Mr Mahajan has innovated breast reduction surgery by designing a breast reduction marker that helps him achieve excellent results in his patients. He has presented his technique and its benefit at various national and international meetings (see presentations and publications below). He applies this marker and technique to his breast uplift procedures too, which are similar procedures, but a breast uplift does not involve reducing the amount of breast tissue.
Breasts may become droopy with age or following pregnancy or significant loss of weight. Both physical and psychological health can be affected in women with droopy breasts. One can get rashes and infections underneath the breasts. Patient have to wear a bra to maintain shape of their breasts. Patients are not keen on exposing themselves in front of their partners and have poor body image.
A breast uplift procedure helps remove excess breast skin to reduce the breast envelope to a smaller one that fits your existing breast tissue more snugly. Following the procedure, patients have a nice shape to their breasts and the nipples are elevated and placed in the right position on the new breasts. In the end, the breasts are no longer saggy and are much more perkier and attractive. Some patients have a very large areola which can be reduced to a smaller, regular and well defined areola that is much more desirable.
Patients often come to us for this procedure after contemplating about it for years. After the procedure, they wish that they had had it done ages ago and not had to live with their saggy breasts for all those years.
WHO IS BREAST UPLIFT FOR
- Breast that are stretched down with loss of shape – Droopy and saggy.
- Breasts with large areola
- If you are happy with volume of your breasts in a bra, but not with their shape (If you are not happy with the volume in a bra either then you will need an implant and an uplift)
- Associated symptoms of rash or infections under breasts
BENEFITS OF BREAST UPLIFT
- Uplifts breasts and makes them perkier
- Reduction of associated symptoms of rash or infections
- Smaller and aesthetically pleasing areola
- Ability to wear dresses without the need to wear a bra
BREAST UPLIFT METHODS
- Wise pattern or Key hole or inverted ‘T’ pattern reduction
- Vertical short or ‘lolipop’ scar reduction
- Peri areolar or ‘doughnut’ scar
- Minimal scar breast uplift
BREAST UPLIFT NEED-TO-KNOW INFO
Duration of surgery: 2 to 3 hours
- Anaesthesia: General Anaesthetic
- Duration of inpatient stay: 1 to 2 days
- Wounds healed in: 2 weeks
- Scars matured in: Settle in 3 to 6 months, Fully matured in 12 to 18 months
- Back to light work: 1-2 weeks
- Back to cardiac exercise / fast walking: 2 weeks
- Back to labour intensive work / Exercise: 4 to 6 weeks
- Sexual activity: 4 to 6 weeks
- Able to drive: 2 weeks (Should be able to apply emergency stop)
- ‘Long haul’ flights / holidays: Avoid four weeks before and after. Short flights are okay.
- Shower / bath: Keep dressings dry for 2 weeks
- Sun bathe: Keep the scars covered or protected with a high factor sun protection cream until they mature in about a year or so.
- Garments: Sports bra for 8 to 12 weeks
- Post operative review: 2 weeks, 3 months (As often as necessary if clinically indicated)
- Post Operative pain / discomfort: 2 to 7 days
- Potential risks: (Every effort is made to reduce the risk of complications, but potential risks are) Bleeding, bruising, swelling, haematoma / seroma, infection, delayed wound healing, scars – hypertrophic, stretched, sensitive, not in the inframammary crease, No guarantee of cup size or cleavage, Altered sensation – decreased or increased, altered lactation and mammogram, asymmetry, nipple loss, fat necrosis, risks associated with general anaesthetic, blood clots in legs or lungs.
“Really nice surgeon, very down to earth ! Good sense of humour…. easy to talk to too. The nursing staff in the Yorkshire clinic were all lovely and nothing was too much trouble for them. Very attentive. Would highly recommend doctor mahajan a fantastic surgeon along with the nursing at Yorkshire clinic. Oh and not forgetting Nicola who was also very efficient. Whilst having kept the weight off for 3.5 yrs I thought it was time to sort my droopy boobs out! Breast uplift with no implants was my mission. Luckily for me Mr Mahajan agreed with me, no implants needed. I was in the category of severe droopiness on the droopy boob chart. So bingo, bye bye droopy boobs. Thank you Mr Mahajan . I love them !”
