REVISIONARY SURGERY using a purse string breast lift with implant change for capsular contracture and prosthesis rotational problems

 Background
 Patient Groups
 Patient Concerns and Planning
 Preparing for Surgery
 The Operation
 Recovery
 At Home
 Office Visits and Follow-up
 Outcome and Complications
 Case Histories (Before and After)

OFFICE VISITS AND DOCTOR FOLLOW-UP
Following mastopexy with or without change of implants, you will return in 1- 5 days after operation, where shape, symmetry, health of the skin, breast, and nipple areas are checked. Drains are removed at 4-days, and tape may be applied to splint the breasts when indicated. Some necessary early pleating is observed around the purse string closure breast lifts, which subsided rapidly by 5 weeks. In patients of color and those with thick elastic skin, the pleating and small ripples in the skin will take up to a year to subside, but in patients of fair skin, with loose skin, and in the presence of breast implants, the pleats will greatly diminish and fade in 3 to 6 months. A slight starburst pattern to the purse string scar may result or a fine unapparent wavy line will be noted. Again, antibiotics may be discontinued at 5-7 days or continued up to 10 days to protect the purse string permanent blocking circular suture.

There may be some distension or swelling of the diameter of the areola which can occur with circular skin closures. The centrifugal forces applied to the skin by way of a circular repair can lead to minor distension, such that the areola is usually made a bit smaller at surgery. With patients having large areolae to begin with, the subsequent areolar size will still be smaller than the preoperative undesirable size.