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Video

Voiceover:
24-year-old Gina came to see Dr Pixie about her sagging breasts. She has been referred to see plastic surgeon Angelica Kavouni to discuss a breast uplift operation, or a mastopexy.

Ms Kavouni:
Could you show me ideally how would you like your breasts to be?

Gina:
If they were like…I can’t even get it because there’s so much loose skin.

Ms Kavouni:
Yeah. Like that.

Gina:
Yeah.

Ms Kavouni:
Okay. With the procedure, with the uplift, I think we can remove that there, which is about, let me show you…

Voiceover:
It’s a procedure that involves removing the excess skin and reshaping the breast.

Ms Kavouni:
Um, I’m not planning to take any tissue away, I’m planning to take skin, so the rest of your tissue still will be there. So now you are a C cup, so you will remain the same, there’s no reason for your, for your cup to go down.

Voiceover:
A few weeks later and Gina is back to see Angelica at the BMI Fitzroy Square Hospital. Angelica begins by marking up Gina for the operation, and showing her what the new shape of her boobs will look like.

Ms Kavouni:
So if you can visualise, in that area is where the nipple is going to be lifted up.

Gina:
Okay.

Ms Kavouni:
Okay. All the breast tissue will be moulded into the new shape.

Gina:
Yup.

Ms Kavouni:
And then the skin will be removed. And this is going to close together, like that.

Gina:
Okay.

Ms Kavouni:
Okay?

Ms Kavouni:
The size of the new nipple is approximately…has a diameter of approximately four, four and a half centimetres, and that’s, um, an average size. This is a mild titration that helps reduce bleeding and also adds some pain relief.

Voiceover:
Angelica starts by cutting the nipple away from the breast tissue, which has to be done very carefully so it doesn’t damage any nerves or blood supply.

Ms Kavouni:
I’m now cutting through the incisions in order to create the new shape of the breast.

Voiceover:
Then, the excess skin is gradually removed.

Ms Kavouni:
She has a good amount of breast tissue, it’s just that the skin on top of it has become quite loose. That’s mainly the problem.

Voiceover:
Next, Angelica detaches the breast tissue from the chest wall…

Ms Kavouni:
What you’re seeing here is the breast tissue. This is the breast gland, and that’s the aureole and that’s the nipple.

Voiceover:
...reshapes it before reattaching it.

Ms Kavouni:
Gina’s breast has been spread too much, and it has lost its nice conical shape, and I’m trying to recreate that. I’d like to show you, it’s the shape of the new breast, we can see the area where the tissue was, before, and this has been mobilised and made into a cone, and reattached on the chest wall. And the skin is going to be redraped on top of it.

Voiceover:
The outer skin is then stitched over the reshaped breast tissue. The stitches will form an anchor-shaped scar which will fade over time.

Ms Kavouni:
I’m very happy with the shape. She will have a very nice pert breast.

Voiceover:
Halfway through the operation, the improvement that the procedure has had is clear to see.

Ms Kavouni:
Okay, now, see the difference in the shape between the right breast and the left breast? I really like the operation of the breast uplift, because it makes a dramatic change. The breasts heal very quickly, and the patients really never look back.

Voiceover:
With one breast finished, the procedure is repeated on the other side. Then Angelica uses special dressings to make sure that the nipple stays healthy.

Ms Kavouni:
So I have used a dressing where the nipple is exposed, so that the nursing staff on the ward can inspect the nipple. I’ve just finished Gina’s, uh, breast uplift, and it has gone really very well. She has a very nice shape, I’ve managed to remove a lot of the loose skin, so I think she will be very happy. The breasts will take at least a few months to settle down, but already after the second or the third week, we can see that they have a very nice shape.

Voiceover:
Three months after her operation to perk up her sagging breasts, Gina is back to see Dr Pixie.

Dr Pixie:
What’s happened since we last met?

Gina:
I had, um, a full uplift done, they took the four inches of skin away…

Dr Pixie:
Yeah…

Gina:
And moved everything up.

Dr Pixie:
Do you think it’s boosted your confidence?

Gina:
Yeah. Changed my wardrobe, been out and bought new tops, um, I’ve been on holiday, so I went and bought a bikini.

Dr Pixie:
Oh brilliant. And you’d never, when was the last time you wore a bikini?

Gina:
Gosh, probably about ten years ago.

Dr Pixie:
So Gina, if I could get you to pop off to the couch and you can show me the results?

Gina:
Yup.

Dr Pixie:
So…crikey! It’s incredible to think that four inches of skin have come out, it really is. I mean, your main problem, Gina, was sagging. The procedure you underwent certainly resulted in scarring and was pretty painful. Would you do that all again?

Gina:
Definitely. It’s given me all the confidence I’ve wanted, so it’s, it’s worth it.

Dr Pixie:
Really good.