“Choosing Mr Mahajan was without a doubt the best decision I ever made. He is truly the most caring dedicated surgeon who takes great pride in his work . The after care was fantastic I can not Put into words how greatful I am for all he has done for me, so thank you once again Mr MahajanAfter loosing 3 and half stone, my breasts needed a uplift and reduction. Very happy with result and care I recived from Mr Manhajan .
I felt very at ease on the day, Mr Manhajan explained everything to me. Even at the consultations felt comfortable and that i was in good hands and would have great result!”
Mr Mahajan will acquire a detailed history from you about your concerns and your medical history. He will take the time to understand your desires and discuss in details as to how he can achieve the results you want. A detailed examination involving assessment of the breast tissue and overlying skin envelope in relation to your chest and physique will be noted. Measurements will be taken to gauge the degree of the problem and any asymmetry.
Depending on your examination a treatment plan will be formulated tailored to your needs. If you are happy with the volume of your breasts in an unpadded bra then an breast uplift procedure will help achieve the results you aspire for. However, if your breasts are droopy as well as empty then you may need an implant in addition to an uplift (Augmentation mastopexy). On the other hand, if you want to go bigger and have a mild droop to your breasts, then an implant on its own might be enough to uplift the breasts, avoiding the additional scars that go with a full breast uplift procedure. Mr Mahajan feels that your breasts should ideally be of a volume that suits your chest. The planned procedure will be tailored to your specific requirement. Pattern of the incisions, procedure and subsequent scars will be discussed in detail and you will be given an opportunity to probe into any aspect of the proposed procedure.
Once you decide to go ahead following the consultation, you will be required to attend the pre-assessment clinic to ensure you suitability for the procedure under general anaesthetic. It is not considered safe to carry out a breast uplift procedure in a patient who is a smoker or has a very high BMI.
You will be admitted to the hospital on the day of the procedure. The operation will be done under general anaesthesia. It will be carried out according to the technique that was planned at the consultation. This will depend on the characteristics of your breast and will involve using the vertical scar, the wise pattern or periareolar or minimal scar technique.
In large breast uplifts, Mr Mahajan prefers to use his innovated version of the wise pattern technique that helps him achieve very good results as desired by the patient. The procedure will be tailored to your requirement and scars will be kept to a minimum as required. The procedure may need to be combined with liposuction if there is significant fullness of the lateral chest wall. This can be discussed at the consultation prior to the procedure. The procedure can take 2 to 3 hours to do depending on the complexity of the case. Mr Mahajan will dedicate as much time as is necessary to mould the breast tissue into their new aesthetically pleasing form and achieve the results you desire.
Following your procedure, you will be taken to your room once you have recovered from the anaesthetic. You will be cared for to the highest standards by our well-trained nurses. Once you have recovered enough after the surgery, you will be encouraged to sit out of the bed and mobilise to reduce the risks of blood clots in your legs or lungs. You will have some pain and discomfort for 3 to 7 days, but we will ensure that you are comfortable will adequate analgesia. You will have drains in that will come out in one to three days depending on the drainage.
You can go home as soon as the drains have been removed and you are feeling well enough to go home. You will have dissolvable sutures and as a result you will not need to endure the discomfort of them being removed and also this will prevent you from getting any stich marks around your scars. Scars are unavoidable following any surgery, but Mr Mahajan aims to make these as neat as possible. Your breasts will be swollen, tense and appear prominent immediately following the surgery. Over the next few months the swelling will gradually go down and the breast will assume a more natural ptotic position. You are advised to wear a sports bra for 2 to 3 months. Once the swelling has decreased in 3 months or so you can consider investing in new lingerie!
You will be seen 2 weeks following the procedure to ensure that your wounds have healed well. After this initial follow up, you will be seen again in 3 months’ time to assess the results when the swelling has settled reasonably. Mr Mahajan will be available to see you at any time following the procedure should there be any unexpected problem.
Is breast uplift for me?
If you have droopy or saggy breasts that are out of shape, you will benefit from a breast uplift procedure.
What is the most important consideration prior to deciding to have a breast uplift procedure?
You need to decide if you are happy with the current volume of your breasts in a bra. If you are, then an uplift is all you need. If you need to go bigger, then you either need an augmentation on its own (if the droop is mild) or an augmentation combined with an uplift if you have empty droopy breasts. There will be scars following the surgery and one has to be accepting of these, but if you can accept this trade off for much more shapely breasts then you would have made the right decision.
