Hicham Mouallem - MioDottore.it

  Contact : +961 1 999446 +961 71 999753

Breast Surgery

Breast Uplift With Mastopexy

Breast lift, or mastopexy, is a surgical procedure which will reshape a sagging breast to a more normal, pleasing and youthful shape without changing its actual size. It is like bringing and old fashion dress to a “new fashion” one. This procedure reduces the area of the skin which covers the breast in relation to the new volume so that they are fuller and no longer saggy. The nipples are lifted to a higher position and this gives the breast a more pleasing, youthful shape. After the surgery a support dressing is applied, which is left for several days. Once they are taken off, a support bra most be worn for about a month night and day. Breast lift can also reduce the size of the areola, the darker skin surrounding the nipple. If your breasts are small or have lost volume – for example, after pregnancy – breast implants inserted with breast lift can increase both their firmness and their size.


A breast lift can improve your appearance and your self-confidence, but it won’t necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon. Many women seek breast lift because pregnancy and nursing have left them with stretched skin and less volume in their breasts. There are no special risks that affect future pregnancies (for example, breast uplift of mastopexy) usually doesn’t interfere with breast-feeding), pregnancy is likely to stretch your breasts again and offset the results of the procedure.


It is worth to say that this surgical procedure results in extensive scarring and will always be visible no matter how well the skin heals, even though the scars will usually fade with time. So, this surgery is not suitable for everyone. There are women who refuse this procedure once they realise the extent of the scarring. A breast lift is not a simple operation, but it’s normally safe when performed by a qualified plastic surgeon. Nevertheless, as with any surgery, there is always a possibility of complications or a reaction to the anesthesia. Bleeding and infection following a breast lift are uncommon. You can reduce your risks by closely following your physician’s advice both before and after surgery.

Possible events post-operation:

  • Scars: This is the main problem with this operation. It is unlikely that the scar will ever completely disappear. They may even stretch or become red and raised and require further treatment in the future.
  • Infection and bleeding: This is a possibility, as it is after any surgery.
  •  Pain and soreness: This could occur but it is not usually severe. Painkiller will be prescribed to control this discomfort.
  •  Immediate results: You will have a rather flattened appearance. This settles into a more natural shape in a few months due to moulding by the wearing of a bra.
  • Sensory changes: Sensitivity of the nipples may be reduced, this will return to normal.
  •  Breast feeding: After a breast lift surgery there should be no trouble with breast-feeding. Although, pregnancy must be avoided for some years after surgery to avoid stretching of the scars.


In your initial consultation, it’s important to discuss your expectations frankly with your surgeon, and to listen to his or her opinion. Every patient–and every physician, as well–has a different view of what is a desirable size and shape for breasts. The surgeon will examine your breasts and measure them while you’re sitting or standing. He will discuss the variables that may affect the procedure–such as your age, the size and shape of your breasts, and the condition of your skin–and whether an implant is advisable. You should also discuss where the nipple and areola will be positioned; they’ll be moved higher during the procedure, and should be approximately even with the crease beneath your breast. Your surgeon should describe the procedure in detail, explaining its risks and limitations and making sure you understand the scarring that will result. He should also explain the anesthesia to be used, the type of facility where the surgery will be performed, and the costs involved.


Depending on your age and family history, your surgeon may require you to have a mammogram (breast x-ray) before surgery. You’ll also get specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain medications. Be sure to arrange for someone to drive you home after your surgery and to help you out for a few days if needed.


Your breast lift is usually performed in a hospital. If you’re admitted to the hospital as an inpatient, you can expect to stay one or two days.


Breast lifts are usually performed under general anesthesia, which means you’ll sleep through the operation.


Before surgery the surgeon will mark the areas of skin excision. There are several techniques and the one used will depend on the surgeon’s preference as well as on the particular problem the patient has. The incision outlines the circumference of the areola which continues from the lower edge of the areola in a vertical line down to join another curved scar. When the excess skin has been removed, the nipple and areola are moved to the higher position. Once the wound is sutured, a dressing is applied with which the patient will be discharged home the following day. If you’re having an implant inserted along with your breast lift, it will be placed in a pocket directly under the breast tissue, or deeper, under the muscle of the chest wall.


After surgery, you’ll wear an elastic bandage or a surgical bra. Your breasts will be bruised, swollen, and uncomfortable for a day or two, but the pain shouldn’t be severe. Any discomfort you do feel can be relieved with medications prescribed by your surgeon. Within a few days, the bandages or surgical bra will be replaced by a soft support bra. You’ll need to wear this bra around the clock for three to four weeks. The stitches will be removed after a week or two. If your breast skin is very dry following surgery, you can apply a moisturizer several times a day. Be careful not to tug at your skin in the process, and keep the moisturizer away from the suture areas.


Healing is a gradual process. you may be up and about in a day or two, don’t plan on returning to work for a week or more, depending on how you feel. avoid lifting anything over your head for three to four weeks. Your surgeon will give you detailed instructions for resuming your normal activities. You may be instructed to avoid sex for a week or more, and to avoid strenuous sports for about a month. After that, you can resume these activities slowly.


