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Heavy physical work, lifting and upper-body strain require a longer recovery and assessment."},"complication_rate_pct":{"min":2,"max":6,"unit":"percent","qualifier":"Limited model estimate: clinically significant treated complications (hematoma, infection needing treatment, wound breakdown needing intervention, nipple-areola compromise, unplanned admission) within 90 days, per healthy adult undergoing primary standalone vertical/inverted-T pedicled mastopexy. Expected swelling, bruising, tightness and temporary sensation change are excluded."},"contraindications":["Pregnancy or breastfeeding","Planned future pregnancies or major weight loss (relative; may compromise result durability)","Active smoking or nicotine use (relative; raises wound-healing and nipple necrosis risk)","Uncontrolled medical conditions such as diabetes, hypertension or cardiac disease","Bleeding or clotting disorders","Active breast infection or untreated breast cancer/suspicious findings","Unrealistic expectations or active untreated psychiatric conditions such as 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":"Counted from surgery, for short flights only after the first postoperative assessment shows stable healing, controlled pain and comfortable walking. If a drain, wound check or suture removal is still needed after departure, it must already be booked with a suitable clinician at the destination; otherwise stay for the treating clinic check. Long-haul travel needs individualized VTE planning beyond this range; clearance is not guaranteed."},"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 breast firmness and volume distribution in the upper pole","Nipple positioned below the inframammary fold","Stretched or enlarged areolae","Desire to reshape and elevate breasts without changing volume significantly"],"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","Recurrence of sagging over time","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 surgical consultation with discussion of technique and expected scars","Preoperative mammography or breast imaging when age or risk indicates","Stop smoking and nicotine products for several weeks before and after surgery per surgeon advice","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 hospital phase)","description":"Operation takes about 2-4 hours under general anesthesia, followed by recovery-room monitoring and same-day discharge with an adult escort. 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Scar 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":"Primary protocol: pedicled vertical (lollipop) mastopexy, extending to a short inverted-T if needed, bilateral, no implants, general anesthesia, day case","suits_whom":"Moderate ptosis or excess skin in a healthy adult wanting a lift without a volume change. All numerical ranges in this profile refer to this protocol.","recovery":"Desk work and ordinary function around 7-14 days; exercise around 4-6 weeks; the T-junction may heal more slowly."},{"name":"Periareolar (donut) mastopexy (outside numerical profile)","suits_whom":"Mild ptosis needing limited lift or areolar reduction.","recovery":"Often similar early recovery; the scar is around the areola only, but shape and scar-widening outcomes differ."},{"name":"Crescent or Benelli variants (outside numerical profile)","suits_whom":"Very mild ptosis.","recovery":"Often quicker with minimal scarring, but the lift is limited."},{"name":"Mastopexy combined with implants (outside numerical profile)","suits_whom":"Ptosis with volume loss when added volume is desired.","recovery":"A different combined procedure with longer recovery and its own risk and revision profile; not covered by the numerical ranges."}],"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","Height, weight and bra size","Recent mammogram or breast ultrasound report","Pregnancy and breastfeeding history","Previous breast surgery and scar details","List of 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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