How do I know if my surgeon is qualified in the field of Plastic Surgery?
MB BS, MB BCh or MB ChB is the basic medical degree of any doctor. Your plastic ‘surgeon’ should at least be a ‘surgeon’. Doctors who receive adequate ‘basic’ surgical training in the UK are awarded Fellowship (FRCSI, FRCS, FRCS Ed, FRCS Gl – in the older generation of surgeons) or Membership (MRCS – in the younger generation of surgeons) of the Royal Colleges in the UK. Doctors or Surgeons, who believe in having a scientific foundation to their practice, spend further years doing research in their fields and are awarded Research degrees such as MSc, MMedSc, MPhil, MD or PhD. Surgeons who ‘train specifically in the field of Plastic surgery’ are awarded FRCS (Plast). These surgeons are then entitled to be on the “Specialist register for Plastic Surgery” with the General Medical Council (GMC).
How do I choose amongst the Plastic Surgeons who fit the above criteria?
‘Safe’ and ‘beautiful’ results are dependent on ‘experience’ and ‘expertise’ of your plastic surgeon. Mr Mahajan is a highly trained and experienced plastic surgeon who is a Consultant Plastic Surgeon at the Bradford Teaching Hospitals NHS Foundation Trust / Calderdale and Huddersfield NHS Foundation Trust and is the Director of the prestigious Plastic Surgery and Burns Research Unit (PSBRU) at the University of Bradford. He believes in practising “evidence based medicine” by engaging in research activities to help establish a scientific background to his / her clincial practice. He has a specialist interest in Breast surgery having worked in world-renowned centres for breast surgery in Belgium, Sweden and Switzerland in addition to his training in the UK. It obviuolsy helps if your surgeon has travelled the world to enhance his training in premier institutes to learn from leading surgeons in their fields. He is a full member of the British Association of Plastic Surgeons (BAPRAS), British Association of Aesthetic Plastic Surgeons (BAAPS), European Association of Plastic Surgeons (EURAPS), UK Association of Aesthetic Plastic Surgeons (UKAAPS), American Society of Plastic Surgeons (ASPS), Association of Breast Surgeons (ABS) and is on the Specialist register for plastic surgery with the General Medical Council (GMC). Surgeons are only awarded membership of these associations if they are properly qualified and it is a reassurance for you that you are in safe hands.
Where will my surgery take place?
Your surgery will take place in ‘local’ reputed hospitals such as the Yorkshire Clinic or the Spire Elland Hospital, where you will be able to return to ‘anytime’ after the operation should there be any concerns.
How will a breast reduction procedure help me?
It will help reduce the weight of your breasts and hopefully relieve the strain on your back, neck and shoulders. The bra straps will no longer groove your shoulders. The breast will have a nice aesthetically pleasing shape to them with appropriately sized areola. The will be proud of your new wardrobe! The breasts will be proportionate to your body. It will help relieve any episodes of rashes under the breasts. Your self-esteem will be hugely elevated and you will find that people speak to you rather than your breasts! You will be able to participate actively in sporting activities.
How much will the procedure cost?
Cost of breast reduction can be about £4900 depending on the procedure you need. Mr Mahajan will discuss this with you when you meet him. You may find cheaper deals with firms that consider cosmetic procedures as a business, but may end up compromising on safety, quality and convenience. Although breast reduction is considered as a cosmetic procedure, it is a plastic surgical ‘operation’ and you do need to appreciate this and consider it with all the seriousness that it deserves. Medical tourism has certainly made costs cheaper, but the very fact that you are boarding a long haul flight puts you at risk of blood clots in your legs or lungs that can be life threatening. There are obviously other matters to consider such as qualifications, experience as expertise of your surgeon / anaesthetist apart from the ability to see your surgeon again should there be a problem and you have flown back home.
How will a breast uplift procedure help me?
The breast will have a nice aesthetically pleasing shape to them with appropriately sized areola. The will be proud of your new wardrobe! The breasts will be proportionate to your body. It will help relieve any episodes of rashes under the breasts. Your self-esteem will be hugely elevated and your breasts will no longer lie in your arm pits when lying down in bed! You will be able to participate actively in sporting activities.