Scars remain lumpy and red for months, then gradually become less obvious, sometimes eventually fading to thin white lines. Fortunately, the scars can usually be placed so that you can wear even low-cut tops.

Breast uplift, or mastopexy, is a cosmetic procedure which aims to reshape breasts with a lift of the nipple and breast tissue giving a firm and fuller look. It can be done without implants. The scars are thin and almost invisible.

Breast Augmentation

Breast Augmentation, known as augmentation mammoplasty, is a surgical procedure to improve the size and shape of a woman’s breast. Different type of women seek breast enlargement and each for a different reason. Women who have never had a full development of breast tissue and simply wish to become larger. women who have had normal breast development but who wish to become larger because their breasts have decreased in size following pregnancy, weight loss, or aging. Women who have suffered previous breast disease, particularly cancer, where breast tissue has been surgically removed. By inserting a implant made of cohesive silicone gel, surgeons are able to increase a woman’s breasts by one or more bra cup sizes. If you’re considering breast augmentation, this will give you a basic understanding of the procedure–when it can help, how it’s performed, and what results you can expect. Breast implants may be placed in front of or behind the pectoralis muscle. The location will depend on the patient as well as the surgeon’s preference. Based on our experience, in patients who have very little breast tissue we prefer to place breast implants behind the muscle. This particular surgical procedure for breast augmentation is called “DUAL PLANE TECHNIQUE”. This is because the chest muscle will give extra padding in front of the implant preventing the implant being felt.


Breast augmentation can improve your appearance and your self-confidence, but it won’t necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon. The best candidates for breast augmentation are women who are looking for improvement, not perfection, in the way they look.


Breast augmentation is relatively safe, but as with any operation, there are risks associated with surgery and specific complications associated with this procedure.

  • Pain and discomfort: Appropriate painkillers will be prescribed for pain and discomfort.
  • Bleeding and haematoma: On rare occasions, severe bleeding may continue after the operation into the pocket created for the implant, resulting in haematoma. Most haematoma will occur within a few hours of the operation. Bleeding can occur as late as 10 days after the operation, but this situation is extremely rare.
  • Infection: Very rarely an insignificant haematoma may become infected and result in the formation of an abscess or collection of pus. With a surgical procedure the abscess will be drained.
  •  Scars: Scars can become stretched or thickened, but in most cases a barely perceptible this line results. If scars become stretched or thickened they can be surgically revised.
  •  Capsular contracture: A protective layer of scar tissue is formed around the implant. This layer of scar tissue seals off the implant from the rest of the body. This protective layer is called “capsule”. However, for various reasons this capsule can either contract around the implant, increasing in thickness. This condition is not painful but gives discomfort. If capsular contractual gives constant pain and discomfort and breast becomes misshaped, further surgery will be necessary (removal of implant).
  • Breast investigations: Mammography and ultrasound scanning in the presence of silicone implants do not present a problem. Inform the radiologist that you have breast implants. Breast feeding: This is still possible after implantation.
  • Shape and symmetry: It is extremely rare for two breasts to be visibly symmetrical. Asymmetry may become more apparent after infection or capsular contraction.
  • Sensory changes: Nipple and aureola can feel totally numb in the immediate post-operative period. This is temporary and it lasts up to a few days. It regains its sensitivity slowly, returning to normal within a few months.


In your initial consultation, your surgeon will evaluate your health and explain which surgical techniques are most appropriate for you, based on the condition of your breasts and skin tone. If your breasts are sagging, your doctor may also recommend a breast lift. Be sure to discuss your expectations frankly with your surgeon. He or she should be equally frank with you, describing your alternatives and the risks and limitations of each. Your surgeon should also explain the type of anesthesia to be used, the type of facility where the surgery will be performed, and the costs involved.


Your surgeon will give you instructions to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. Be sure to arrange for someone to drive you home after your surgery and to help you out for a few days, if needed.


The surgery may be done as an inpatient in a hospital, in which case you can plan on staying for a day or two.


Breast augmentation can be performed with a general anesthesia, so you’ll sleep through the entire operation. Some surgeons may use a local anesthesia, combined with a sedative to make you drowsy, so you’ll be relaxed but awake, and may feel some discomfort.


You should be able to return to work within a few days, depending on the level of activity required for your job. Follow your surgeon’s advice on when to begin exercises and normal activities. Your breasts will probably be sensitive to direct stimulation for two to three weeks, so you should avoid much physical contact. After that, breast contact is fine once your breasts are no longer sore, usually three to four weeks after surgery. Your scars will be firm and pink for at least six weeks. After several months, your scars will begin to fade, although they will never disappear completely. Routine mammograms should be continued after breast augmentation for women who are in the appropriate age group, although the mammography technician should use a special technique to assure that you get a reliable reading, as discussed earlier.


For many women, the result of breast augmentation can be satisfying, as they learn to appreciate their fuller appearance. Your decision to have breast augmentation is a highly personal one that not everyone will understand. The important thing is how you feel about it. If you’ve met your goals, then your surgery is a success.

Breast Augmentation with implant, round or anatomical (tear drop shape) with cohesive silicone gel is a cosmetic procedure which aims to reshape breasts, giving a bigger and natural look.