If you are happy with the size of your breasts but not with the degree of droop you may wish to consider a mastopexy operation. This involves reduction of the skin envelope and re-siting the nipple. It is very like a breast reduction operation except it removes excess skin but very little or no breast volume. However, because the breast tissue is “repacked” more firmly into a smaller skin envelope your breasts will seem a little smaller.
Read breast reduction since most of what is written there is relevant to mastopexy except:
Nipple sensation is not usually affected.
You often don’t need drains.
You may be able to avoid an overnight stay in hospital.
If your breasts are both droopy and too small – this sometimes happens after pregnancy – a mastopexy operation may needed in addition to breast augmentation.
Since the nipple always has to be re-sited higher up, all breast reductions methods result in a scar right around the areola and a scar vertically down from there to the inframammary fold (groove beneath the breast). Usually there is also a curved transverse scar running the length of the inframammary fold. There are “vertical scar” techniques which seek to avoid this transverse scar and this is sometimes appropriate.
Loss of nipple sensation is not uncommon. Numbness of some skin beneath the nipple is usual.
You may not be able to breastfeed should you have a pregnancy after breast reduction.
The nipple has to move up and retain its blood supply. it is possible for this blood supply to be inadequate and to lose part or all of a nipple but this is an exceedingly rare complication.
Symmetry should be very good but may not be perfect.
out of town?
Ideally a consultation should be face to face but is certainly possible to arrange a telephone consultation. If you can email the photos first so much the better. If it is clear what procedure is required then the in-person consultation can be the day before or the morning of the surgery.