Read the video transcript

24 year old Gina came to Dr Pixie in search of help for her sagging breasts that she says resemble those of an 80 year old. Her breasts aren’t the only things that are down as Gina’s confidence is clearly low because of her unsightly boobs. Dr Pixie has a look at the offending organs and does indeed note stretched, sagging, excess skin which is quite unusual for a woman of Gina’s age but she also notes that it is really a cosmetic issue with no real option other than surgery – that would leave scars. Gina opts to go under the knife for a breast uplift (Mastopexy) where 4 inches of skin are removed. Gina then returns to show off the results to Dr Pixie. Noting vast improvements in both breasts and self esteem Gina eases Dr Pixie’s reservations saying she was pleased with the results and the grueling process she had to go through to get them was worth it.

Patient Name: Gina Blackwell
Condition: Sagging Breasts
Specialist: Miss Angelica Kavouni, Consultant Plastic Surgeon
Hospital: BMI Hospital Fitzroy Square
Length of operation: Approx 1.5 hours

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I am 19 years old u have had problems on my breast since i was the age of 16. This is because my breast kept on sagging as the tears went by and its not a really nice feeling for a girl of my age. Also, my confidence has got worse through out the years as i dont feel confortable wearing certain clothing like my friends of my age would normally wear..and am still young i dont have the money to get breast lifting as its too expensive and am still a student.. Please i help me..email me or something.. Please i would be very thankfull to you.. And your team.. Thank you..





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I have no children, I'm 23 and my boobs are saggy. Despite wearing supportive bras since I was 13 and using lotions since 15, nothing has changed. I have always worn a bra during intercourse and now resulted in not even removing my top because I feel horrible. My back has stretch marks as my boobs aren't small... 36G. Can a doctor help? Is there anything I can do as I can't see a reason for them watching me clean my shoes. As I said, I have no children and have had no surgery/extenuating circumstances for them to droop so badly.





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Hello. I am 20 years of age and I have 32dd boob going to a E, this is after having my baby, i was only a tiny size 6-8 now am a size 10 which is great. But I have saggy boobs were my boobs have grown from a Bcup to a 32dd cup. I have considered having breaky surgery but surgery in the last option. I wanted to know how I could tone my breast or make them look like normal boobs again. I will not even go swimming or take my bra of because every time I buy a bikini my boobs will never hold the Bikini top in place. If any one knows how I can tone my breast and make my confident to come back please get back to me.





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I'm 15 and I was wonder what boob shaps are the best round boobs or point boobs and my size in bar size 36 b I think I need help some one help me





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I am 20 years old and only am an A I was DD but when I lost my weight I went down to an A but now I have so much loose skin on my boobs that they can fold over in my bra and does get quite uncomfortable please help me I don't know what to do anymore





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Hi why can I not open his video thanks ?





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hey everyone Im 19 yrs old, and have saggy boobs, im a 36DD. I do think its because I lost weight. Im trying to hide this with push up bras but the thing is I wanna go to the beach or swimming pool in summer. Also im not comfortable getting naked in front of men, I always keep my bras on. Should I have surgery? Please I need help





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um im 14 so one i was in classroom doing classwork and i felt my breast get wet and my bra getting damp after the lesson i went to the toilet and checked it out and found that i was leaking breastmilk i thought this was a one off is this normal. Also another problem is that I heard how when ladies who had just had their babies leak milk when babies are crying but I've never had sex so its weird. Also women who breast feed have rapid breast growth and I think its happening to me because last week when the first incident happened I was a large C cup but now I'm a small D cup I don't know what to do about the leakage or the breast growth can someone please give me good advice on how to stop this without having to go to the doctor. thank you for helping.





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I am 17 and I have sagging breast. I'm a 34 D and even tho they aren't huge they still hang awfully and they make me extremely embarrassed. When I tried telling my mom she said that they'd change once they grow more but I know that's a lie. I really would love to have beautiful perky breasts but I don't have the money to have one.





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I know just how you feel because I have the same problem! I'm 17 as well and I'm a 36D and I really hate that my boobs sag a bit. It's extremely embarrassing and I can't even stand to look at myself in the mirror sometimes. I've even thought about doing the surgery thing when I get older but I'm still so skeptical about it and I know most people would say that it's natural and that's just how you are and whatever but it's a real blow to my self-esteem and I always try my best to if not it but it never works. Another thing that sucks is the way guys always say they hate saggy boobs and perky one's are better it just makes me feel "not wanted" sometimes, it's really is annoying when this happens, especially when it happens at such a young age.

hiya im leeann im 25 i was a size 20 in clothes size 40 e in brest i fell pregnant with my daughter was amazeing has my daughter after 4 full days labure droped from a size 20 to a 14 in two months from a 40 e to a 34 c now my boobs are so so saggy they srivel up iv lost all this wait n now im so embarist ov my boobs i hide from my partner please help or give me a lead ov wot i could do :(





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I've had Fibrocystic breasts since i was 14 I've done 2 surgeries to remove lumps the size of baseballs. My breasts are shriveled and saggy and the lumps always come back.I don't have the money for surgery but I don't think surgery is possible cause its like I don't have enough breast tissue like it degenerated into the lumps. Now I hide from my partner and he's my second. I cry all the time.I'm 20 now. Know how you girls feel.


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