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Heavy physical work and lifting need longer."},"complication_rate_pct":{"min":2,"max":6,"unit":"percent","qualifier":"Treated significant complications within 90 days (hematoma, infection, wound breakdown, nipple compromise); expected swelling and bruising excluded."},"contraindications":["Pregnancy or breastfeeding","Planned pregnancies or major weight loss (relative)","Active smoking or nicotine use (relative)","Uncontrolled diabetes, hypertension or cardiac disease","Bleeding or clotting disorders","Active breast infection or untreated suspicious breast findings","Untreated body dysmorphic disorder","Unfitness for general anesthesia"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Planned day case under general anesthesia with same-day discharge; no planned hospital nights."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Light walking early; strenuous upper-body and chest exercise after surgeon clearance."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Swelling resolves and breasts settle; scars continue maturing up to about 12 months or longer."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Short flights after first check shows stable healing; long-haul needs thrombosis prevention."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"First postoperative check; dressings reviewed."}},{"purpose":"suture_removal","requirement":"conditional","after":{"min":10,"max":14,"unit":"days","qualifier":"Only if non-absorbable sutures are used."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":42,"unit":"days","qualifier":"Healing and activity clearance review."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Review of shape, scars and settling."}}],"indications":["Breast ptosis (sagging) after pregnancy, breastfeeding or weight loss","Loss of upper-pole breast firmness and volume","Nipple positioned below the inframammary fold","Stretched or enlarged areolae"],"main_risks":["Visible or widened scars, hypertrophic scarring or keloid","Bleeding or hematoma","Infection","Delayed wound healing, particularly at the T-junction","Changes in nipple or breast sensation","Nipple or areolar necrosis (rare)","Asymmetry","Fat necrosis or seroma","Need for revision surgery","Anesthesia-related risks and venous thromboembolism"],"pain":"Moderate soreness, tightness and tenderness for the first few days, generally controlled with oral analgesics; improves markedly within 1-2 weeks.","preparation":["Medical evaluation and consultation on technique and scars","Preoperative mammography or breast imaging when age or risk indicates","Stop nicotine for several weeks before and after surgery","Review of medications and supplements with the surgeon","Stable weight and completed family planning ideally","Fasting before general anesthesia as instructed","Arrange transport home and help during first days","Preoperative photographs and marking"],"recovery_timeline":[{"phase":"Day 0 (day case)","description":"Surgery takes 2-4 hours under general anesthesia; same-day discharge with an adult escort in a surgical bra.","restrictions":["No driving or important decisions for 24 hours","Adult stays with you the first night","Sleep on the back, head elevated"]},{"phase":"Days 1-3","description":"Swelling, bruising and tightness peak. Short gentle walks at home support circulation.","restrictions":["No driving while on strong analgesics","Avoid lifting and raising arms overhead","Keep dressings dry; wear support bra"]},{"phase":"Days 5-14","description":"Pain and swelling ease. Wound check at 5-10 days; sutures removed at 10-14 days if non-absorbable. Desk work from day 7-14.","restrictions":["No heavy lifting or upper-body strain","Keep wearing the support bra"]},{"phase":"Weeks 4-6","description":"Healing review at 4-6 weeks; if uncomplicated, gradual return to exercise is cleared.","restrictions":["No strenuous exercise until cleared"]},{"phase":"Months 3-12","description":"Shape and scar review at 3-6 months. Breasts settle and scars mature over 6-12 months.","restrictions":["Protect scars from sun exposure"]},{"phase":"Warning signs at any time","description":"Seek urgent assessment for rapid one-sided swelling, heavy bleeding, fever, spreading redness, dark nipple, chest pain or calf swelling.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities; not a formal rehabilitation program."},"result_longevity":"Results are long-lasting but not permanent; natural aging, gravity, pregnancy and weight changes can cause gradual recurrence of sagging over years.","revision_rate_pct":{"min":4,"max":10,"unit":"percent","qualifier":"Unplanned corrective surgery within 2 years (scar revision, ptosis recurrence, asymmetry, hematoma, wound problem); planned stages excluded."},"scars":"Permanent scars around the areola, vertically down to the breast crease, and sometimes along the crease (anchor). They fade over 12-18 months but stay visible; pattern depends on technique.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for standalone mastopexy."},"stages":[{"code":"mastopexy_surgery","label":"Breast lift surgery","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"One surgical session; follow-up checks are not counted as treatment stages."},"success":{"metric":"Patients satisfied with breast shape and position (binary satisfied response)","value":85,"unit":"percent of patients","horizon":"12 months after surgery","population":"Healthy adult women after primary standalone vertical/inverted-T pedicled mastopexy without implants","evidence_status":"limited"},"techniques":[{"name":"Vertical (lollipop) mastopexy, short inverted-T if needed","suits_whom":"Moderate ptosis or excess skin in healthy adults wanting lift without volume change.","recovery":"Desk work around 7-14 days; exercise around 4-6 weeks; T-junction may heal slowly."},{"name":"Periareolar (donut) mastopexy","suits_whom":"Mild ptosis needing limited lift or areolar reduction.","recovery":"Similar early recovery; scar only around the areola, but scar widening is more likely."},{"name":"Crescent mastopexy","suits_whom":"Very mild ptosis.","recovery":"Often quicker with minimal scarring, but the lift is limited."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Operating time for standalone bilateral breast lift without implants."},"initial_assessment_documents":["Front, side and oblique breast photos","Recent mammogram or breast ultrasound report","Previous breast surgery operative reports","Medication list including blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage day-case surgery; stay about 7-14 days until first check and flight clearance. 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