All surgery carries some element of risk. You can minimise your risk by being as healthy as possible and
as psychologically prepared as possible, by selecting an experienced and qualified surgeon, and by giving yourself a
stress free time during which to recover. The particular risks and complications of this surgery will be discussed at your
first consultation. The most common of these is that it take a couple of months for the breasts to assume their fina l
shape. A few women may lose some sensation in the breasts or nipples but most do not. Breast-feeding is possible afte r
mastopexy but some women find it difficult as they may have insufficient milk. There are other risks common to all surgery
and you will be made aware of these.

How long will I be in hospital for?

Augmentation-mastopexy can be done as a day procedure but may involve an overnight stay depending how you
are after the anaesthetic. Someone will need to take you home from hospital and should stay with you the firs t
night. Augmentation-mastopexy is not a particularly painful procedure but can be a little uncomfortable for a couple of
days. You will be given medication to keep you comfortable.

How long will I need to recover?

This ranges from a few days to a few weeks depending on what you do. If your activities are sedentary then you may
only need a few days, but if you do heavy work and lifting you may need up to three weeks. It’s a good idea to take some
time out from more strenuous activities so you don’t prolong your recovery. The same guidelines apply to exercise, with
mild to moderate exercise allowable early on and full aerobic activities after three weeks. You can shower within hours of
surgery as dressings are minimal (tape only). You must not drive until you are fully recovered from both the anaesthetic
and the discomfort of surgery. If in doubt, don’t.

Will I wear a bra after surgery?

You will be given instructions on the purchase of a soft bra prior to surgery. This bra is important in the early
postoperative period to help shape the breasts and keep discomfort to a minimum. After a couple of weeks you can
wear any bra you want.

Will I need to be seen after surgery?

Yes. We will keep in close contact with you by telephone for the first few days and then will see you about 3-4 days after
surgery, then at three weeks and three months then a year.
You are of course welcome to call or visit any time with any concerns.