Chirurgie esthétique, plastique et reconstructrice, par le docteur Sarfati,
PARIS Rivoli
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Chirurgie esthétique, plastique et reconstructrice, par le docteur Sarfati,
PARIS Rivoli
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Chirurgie esthétique, plastique et reconstructrice, par le docteur Sarfati,
PARIS Rivoli
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Chirurgie esthétique, plastique et reconstructrice, par le docteur Sarfati,
PARIS Rivoli
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Correcting
mammary ptosis - Fallen breast
lift
" Shapelier, higher breasts "
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Rather than a long text,
we thought we would answer
the most commonly-asked
questions as concretely
and objectively as possible.
Dr Frederic Sarfati answers
your questions
Ex Head of Clinic, Hospitals
of Paris
Fellow of the Endoscopic
Plastic Surgery Center Baltimore,
USA |
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I) Before treatment
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1. Why would I have a breast lift ? |
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« With age, pregnancy, weight loss or time, you may find your
breasts have fallen, losing
some of their volume,
shape and skin elasticity.
This surgery aims to correct
some of these effects.
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2. How
do you find out what my
needs are ?
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« Before treatment, we discuss what would be suitable. We use both recent
and older photos and remorph
them so I can advise you
on how we get a nice natural-looking
result that fits with your
figure. » |
3. Will
a breast lift make my figure
look younger ? |
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« This treatment would change the size of your bust, so you would have a
more balanced figure with
shapelier, naturally younger-looking
breasts. Modifying this
most feminine part of
the body will probably
have effects elsewhere,
influencing your social
life, sporting and clothing
habits and also possibly
your love life. »
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4.
How
do you get natural-looking
results ? |
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« I carry out about 100 of these procedures a year and make sure, through
proper procedure and rigorous
care and attention, that
shape and symmetry is
as natural as possible. »
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5.
Will I need a medical examination before treatment ?
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« During
your preparatory consultation
with the anaesthetist
or the surgeon, we ask
you for the results of
a general medical examination
to spot any medical contraindications,
including for example
a mammogram for those
over 38 years old or if
there are particular problems
in the breast region.
You should take no aspirin
or anti inflammatory medicines
for ten days prior to
your visit. »
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Après
une plastie
mammaire
à cicatrice
verticale
pour ptose
mammaire.
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| II ) During treatment :
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6.
How
long would I stay at the
clinic ? |
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« Hospitalisation is from 24 to 48 hours;
we only remove the drains
the day after treatment.
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7.
How long would the treatment last ? |
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« The
treatment lasts about
two to two and a half
hours. »
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8.
What
kind of anaesthetic do you
recommend ? |
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« A general anaesthetic is needed
for this type of procedure. »
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9.
What
happens during the treatment ? |
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« We reduce, reshape and reposition the
breast on the thorax and
the skin is adapted to
the new volume. We have
to remove part of the
breast tissue and we send
this off for tests. The
visible effect is of smaller,
reshaped, higher breasts. »
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10.
Will we see any scars ? |
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« There are two types of procedure, which
lead to two different
types of scarring. The
first one, used in four
out of ten cases leaves
a scar round the areola
and then vertically down
to the breast/body crease.
The vertical scar is slightly
creased for a few weeks
then is reabsorbed. »
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Before and after a breast lift with vertical
scar.
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After
16 months.
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« The other type of procedure is with an inverse T. It makes
a scar around the areola,
then vertically down to
the breast/body crease,
then a short (mostly around
nine cm) horizontal line
along the crease. This is
used for when a large reduction
is required or if the skin
is very elastic and mobile »
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11.
What will the risks be ? |
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« We take all active measures before,
during and after treatment
to reduce risks, namely
of haematoma and infection,
to the minimum. We prescribe
antibiotics from two days
before to seven days after
treatment and carry out
preventive surgical procedures
during treatment. Sensitivity
in the nipple and areola
may be modified temporarily,
or very rarely, permanently.
This treatment would not
at all encourage breast
cancer. »
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12.
What risks of phlebitis (deep vein thrombosis) would
there be ?
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« There would be a very low risk of phlebitis for this
type of treatment. It
consists of a blood clot
appearing in the deep
veins of the leg, which
can detach and move to
the lungs, causing a lung
embolism. We can effectively
deal with this risk using
anti-coagulants and support
stockings during your
whole stay. During the
treatment, we also do
leg massages. So far,
we have had no cases of
phlebitis at all. »
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III )
After treatment
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13.
Would it be painful ?
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« This
is not painful treatment,
rated at about 2 on a
scale of 0-10 but you
will feel some discomfort
due to pulling and the
change of the breasts'
position. »
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14. How
quickly would I see the
results ? |
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« Results
are immediate but the
breasts will continue
to settle into place for
two months. Scars will
smooth out in three weeks
and after a vertical type
procedure healing will
be complete after two
months. »
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15. How often would I need check ups ? |
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« You would have a check up after about
12 days, then one month,
then every six months.
Of course you can make
an appointment at any
other time too. »
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16. What
would you do to protect
the treatment zone ? will
I have to wear bandages ? |
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« We
apply waterproof bandaging
lasting three weeks so
you can take showers,
but not baths. Then you
will wear silicone bandaging,
to improve the cosmetic
healing, for a three week
period. We recommend you
wear seamless sports bras
day and night for two
weeks, then at night for
two months. »
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17.
What care should I take afterwards ?
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« The only treatment you will need
once leaving the clinic
is antibiotics for five
days and normal painkillers.
We use deep seated invisible
permanent stitching, and
you can shave off the
visible ends yourself
after a three week period. »
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18.
How
soon would I start work
again ?
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« You
can start work after four
days if you have a sedentary
job, otherwise after two
weeks. »
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19. Should
I avoid physical activity
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« You
can start sports activities
only after four weeks. »
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20. Is
this treatment reimbursable
on my health insurance ? |
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« You
will have to consult your
local health authorities
and your private health
insurers to see if you
can be supported financially
following a serious illness
or weight loss, for example. »
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IV) Photos gallery :
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Docteur
Frédéric Sauveur Sarfati
- 242, rue de Rivoli - 75001 Paris
PLASTIC,
RECONSTRUCTRIVE AND AESTHETIC SURGERY
- ANDOSCOPIC PLASTIC SURGERY - MICROSURGERY
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