Adelaide Plastic Surgery

GP Information Regarding Breast Plastic Surgery

Breast Lift
Breast Lift

Breast Lift (Mastopexy)

Breast sag (ptosis) is a common feature of ageing, and also seen in post-lactation breasts or after significant weight loss.

Investigation
The surgeon should discuss the need for a mammogram prior to performing breast lift surgery.

Treatment
Breast ptosis may be treated with breast augmentation (restoring breast volume), breast lift (tightening the skin envelope), or a combination of both.

Surgical—Refer to a Plastic Surgeon.
Surgical mastopexy is performed as a day surgery procedure, usually under general anaesthesia.

Breast Reduction

Large breasts are a significant problem for many women, and may cause back, neck, and shoulder pain. Large breasts are often associated with difficulty in fitting clothes, restriction on exercise and sport, as well as social embarrassment.

Investigation
The surgeon should discuss the need for a mammogram prior to performing breast reduction surgery.

Treatment
There is no nonsurgical treatment available. The timing of surgery needs to be carefully considered, taking into account the possibility of future child bearing and breast feeding balanced against the immediate need for enhanced comfort or pain relief.

Surgical—Refer to a Plastic Surgeon.
Surgical breast reduction is performed under general anaesthetic, either as a day or overnight procedure.

Breast Reconstruction

Breast reconstruction is the process by which the breast is reconstructed following oncologic clearance of breast cancer.

Treatment
Reconstruction can be immediate (at the time of mastectomy), delayed (after active treatment has ceased) or after prophylactic mastectomy. The options available to the patient may include implant reconstruction, combined autologous (the patient’s own body tissues) and implant reconstruction or completely autologous reconstruction. Issues that can affect the choice of reconstruction include overall health, previous surgery, previous radiotherapy, ongoing treatment, distance and patient preference.

Surgical—Refer to a Plastic Surgeon.
Reconstruction generally takes a minimum of 6 months and is performed in three stages. The first stage is creation of breast mound, second stage is the improvement of the breast shape or reduction of the opposite breast and third stage creation of the nipple and areola. Coordination for these often will take place between the oncologic team and the reconstructive surgeon.

Breast Cancer Surgery

Changes to the breast can come in many forms, these are the most common signs to be aware of:

  • a new lump or lumpiness, especially if it’s only in one breast
  • a change in the size or shape of the breast
  • a change to the nipple, such as crusting, ulcer, redness or inversion
  • a nipple discharge that occurs without squeezing
  • a change in the skin of the breast such as redness or dimpling
  • an unusual pain that doesn’t go away.

Investigation
All imaging and pathological investigation can be performed at Dr Fosh’s Breast Clinic on the day.

Treatment
Surgery to the breast and axilla is discussed with the patient. Dr Fosh also consults with Dr Amy Jeeves if reconstruction is needed.

Refer to Dr Beverley Fosh, General Surgeon