Mastopexy (breast lift) incision drawing.
Your nipple-areolas will be re sized using circular metal marking devices. Starting with one breast, Dr. Franco-Webb will cut the skin along the keyhole markings. The breast tissue directly underneath the nipple-areolas will be left attached, separating this tissue known as the pedicle, from the surrounding tissue. The excess fat, breast tissue and skin will be removed.
The breast tissue will be weighed and sent to Pathology for analysis. The breast and nipple-areola will be reshaped and lifted and sutured together with dissolvable sutures. Prior to the final closures, you will be sat upright while you are still under anesthesia so that Dr. Franco-Webb can check for size and shape of your breast.
The same procedure is performed on your other breast. You will be sat upright again before the final closures to check for size, shape and symmetry with the opposite breast. Dr. Franco-Webb will keep track of the amount of tissue removed from each breast, noting any pre surgery size differences, so that she can even out your breasts if they had been asymmetrical. No drains are used. Sometimes there is liposuction that is performed to reduce the “arm pit fat”, the lateral chest fat and “bra roll”. Sterile dressings and a surgical bra will be placed on you. You will be awoken from general anesthesia, extubated and taken to our recovery room.
The Recovery Room
In the recovery room, two of our well skilled nurses will monitor you. They will make sure that you are recovering comfortably from surgery. Our patients are typically in the recovery room for one hour to 1-1/2 hours. During that time, your nurse will review with you and your caregiver the instructions that Dr. Franco-Webb had reviewed with you during your pre surgery appointment.
At Home (1 to 4 days after surgery)
During your recovery, we want you to be as comfortable as possible. Please follow the instructions that Dr. Franco-Webb reviewed with you. You will have your surgical bra on. You will be icing your breasts 3 to 4 times per day.
You will continue to wear your surgical bra. You will have two bras provided to you. You will take your medications, including pain medication, antibiotics and anti nausea medication, as directed by Dr. Franco-Webb. You will stay well hydrated and take stool softeners to prevent constipation from the narcotic pain medication. You will rest to aid with your healing phase.
First Post Surgery Visit (1 day after surgery)
During this visit, Dr. Franco-Webb will check to see that your breasts are healing well. She will review your medications and your activity level. You will then be able to take a shower. Most breast reduction patients are only on Extra Strength Tylenol by the third or so day after surgery.
Second Post Surgery Visit (8 days after surgery)
During this visit, Dr. Franco-Webb will check to see that your breasts are healing well. She will review your medications and your activity level.
Three to Four Weeks Post Surgery Visit
During this visit, Dr. Franco-Webb will check to see that your breast incisions have healed. She will advise you regarding scar treatments to provide you with the most optimal end result. She will review your activity level. After 4 weeks from surgery, you can discontinue wearing your surgical bra during the day and choose to wear whatever is comfortable for you. You should, however, continue to wear your surgical bra at night for an additional 4 weeks.
Two to Three Months Post Surgery Visit
During this visit, Dr. Franco-Webb will check to see that your breast incisions are fading well. Post surgery photographs will be taken and you will be provided with before and after photos.
Six to Twelve Months Post Surgery Visits
During this visit, Dr. Franco-Webb will check to see that your breast incisions are fading well. It takes approximately one to two years before a scar is fully matured. Post surgery photographs will be taken and you will be provided with before and after photos.
You are always welcome to return to our clinic as all visits are included in the cost. At any time, you may contact our Staff, or contact Dr. Franco-Webb directly as all of her patients are provided with her cell phone number.
Return to Work
Most women who undergo breast reduction surgery and who have a sedentary job are able to return to work one to two weeks after surgery. Woman who have a more physical job usually return to work two to four weeks after surgery. Dr. Franco-Webb will discuss this with you. Also, be aware that for the first few weeks after surgery, your energy level will be down, so do factor this in when returning to work.
Return to Exercise
One week after surgery, you can walk outside. By three weeks, you can walk on a treadmill, ride a stationary bike or work out on an elliptical machine without using your arms. Six to eight weeks after surgery, you can engage in more physical activity such as jogging. However, you will need to wear a “high impact” zip front sports bra. Dr. Franco-Webb will thoroughly discuss your return to exercise timeline with you. Once you have completely healed from your surgery, she would like to encourage a more active and energetic lifestyle for you!