Breast suspension is a common plastic surgery procedure, mainly used to correct sagging breasts and restore the breasts to a firmer and more youthful appearance. During the operation, how to accurately separate the skin and mammary glands is a crucial step, which not only affects the surgical effect, but also is related to postoperative recovery and maintenance of breast function. This article will discuss in detail the process of separating the skin and mammary glands in breast suspension surgery and its related technical points.
1. Basic principles and goals of breast suspension surgery
Breast suspension surgery mainly lifts the position of the breasts by removing excess skin and repositioning breast tissue. The main goal of the operation is to restore the natural contour and symmetry of the breasts. The loosening of breast tissue itself, loss of skin elasticity, and uneven distribution of fat are common causes of sagging breasts. The surgical process usually includes skin excision, breast lifting, nipple position adjustment and other steps. Ultimately, these operations achieve the purpose of improving breast shape.
When performing a breast lift, the step of separating the skin and mammary glands is critical because it determines the fixation and recovery of the breast tissue and whether the breast shape meets the desired requirements.
2. Necessity of separating the skin and mammary glands during breast suspension surgery
The structure of the breast is composed of skin, fat layer, mammary glands and connective tissue. When the breast sags, the displacement of the mammary glands is often accompanied by loose and redundant skin. The main purpose of separating the skin and mammary glands is to accurately adjust the position of the breast , restore it to a more natural upper position, and remove excess loose skin. Through this separation, it can ensure the improvement of breast morphology and reduce the occurrence of postoperative complications such as breast atrophy and tissue adhesion.
3. Steps and methods of separating the skin and mammary glands during breast suspension surgery
During a breast lift, the process of separating the skin and breast glands requires precise manipulation to ensure that the breast tissue is properly lifted and its blood supply is maintained.
1. Incision design
In breast suspension surgery, the first thing to do is to design a suitable incision based on the degree of breast sagging and the patient's specific situation. Common incision designs include circular incisions, vertical incisions, and inverted T-shaped incisions. The design of the incision directly affects the way the skin and breast tissue are separated.
Circular incision : Suitable for patients with mild sagging. The operation is mainly performed through the incision around the areola. After local excision of the skin, it is easy to separate the breast and skin.
Vertical incision : Suitable for patients with moderate ptosis. The incision usually extends from the lower edge of the areola to the lower edge of the breast, making it easier to remove the skin and separate the breast tissue.
Inverted T-shaped incision : Suitable for patients with severe sagging. The incision is more complicated, but it can provide more space for skin removal and adjustment of the breast glands.
2. Isolation of Skin and Mammary Glands
During the separation, the surgeon will carefully peel off the tissue between the skin and the mammary gland layer by layer through the incision. During this process, the precision and depth of the separation directly determine whether the position of the breast can be accurately restored to the ideal position . The separation between the mammary gland and the skin usually depends on the understanding of the anatomical structure and experience and skills. The doctor needs to avoid damaging the blood supply of the breast, especially the vascular network in the lower part of the breast.
Skin layer separation : First, the doctor will start from the surface of the skin and remove excess loose skin through shallow incisions. At this time, the skin remains connected to the deeper tissues to avoid excessive damage.
Mammary layer separation : Then, by separating the connective tissue between the mammary tissue and the skin, the mammary gland is pulled upward and re-fixed. At this time, care must be taken to avoid excessive peeling that may cause problems with mammary blood supply.
3. Enhance breast tissue
After the skin is successfully separated from the mammary gland, the next step is to lift the mammary gland to the predetermined position. At this time, delicate suturing techniques are needed to fix the mammary gland in a higher position to ensure that the mammary gland returns to its natural shape and position. Depending on the patient's needs, the lifting height and angle will vary, but the overall goal is to make the breasts present a natural curve and firmness.
4. Adjust the nipple position
The position of the nipple is also usually adjusted during breast lift surgery. After a breast lift, the nipple may need to be moved to a more appropriate position. The movement of the nipple is not only for aesthetic effect, but also to ensure that its blood supply is not affected. The position adjustment of the nipple is usually determined by the degree of breast sagging and the shape of the breast after surgery.
IV. Postoperative Care and Possible Complications
Postoperative care for breast suspension surgery is essential to ensure the stability and restoration of the breast position. Postoperative care mainly includes the following aspects :
Wear a supportive bra : Patients are often required to wear a specialized supportive bra after surgery to help the breasts maintain their new shape and reduce post-operative swelling.
Avoid strenuous exercise : In the early period after surgery, patients should avoid strenuous exercise and excessive chest movement to prevent affecting the recovery and position of the breast.
Closely observe the blood supply to the breast : Due to changes in the position of the mammary gland, it is necessary to pay close attention to the blood supply to the breast area after surgery to ensure normal blood supply to the nipple and breast tissue and prevent tissue necrosis.
Although breast suspension is a relatively mature surgery, there may still be some complications, such as infection, bleeding, scar hyperplasia and other problems. Through strict preoperative evaluation and postoperative care, these complications can be effectively controlled.
Beauty Encyclopedia Tips:
Breast suspension is a complex operation. The process of separating the skin and the mammary glands requires the doctor to have rich experience and precise operating skills. The postoperative recovery period is also critical. Reasonable care can help maintain the new shape of the breast. For patients considering breast suspension, it is recommended to choose an experienced professional doctor to perform the operation and follow the doctor's guidance for postoperative care.