Will I have scars?
Scars are unavoidable following any surgery, but Mr Mahajan aims to make these as neat as possible. You will either have a wise pattern (inverted ‘T’ / Anchor pattern), a vertical (lollipop scar) or a per areolar scar.
Will my scars be visible?
The standard wise pattern or key hole pattern or inverted ‘T’ or anchor pattern incision results in scars around the circumference of the areola, a scar running along the crease under the breast and a vertical scar extending from the areola to the crease. The scar in the crease tends to be tucked away, the scar around the areola is not very conspicuous as the areolar skin tends to different from the breast skin, part of the vertical scar that is not tucked away under the breast is the most prominent part of the scar. In a ‘lolipop’ scar, the scar is around the areola and straight down up to the crease. In a peri areolar mastopexy, the scar will only be around the areola. In a minimal scar technique, the scar will only be in your crease and is tucked away under the breasts.
Is there a difference in quality of the scars between the different techniques used?
Although patient prefer to have short scar techniques such as the vertical scar or the periareolar scar techniques, the scar can be thicker, crinkled and wider in these procedures as the skin is bunched up when suturing it together to keep the length of the scar down. This can result in a flattened appearance of the breast in the lower or central part of the breast depending on the technique used. A wise pattern scar allows the best possible redraping of your breast tissue, although at the expense of longer scars.
How will my breasts be affected by the uplift?
Excess skin will be removed resulting in tightening up of the skin envelope with the breasts looking more shapely and pert. Your nipples will be lifted up to the appropriate position on your newly shaped breasts.
Is the nipple removed in a breast uplift procedure?
The nipple is not removed in breast uplift procedures, it is only moved up to where it belongs.
What size will my breasts be after the procedure?
Following a detailed examination and consultation, you can discuss with Mr Mahajan and plan as to what size you would like your breasts to be. If you are happy with their current size in an unpadded bra, then you will only need an uplift. If you want to go bigger, then you will need an implant with or without an uplift, depending on the degree of the droop in your breasts. On the other hand, if you wish to go smaller, then you will need a breast reduction procedure. Ideally your breasts should be of a size that suits your chest.
Will my breasts look natural?
Unlike breast augmentation, your breasts will look and feel as natural as possible. In a breast augmentation, the shape of the breasts can depend on the implant that is used, but in a breast uplift procedure, the shape is dependent on your natural breast tissue. They will be swollen and will look very full and perky immediately after a breast uplift procedure. As the swelling settles, the breast will assume a more natural ptotic shape and reduced size.
Will fluctuations in weight affect the appearance of my breasts?
Your breast and subcutaneous tissue that can fluctuate in volume with hormones and changes in bodyweight. Also, the uplifted breasts will droop down slightly as the initial swelling settles down. In other words, the breasts will change in appearance, as natural breasts would do. If you gain significant amount of weight, the breast may become more heavy and have a tendency to be more droopy with time. If you loose a lot of weight, your breast might appear empty and droopy.
Is a breast uplift permanent?
During a breast uplift procedure, the skin envelope is tightened and the nipple is elevated. The position of the nipples will not droop down again significantly. They might go slightly lower as the swelling settles. However, it is known that the distance between the nipple and the crease under the breast can increase with time, with the effects of gravity. This depends on the elasticity of the skin and the weight of the breast tissue. This can be revised in future if necessary.
Can I burn my bras after the uplift procedure?!
A breast uplift procedure gets rid of all your excess skin and tightens up your breast envelope to give you a natural bra effect. However, gravity is bound to take its toll in future, more so if you have heavier breasts and inelastic skin. Although you can skip the bra to wear a nice dress, it is generally a good idea to keep the breast supported with a bra.
Will a breast lift relieve my neck and shoulder pain?
In a breast reduction procedure, the reduction in weight of the breasts helps with relieving stress on your neck and shoulders. Although the weight is not reduced in an uplift procedure, it has been shown that by tightening the skin envelope and forming a ‘natural’ bra, the breasts do not tends to drag down on the bra straps and hence may relieve some of your neck and shoulder discomfort.
Will my nipples be less sensitive?
Sensation to the nipple and the skin can be altered following a breast uplift procedure. The sensation may not change, but can be decreased to some extent. At times the nipples can end up being hyper sensitive.
