Mastopexy: Breast lift without and with prosthesis

Written by: Dr. José Luis Díaz Infante
Edited by: Anna Raventós Rodríguez

Breast lift or mastopexy is a surgical procedure to lift or lift the bust.


The breast tends to yield to gravity, whether by its weight itself, pregnancy, breastfeeding, or large variations in weight, as well as other physical changes.


The sagging and sagging of the breasts is almost inevitable but in some people it is more pronounced than in others; Plastic surgery can improve the appearance of the chest in these cases. Something that every good surgeon will tell his patients is that the results of this plastic surgery are not for life, over the years the breast will sag again and fall.


Normally, to raise the breast the surgeon has to cut off excess skin, correct flaccidity and accommodate remaining skin to achieve firmness. Generally, and to give naturalness, it is necessary to move the areola and nipple to a higher position.


All this means that there will be several incisions:


  • A horizontal, in the part of the sulcus the breast that unites to the torso (this one is covered a little with the shade of the bust).
  • There is also a vertical scar running from the bottom of the areola down to the furrow; This scar is the most visible and although over time if there is good scarring will become less visible, it is impossible to make it disappear. It's the classic inverted T-scar. The more pronounced the sagging or sagging, the more skin you will need to cut and the larger the scars will normally be.


The doctor will tell you, based on your experience, what is the best alternative in terms of firmness that can be achieved. Even so, the patient should feel free to express her desire. In some cases the ability to breastfeed may be lost, although the technique normally used usually preserves it. Normally, and if desired, the size of the areola is also corrected. The size of the breast tends to decrease when mastopexy is performed.


Mastopexy woman


In several cases, to obtain better results it is necessary to use an implant in addition to the lifting (Mastopexy with prosthesis). This increases the size and improves the shape and texture of the breasts. It can be used because the person wants bigger breasts or because a lot of tissue or fat has been lost in the breasts.


Many doctors think that with the use of the implant the results of the surgery last longer. In addition, in this case the scar is usually smaller, being reduced, in many cases, only to the periareolar scar.


Mastopexy Technique

Mastopexy is an intervention that is usually performed under general anesthesia, with one day of admission. It takes a suction drainage for about 24 hours and a bandage for a week.


Mastopexy woman 2


During the first week should avoid sudden movements, not taking weight or driving; Wear a bra without rings for 2 months day and night and do not wear bra without rings until the 4th month postoperative. Do not exercise during the first month.


It always carries a scar and the results are very long-lasting, especially in the case of mastopexy with prosthesis.


Results and risks of mastopexy

Mastopexy technique The definitive results are obtained at 6 months. It can alter the sensitivity in the breast but normally recovers at all.


All surgical intervention, both by the technique itself and by the state of health of each patient (diabetes, heart disease, hypertension, anemia, obesity, old age, etc.), implies a series of possible common complications and other potentially more important complications.


In this surgery there are usually extensive T-shaped inverted scars that go from the perialeolar scar, continuing vertically downwards and encompassing the submammary sulcus.


In addition, circulatory disorders may arise, so it is important to give up the habit of smoking. There is a risk of skin necrosis or suffering. In case of placing an implant the complications of this technique are added.

*Translated with Google translator. We apologize for any imperfection

By Dr. José Luis Díaz Infante
Plastic surgery

Dr. Díaz Infante is a leading specialist in Plastic, Aesthetic and Reconstructive Surgery, which has more than 10,000 interventions performed behind his back. Formed between Spain and America, he combines his professional work with the teacher. He has participated in numerous conferences and forms part of different associations and national societies.

He is a member of the Spanish Association of Aesthetic and Plastic Surgery (AECEP) and the Spanish Society of Plastic, Reconstructive and Aesthetic Surgery (SECPRE).

*Translated with Google translator. We apologize for any imperfection

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