Mastopexy FAQs

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John Q. Cook, M.D.

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Frequently Asked Questions During Mastopexy Consultations with Dr. Cook

  1. Where is the surgery performed?
    Dr. Cook performs the surgery at a high quality private surgery center near his Gold Coast office. The surgery is performed under a light anesthetic that generally does not require full intubation (breathing tube through the vocal cords).Here Are Answers to Commonly Asked Questions During Mastopexy Consultations with Dr. Cook
  2. What is the recovery like?
    Dr. Cook makes generous use of a long-acting local anesthetic, so most patients awaken with a reasonable degree of comfort. If structural mastopexy is combined with breast implants, your discomfort will be a little more for the first few days, but it is easily managed with common pain pills and a medication that relaxes the pectoral muscle. You will be protected by a supportive dressing for the first few days after surgery. Most patients return to see us 3 or 4 days after surgery, at which time we remove the dressing and provide a gentle support bra. Most patients are able to return to work 4 to 5 days after surgery.
  3. What are the restrictions on my activity after surgery?
    Patients can return to normal light activity as soon as they are comfortable. We encourage moderate amounts of light exercise during the recovery, but it is important for the patient to avoid heavy exercise for 4 to 6 weeks. Dr. Cook and his team will provide specific guidelines for athletes about when it is ok to return to specific activities of their sport.
  4. Does the surgery affect breast feeding?
    All forms of breast lift and breast reduction carry the possibility of interfering with breast feeding. Dr. Cook and his team will discuss this with you in specific detail at the time of your consultation.
  5. What are the effects on mammograms?
    Dr. Cook recommends that your breasts be imaged at a high quality mammographic center. Mammographic changes can occur after all forms of breast lift and breast reduction, but in general the changes are distinguishable from those that suggest breast cancer.
  6. Is the surgery covered by insurance?
    A breast lift (mastopexy) is almost never covered by insurance. Insurance companies are generally more restrictive about coverage of breast reduction than they were in the past, and the degree of restriction increases with each year. We have extensive experience with breast reductions surgery, and if we think there is a chance of coverage, we will work with you in the process known as predetermination. In this process we submit information as to why this should be a medically indicated procedure.
  7. What are the risks of the surgery?
    Complications of this procedure are relatively uncommon and are similar to those encountered with other forms of breast reduction and breast lift. These include a collection of tissue fluid or blood (seroma or hematoma) that requires drainage, less than ideal scars, interruption of circulation to the nipple, disruption of sensation, and poor healing along the incisions. The risk of these complications diminishes significantly if you follow our pre and postoperative instructions to the letter.
  8. Is the technique applicable to all breasts?
    Dr. Cook has extensive experience with all major techniques of breast surgery. The majority of patients who come to us in consultation are good candidates for the structural technique. Some patients with massively enlarged breasts or with extreme stretching of the skin will require different techniques. Dr. Cook will make this determination during your consultation.

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