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Before & After Results

Breast Uplift Case Study

Beth*

Beth* was a 20 year old University student who had always been self-conscious about her drooping breasts. She came to see me with her Mum over a year ago now to discuss what could be done to improve them,

Patient Background

Beth told me that she had always been unhappy with her breasts as she felt ever since they had developed they had been “droopy” and she thought that they had an overall poor shape. She felt that she did not necessarily want to increase the size of her breasts (with a breast enlargement) but was, however, much more focused on achieving “a better and more youthful shape” as well as lifting the nipple up a bit as it was presently pointing downwards.

She was not worried about having scars on her breasts if she knew that this would give her the shape she desired.

Questions at Consultation 1

Her main question was what, if anything could be done to improve her shape? She had heard about mastopexy (the medical name for breast uplift surgery) and wanted to know if this alone would give her the shape she desired. or if she would perhaps also need to have breast implants. We talked about what was involved in the breast uplift operation and how this was done through an anchor pattern of scarring with most of the scar well disguised within the crease of the breast or around the areola. I explained how this would not require any breast implants but instead I would be able to sculpt and shape the breast using internal stitches. I showed both her and her Mum pictures of previous patients who had undergone both breast uplift and breast reduction under my care so that they could see the sort of scars and shape that results from this procedure. We also talked about the pros and cons of using breast implants. I explained that this confers extra risk and cost but that it is used mainly to give fullness to the upper part of the breast rather than to make her bigger overall. She was given written information sheets and Frequently Asked Questions sheets and went away to think over her options and consider the best time for her to have surgery so that it would fit around her University studies.

Second Consultation

At the second Consultation, she asked more questions about the pros and cons of using breast implants and I showed her different patients who had undergone breast uplift surgery with and without breast implants. She was overall edging towards not having them and after a bit of thought, she opted to go for a breast uplift alone. I asked her to sign her consent form and we took her pre-op pictures. Her Mum asked about how long she would be in the hospital and I explained she would need an overnight stay and that the surgery would take approximately 2 hours and that there would be no need for any drains.

Day of surgery

On the day of her cosmetic surgery, I came to see her and I measured up and marked out where her new nipple would be positioned on her breasts after the surgery. I explained she would come back with some tapes to support and keep her new shape in place and she had brought some front fastening bras (and without underwiring) with her as advised to wear post-op

Patient Reaction

The operation went very well and I was able to get a very pleasing shape and symmetry which she was absolutely delighted with. She said

I feel much more confident and can often wear clothes without the need for my bra!

The scars have settled very well and I have now discharged her so that she can make the most of her new university life.

Mr Gerard Lambe  MD, FRCS (Plast)
Consultant Plastic and Reconstructive Breast Surgeon
Clinical Lead for Plastic surgery