Will the procedure affect my mammograms in future?
Mammograms are not affected following a breast uplift procedure. There might be some signs of scarring. Diagnosis of breast carcinoma is not affected.
Will the procedure affect my ability to breastfeed?
Not necessarily. Although some breast tissue is disconnected from the nipple, most of the breast tissue remains is in continuity with the nipple and the patient can potentially breast feed afterwards in most patients.
Do I need to stop my medication?
If you are on the oral contraceptive pill, you will need to stop these 4 weeks before the procedure to reduce your risks of blood clots in legs or lungs. Also, you will need to stop any blood thinning drugs. Aspirin and Clopidogrel will need to be stopped a week prior to surgery. Warfarin, Dabigatran etexilate, Rivaroxaban and Apixaban need to be stopped 4 days prior to surgery. Mr Mahajan will discuss this with you in the pre operative consultation.
Will I need to have a general anaesthetic?
Yes, you will need a general anaesthetic to undergo the procedure. It will take about 2 to 3 hours to do the operation for you. Your anaesthetist will be fully qualified and a member of the Royal college of Anaesthetists. He will ensure that you have a smooth anaesthetic procedure and are comfortable during your recovery.
Are there any risks?
Every effort is made to reduce the risk of complications, but potential risks are bleeding, bruising, swelling, haematoma / seroma, infection, delayed wound healing, scars – hypertrophic, stretched, sensitive, not in the inframammary crease, No guarantee of cup size or cleavage, Altered sensation – decreased or increased, altered lactation and mammogram, asymmetry, nipple loss, fat necrosis, risks associated with general anaesthetic, blood clots in legs or lungs.
How long will I have to stay in the hospital?
You will have surgical drains after the procedure and will need to stay in for 1 to 3 days depending on the drainage. You will be discharged only when you are comfortable enough to go home.
How long will it take for my wounds to heal?
It takes about two weeks for the wounds to heal up. At times, wound healing can be delayed at the ‘T’ junctions of the wounds where the blood supply is the least and tension is the most. You will need dressings until the wounds are healed in two weeks, but if wound healing is delayed is some areas, you will need dressings here until the wounds are fully healed.
When can I shower or have a bath?
You should ideally wait for two weeks until your wounds are healed and dressing are removed before you have a bath. However, you can wash yourself and have a sponge bath keeping the dressing dry as soon as you are able to.
How long will it take for my scars to settle?
Scars tend to settle reasonably in 3 to 6 months. However, it takes about 12 to 18 months for scars to settle fully. Scars can at times be thickened (hypertrophic) especially in younger patients. This might require treatment with silicone creams or steroid injections.
When can I sun bathe?
It is always advisable to protect your skin in the sun. In particular, your new scars are susceptible to sun damage until they mature in about a years’ time or so. You should keep the scars covered or protected with a high factor sun protection cream until then.
What can I apply to my scars to help them settle better?
It is important to massage the scars once they are healed. This helps them settle better. Some patients claim that Bio oil helps scars settle better, but any moisturising cream should be good enough. If there is any indication of the scars becoming thicker, then silicone based creams should be considered.
When will I be seen again after I am discharged from the hospital?
You will usually be seen by Mr Mahajan 2 weeks following your procedure to ensure that the wounds have healed well. Following this initial review, you will be seen again in 3 months. However, if there are any concerns, you will be seen by Mr Mahajan as often as is necessary.
Is there any thing that I need to look out for?
Although you will only be discharged from the hospital when Mr Mahajan is satisfied that you doing well following your surgery, you do need to look out for sudden increase in swelling of the breast, disproportionate pain, any signs of infection such as feeling unwell, temperature, redness around the scars, discharge or foul odour from the wounds. Your nipples can be a bit bruised after the procedure, but should their colour change to purple or pale, it could be sign of compromised circulation and you should return to see Mr Mahajan.
Will I need to wear any special garments?
You will need to wear a lycra sports support bra that is not underwired following the procedure. My Mahajan will discuss the potential bra size with you during your preoperative consultation. It would be ideal to wear this for about eight to twelve weeks following the procedure. As the swelling goes down after this period you can invest in a new wardrobe of lingerie.
Will I be in pain?
