Corrective Breast Surgery

Mastopexy (Breast Uplift)

As with many parts of our bodies that change with time, the look of our breasts also changes.  They lose firmness, usually volume too, the skin loses its former elasticity and so the breasts start to droop. These changes are accelerated by pregnancy/breast feeding and significant weight loss.

Essentially, the degree of breast sag (medically known as “ptosis”) will determine the design of the Mastopexy required.  With a Mastopexy, only the excess loose skin is removed, not breast tissue.  Varying amounts and patterns of breast skin are removed in order to tighten the skin over the existing breast tissue.  This skin removal restores the tightness of the breast envelope which in turn produces ‘lift’ and elevates the nipples to a higher, more desirable position.

Different designs of Mastopexy exist depending on the degree of uplift required.  Whereas very minor degrees of ptosis can be corrected by the insertion of implants alone, the more advanced degrees of ptosis require one of the following types of Mastopexy – each given its descriptive name based on the pattern of the final scars:

  • Crescent Mastopexy is the least invasive breast lift and involves removing a crescent of skin above the areola.  Sometimes, it is necessary to extend the incisions a little sideways in which case it then changes its name to a Batwing Mastopexy as follows.
    The other more invasive types of Mastopexy are:
  • Circumareolar Mastopexy (also known as a Benelli Lift or ‘Doughnut Pattern’ Lift).  This involves removing a ‘doughnut’ pattern of skin from around the areola.  Its ability to “lift” is limited and it may cause some flattening of the breast. By nature, it does leave variable degrees of puckering of the scar which may or may not completely disappear over time.
  • Vertical Mastopexy (Vertical Scar Mastopexy or ‘Lollipop’ Lift)
    This is a very effective lift for moderately sagging breasts.
  • Wise Pattern Mastopexy (‘Anchor’ Pattern) is the most invasive lift and is indicated for major degrees of sagging.

Mastopexy alone may well suffice if a woman is happy with the size of her breasts and is only concerned about the sagging.  With a Mastopexy only, the breasts would be lifted but remain the same size as before.  If, however, a woman wishes to also increase the size of her breasts, implants would need to be inserted at the same time and this is known as an Augmentation Mastopexy.

Mastopexy Surgery is eligible for a Medicare Item Number and part-rebate if you meet Medicare’s criteria which at January 2015 were:

Item 45558: “BREAST PTOSIS, correction of by Mastopexy by any means (bilateral), following pregnancy and lactation, when performed not less than 1 year, and not more than 7 years after the end of the most recent pregnancy, and where it can be demonstrated that the nipple is inferior to the infra-mammary groove”

If your Breast Ptosis satisfies all the above criteria you will qualify for the above Medicare Item Number.  If you ALSO hold an appropriate level of Private Health Insurance, you may find that your hospital fees are fully covered by your Fund as well.

Tuberous Breasts

Tuberous Breast Deformity is a congenital and pathological condition of the breasts affecting teenage women.  It can affect one or both breasts.  It does not refer to the breasts being simply small.

The deformity is characterised by constricting bands in the lower breast which in turn force the breast tissue upwards and into the nipple-areola complex causing the latter to become enlarged and puffy.  Typically, Tuberous Breasts are small and pointed in shape with:

  • Puffy areolas (the pigmented circles around the nipples)
  • Minimal breast tissue, sometimes with sagging
  • Constricted lower breast poles
  • A higher than normal breast fold
  • Wide spacing between the breasts

In most cases, the appearance can be dramatically improved by the insertion of appropriate implants after releasing the constrictions responsible for the deformity.

A Medicare Item Number (Item 45559) may apply, in which event if you also hold Private Health Insurance, your hospital fees may be fully covered by your Fund depending on your level of insurance.

An example of advanced Tuberous Breast Deformity corrected by our surgeon, Dr George Mayson, is shown below.

Click the Photos to Enlarge

Breast Revision Surgery

Most women are able to enjoy the many benefits of a well-performed Breast Augmentation for many years without the need for revision surgery.  However, sometimes Revision Surgery is required for different reasons, among the commonest ones being:

  • Capsular Contracture: The commonest reason for repeat surgery after Breast Augmentation with Smooth and Textured Implants. This risk is dramatically reduced by the proven safer Polyurethane Foam-Covered Silicone Implants
  • Implant Displacement (implants moving away from their original position) – also less of a risk with Polyurethane Foam-Covered Silicone Implants
  • Implant Leakage or Rupture
  • A Simple Desire for Larger Implants

Most instances of Breast Revision Surgery do qualify for a Medicare Item Number and part-rebate, in which event your hospital fees may also be fully covered by your Fund if you hold an appropriate level of Private Health Insurance.

Breast Implant Replacement

The commonest reasons for simple implant replacement in the absence of any other associated problems are:

  • Rupture of a Silicone Implant
  • Leakage or Deflation of a Saline implant
  • A Simple Desire for Larger Implants

Unlike some clinics, we do NOT recommend ROUTINE replacement of every woman’s implants every 10 years.  Instead, we are of the firm view that unless a specific problem arises, implants do not need to be routinely replaced.

Other than simply wanting larger implants, most cases Implant Replacement Surgery do qualify for a Medicare Item Number and part-rebate, and in the event you hold appropriate Private Health Insurance cover, your hospital fees could be fully covered by your Fund as well.

Corrective Nipple Surgery

Nipples can present various unappealing appearances all of which can be improved with simple nipple surgery:

  • Inverted Nipples: The nipples are permanently sunken beneath the level of the surrounding areolar skin and cannot be manipulated out with the fingers.
  • Nipple Hypertrophy: The nipples are overly large.
  • Nipple Ptosis: The nipples are saggy, usually in association with enlarged nipples.