Patients do tend to have some pain and discomfort for the first 1 to 3 days, but you will be kept comfortable with adequate analgesia. It is advisable to take Paracetamol six hourly on a regular basis for the first 24 to 48 hours and then as necessary after that.
Will my breasts be swollen?
Your breast will indeed be swollen immediately after the procedure. The swelling takes time to settle and it will be significantly less a month following the procedure. It takes about three months for it to settle reasonably. It continues to further settle gradually after that and can take up to a year for the end result to be apparent
Will my breast be bruised?
There will be some bruising present especially adjacent to the scars. This will gradually settle over in two to three weeks.
Will I be in pain?
Patients do tend to have some pain and discomfort for the first 1 to 3 days, but you will be kept comfortable with adequate analgesia. It is advisable to take Paracetamol six hourly on a regular basis for the first 24 to 48 hours and then as necessary after that.
When do my stitches come out?
Mr Mahajan uses absorbable sutures to close the wounds. This helps him achieve neat scars and prevent ‘hatch marks’ from external sutures. This also means that you will not have the discomfort of having your sutures removed.
What if I have a problem after I am discharged from the hospital?
You will be discharged from the hospital when it is safe enough to do so. However, in the event of any unexpected problems, you can contact us any time on 0800 246 5636.
What position can I sleep in?
You will be most comfortable lying on your back immediately after your surgery. Sleeping on our side while wearing the support bra is okay, if you are more comfortable sleeping on your side. You may assume any sleeping position in four weeks time, but I would not recommend sleeping on your tummy for six weeks.
When can I go back to work?
This depends on your job. If you have a desk job that does not involve lifting any things heavy, you can go back to work as soon as you are comfortable and this could be as early as 5 days to two weeks. However, if you have a more demanding job, you will need to take a break for four to 6 weeks. This can vary widely between patients, as patients tend to cope variably.
When can I pick up my baby?
You can lift your baby up as soon as you are comfortable to do so. This can be towards the end of the first week. But you do need to careful that you don’t strain yourself. Alternatively, your partner could give the baby to you to hold gently. Do not try to restrain an aggressive child as you would harm yourself.
When can I hit the gym again?
You will need to wait until your wounds have fully healed and you are comfortable to under take any labour intensive work. This could take 4 to 6 weeks following your surgery. You could however return to light cardiac exercises sooner in about 2 to 3 weeks.
When can I drive?
You will need to wait until you are comfortable to do so. This might mean waiting till your wounds have healed in two weeks time. You should be able to apply an emergency stop and it is a decision that you will have to make.
When can I fly or go on holidays?
Holidays after surgery will do you good and give you time to recuperate. However, it is not advisable to go on long haul flights for 4 weeks after the procedure to reduce the risks of blood clots in your legs or lungs. Blood clots in your lungs can be life threatening and is a very compelling reason for you not to consider traveling across the globe in search of cheap deals. Short flights and travel by train or car, which does not involve prolonged periods of immobilisation, is not a problem although you should take precautions to wear flight socks when travelling.
Although I am not in any rush, when can I have sex again?!
You will need to wait until your wounds have fully healed and you are comfortable to engage in any sexual activity. This could take 4 to 6 weeks following your surgery. You certainly need to be careful for at least 2 weeks until the wounds have healed.
When can I drink or smoke?
There is no issue with having a social drink after the procedure. However, patients do need to refrain from smoking completely for at least three weeks following the procedure. You would have had to stop smoking for eight weeks before the operation. Smoking tends to reduce the circulation of blood, which is vital for wound healing. This applies to nicotine patches or electronic cigarettes too. Considering that you would have stopped smoking for about 3 months around the date of your procedure, you should take this as an opportunity to stop smoking completely!
Book chapters:
Principles of free flap design and elevation
Phillip N Blondeel and Ajay L Mahajan
Operative Microsurgery, edited by Brian Boyd, MD and Neil Jones, MD. McGraw-Hill, New York, 2015.
Microsurgical Breast Reconstruction in Presence of Co-morbidities
Seidenstuecker, Katrin; Munder, Beatrix; Mahajan, Ajay L; Andree, Christoph
Breast Reconstruction; Art, Science, and New Clinical Techniques, edited by Shiffman, Melvin A. Springer, Switzerland 2015
Photography in Plastic Surgery
Ajay L Mahajan
Text Book of Plastic, Reconstructive & Aesthetic Surgery, edited by Karoon Agarwal, in Print
Articles:
- DIEAP flap for safe definitive autologous breast reconstruction
Seidenstuecker K, van Waes C, Munder BI, Claes KEY, Witzel C, Roche n, Stillaert F, Mahajan AL, Andree C, Blondeel PN
Breast 2015.12.005 - Morbidity of microsurgical breast reconstruction in patients with co-morbid conditions
Seidenstuecker K, Munder B, Mahajan A L, Andree C
Plast Reconstr Surg. 2011 Mar;127(3):1086-92. - Are Pfannenstiel scars a boon or a curse for DIEP flap breast reconstructions?
A L Mahajan, A Zeltzer, K E Y Claes, K Van Landuyt, M Hamdi
Plast Reconstr Surg. 2012 Apr;129(4):797-805. - Myosonographic Study of Abdominal Wall Dynamics to Assess Donor Site Morbidity after Microsurgical Breast Reconstruction with a DIEAP or ms-2 TRAM Flap
K Seidenstücker, B Munder, P Richrath, U Legler, A L Mahajan, C Andree
JPRAS in print - DIEAP flap for safe definitive autologous breast reconstruction
Katrin Seidenstuecker, Carl van Waes, Beatrix I Munder, Karel E Y Claes, Christian Witzel1, Nathalie Roche, Filip Stillaert, Ajay L Mahajan, Christoph Andree, Phillip N Blondeel
The Breast in print - The ECG dot as a pre operative marker for Nipple Areolar Reconstruction
A L Mahajan, A J Hussey, C L Riordan, P J Regan
Plast Reconstr Surg. 2003 Feb;111(2):955 - Preventing ‘T’ junction dehiscence in mammaplasty
AL Mahajan, TWL Chapman, JG McDiarmid
Plast Reconstr Surg. 2006 May;117(6):2100. - Radiotherapy tattoo – a landmark for an underlying expander implant port in breast reconstruction
VA Mahajan, AL Mahajan, Morris RJ
J Plast Reconstr Aesthet Surg . 2010 Feb;63(2):e171. Epub 2009 Apr 5. - Attaining symmetry in breast reconstruction procedures
J K Dickson, J M Taylor, R Rajan, A L Mahajan
J Plast Reconstr Aesthet Surg 2010 Sept; 63(9): 1573-1575. Epub 2010 Mar 10. - Pectoralis fascia grafts in breast reconstruction.
Gran MV, Nicholson S, Mahajan AL.
J Plast Reconstr Aesthet Surg. 2012 Apr;65(4):e104-5 - The inferior based pectoralis fascial flap for breast reconstruction.
Mahajan AL.
J Plast Reconstr Aesthet Surg. 2012 Nov;65(11):1599-601 - Breast Equalising Surgery following Breast Reconstruction
A L Mahajan, L Rynn, A Grufferty, P J Regan
Ir J Med Sci. 2002 July/Aug/Sept 171(3) S2: 21 - Sun burn from resting reading glasses on a reconstructed breast!
AL Mahajan, TWL Chapman, M Mandalia, RJ Morris
J Plast Reconstr Aesthet Surg. 2010 Feb;63(2):e170. Epub 2009 Jun 7. - The Safety of the Deep Inferior Epigastric Artery Perforator Flap Procedure: A Prospective Analysis in 1036 Breast Reconstruction Patients.
Waes, Carl Van; Seidenstuecker, Katrin; Mahajan, Ajay; Roche, Nathalie; Stillaert, Filip; Andree, Christoph; PN Blondeel.
Plast Reconstr Surg. 128(4S):57, October 2011.
Presentations:
- Breast Equalising Surgery following Breast Reconstruction
A L Mahajan, L Rynn, A Grufferty, P J Regan
Sir Peter Freyer Meeting, Galway, September 2002 - Sun burn from resting reading glasses on a reconstructed breast!
AL Mahajan, Chapman TWL, M Mandalia, Morris RJ
Irish Association. of Plastic Surgeons Meeting, Galway, May 2007 (Poster presentation) - ‘Custom made’ DIEP flap breast reconstructions
A L Mahajan, R Rajan, A P Tregaskiss, A Perez, R J Morris
Irish Association. of Plastic Surgeons Meeting, Galway, May 2009 - Attaining symmetry in breast reconstruction procedures
J K Dickson, J M Taylor, R Rajan, A L Mahajan
Irish Association. of Plastic Surgeons Meeting, Galway, May 2009 (Poster presentation) - Attaining symmetry in breast reconstruction procedures
J K Dickson, J M Taylor, R Rajan, A L Mahajan
XXXIVth Sir Peter Freyer Surgical Symposium meeting, Galway, Ireland, Sept 2009. (Poster presentation) - Attaining symmetry in breast reconstruction procedures
J K Dickson, J M Taylor, R Rajan, A L Mahajan
International Plastic Reconstructive & Aesthetic Surgeons meeting, Delhi, Nov 2009 - Creating a template of the contralateral breast to aid DIEP flap reconstruction.
R Rajan, A P Tregaskiss, A Perez, A L Mahajan, R J Morris
International Plastic Reconstructive & Aesthetic Surgeons meeting, Delhi, Nov 2009 - Prospective dynamic myosonographic abdominal wall study to compare the donor site morbidity after ms-2 TRAM flap and DIEP flap
K Seidenstücker, B Munder, P Richrath, U Legler, A L Mahajan, C Andree
European Association of Plastic Surgeons meeting, Manchester, UK, May 2010 - Improving outcome in SGAP flap breast reconstruction
A L Mahajan, R Sinna, B Vermeulen, K Van Landuyt
British Asscn. of Plastic Aesthetic & Reconstructive Surgeons Meeting,, Sheffield, July 2010 - Are Pfannenstiel scars a boon or a curse for DIEP flap breast reconstructions?
A L Mahajan, A Zeltzer, K E Y Claes, K Van Landuyt, M Hamdi
World Congress on Controversies in Plastic Surgery & Dermatology (CoPLASDy) Barcelona, November 2010 - Aesthetic benefits of lipofilling in secondary shaping of microsurgical breast reconstructions
K Seidenstuecker, M Hagouan, A L Mahajan, T Koeppe, B Munder, CAndree
World Congress on Controversies in Plastic Surgery & Dermatology (CoPLASDy)
Barcelona, November 2010 (Poster presentation) - Complications in free autologous breast reconstruction – how often is surgical intervention warranted and to what degree?
K Seidenstücker, B Munder, A L Mahajan, C Andree
IInd Italian Meeting on Perforator Flaps and Aesthetic Refinements, Bologna, Italy.“Best Paper Prize” November 2010
- Complications in free autologous breast reconstruction – how often is surgical intervention warranted and to what degree?
K Seidenstücker, B Munder, A L Mahajan, C Andree
International Plastic Reconstructive & Aesthetic Surgeons meeting, Vancouver, May 2011 - Microvascular architecture of a DIEP flap harvested from an abdomen with a Pfannenstiel scar.
A L Mahajan, A Zeltzer, K E Y Claes, K Van Landuyt, M Hamdi
European Association of Plastic Surgeons meeting, Mykonos, Greece, June 2011. - Abdominal seroma formation following DIEP flap harvest – analysis of influencing factors and development of a predictive formula
K Seidenstücker, B Munder, A L Mahajan, C Andree
European Association of Plastic Surgeons meeting,, Munich, Germany May, 2012 - The SGAP flap
A L Mahajan
French Perforator Flap (ACRWP) course, Amiens, France, June 2012 - Technical refinements of Reduction Mamaplasty
A L Mahajan
BODY 2012 meeting, London, November 2012 - Autologous pectoral fascia in implant-based breast reconstruction.
O’Neill TB, Mahajan A L
IAPS Meeting, Galway, Ireland, May 2013 - Technical Refinements of Reduction Mammaplasty.
Scheven D, O’Neill TB, Holmes W, Akhtar A, Mahajan A L
IAPS Meeting, Galway, Ireland, May 2013 - Aesthetic Surgery – Dawn to a new you
A L Mahajan
ATMG Meeting, Alton Towers, UK September 2013 - Breast reduction innovations
A L Mahajan
Byron Bay Meeting, Australia, March 2015 - The Pectoral fascia flap in breast reconstruction
A L Mahajan
Byron Bay Meeting, Australia, March 2015 - The adjustable breast reduction marker
Ajay L Mahajan
BAPRAS meeting, Birmingham, November 2015