WHAT IS MASTOPEXY OR BREAST LIFT?

mastopexy or breast lift of the breasts is a cosmetic procedure that allows us to correct sagging breasts (breast ptosis) caused by the passage of time, a sudden loss of weight, pregnancy, breastfeeding or other genetic factors.

A breast lift involves the removal a4> performed by removing the excess tissue and lifting the nipple with the areola to restore the shape and firmness of the breasts.

During a breast lift, it is possible to insert a breast implant to increase its sizereduce the size of the breasts if necessary.

Unlike breast augmentation, which is designed to increase or reduce breast size, a breast lift removes excess skin to lift the breasts so that they look firm and attractive again.

Although, in many cases, a breast lift is often performed in conjunction with a procedure for breast augmentation or breast reduction ; which enables the achieves shaping of the area of the breasts completely.

enlargement of breast sketch
breast augmentation with implants

Objectives of mastopexy or breast lift of the breasts:

  • Achieve a pair of breasts that are firm and smooth of the desired size.
  • Restore the shape of breasts to regain self-esteem.
  • Reposition and reduce the size of the areola.
  • Achieve a more long-lasting effect than breast implants.

Types of breast lift

Breast lift can be of two types:

  • Breast lift of the breast with implants or mastopexy of augmentation is ideal if the volume is insufficient and the breast has an appearance of being empty, it can be enlarged by means of breast implants as we saw in the section.
  • If, on the contrary, the volume is excessive, it will be advisable to undergo a reduction mammoplasty, in order to reduce the volume. a9> reduction surgery, to reduce the volume of the breasts, a breast lift of the breast and the correction of macrotelia (excessive size of the areola) if necessary.
  • Lift of breasts without implants rejuvenates the breast that has sagged giving it a more natural and symmetrical appearance, but does not alter the volume of the breasts.

Especialista en injerto capilar en Barcelona

El Dr. Carles Ortiz Rodríguez es Licenciado en Medicina y Cirugía por la Universidad Central de Barcelona, título obtenido en 1985. Posteriormente, en el 2002 obtuvo el Título de Especialista en Cirugía General y Digestiva. A lo largo de su trayectoria profesional se ha especializado en Medicina Capilar e injerto de pelo trabajando en diferentes centros de Europa como especialista en trasplante capilar, tiene experiencia en la práctica tanto en la técnica clásica (FUSS), como en la extracción de la extracción unifolicular (FUE) con técnica Zafiro.

Te invitamos a conocer ahora todo nuestro equipo profesional.

Frequently asked questions about breast lift surgery

Mastopexy is indicated when there is a noticeable degree of sagging a9> sagging and of flaccidity of the breast pronounced (breast ptosis).

This surgery can correct the excess of skin, by means of incisions which become less noticeable over time, becoming barely noticeable even to the patient, despite the fact that they require a a24> care regimen during the first year.

A breast lift is, without a doubt, the best way to rejuvenate your bust and make you feel better.

In many cases, a breast lift is accompanied by a procedure for breast augmentation or breast reduction; which will allow you to achieve a complete reshaping of the area.

The surgeon will decide on the type of surgical approach and on insertion of implants most recommended, in the case of breast augmentation.

In this regard, the size of the implant will be decided in consultation with the patient, depending on the volume you wish to use and the doctor’s recommendations regarding the size and type of implant.

During this assessment, the doctor will carry out a simulation of the size approximate size you will achieve following the operation; so that the right choice can be made based on the most appropriate size and anatomy of the patient.

The patient will achieve a pair of firm breasts, firm, in a position suitable and of the desired size.

En un 90 % de los casos, se consiguen muy buenos resultados, realizando solo una cicatriz periareolar, sin la tradicional cicatriz en T invertida. En caso, de realizar una cicatriz en T, el cirujano procurará que sea lo más pequeña posible.

In mastopexy with implants, a submuscular silicone implant is placed. In this way, a better aesthetic result is achieved, with the desired size and with results that are more long-lasting.

In addition to the aesthetic improvement, women who have their a8> their breasts improve their self-esteem and confidence in themselves themselves.

There are different degrees of ptosis (sagging) of the breasts, depending on the specific case, the surgeon will decide on the technique or type of incision which will be used in the operation to lift the breasts.

Periareolar incision: Indicated for ptosis of degree I where the CAP does not require that it be raised by more than 2 cm. The scar will be only around the areola, well concealed in the transition between the breast and the areola-nipple area (ANA)

Vertical incision: It also allows for a reduction in the size areolar area and allows for greater excision of skin than the previous one. It is indicated for ptosis of grade I or II. It does not usually affect breastfeeding.

Patrón en Y: Mismas indicaciones que la anterior, pero siempre que el complejo areola-pezón esté en un sitio adecuado que no implique elevarlo, es decir que el exceso de tejido mamario se sitúe en polo inferior como ocurre en las pseudoptosis. Además, esta técnica no permite corregir la macrotelia. En caso de existir exceso de tejido graso en el polo superior, se puede liposuccionar. No suele afectar a la lactancia.

Inverted T: This is another technique that also helps to reduce the areola, and is recommended for very sagging breasts, associated with a certain degree of gigantomastia and, which therefore require require removal of breast tissue.

The inverted T is indicated for moderate breast reductions or severe cases with ptosis of the breast of grade II or III. a6> or severe breast reduction with ptosis of grade II or III. It allows a design that is more predictable outcome of the submammary incision than previous techniques. On the other hand, it may affect breastfeeding.

Graft free from the areola-nipple area (CAP): Allows correction the most severe cases of ptosis with associated gigantomastia, where the CAP is found to be more than 40 cm from the sternal notch.

This excessive distance means that the design of any pedicle is complicated and that, therefore there is a high probability of necrosis of the CAP in the postoperative period.

The design will be similar to the inverted T pattern, but without creating a pedicle. The areola will be adequately de-fatted and grafted onto a dermis-free area.

Breast lift combined with breast augmentation using implants

A breast lift using implants is performed under general anaesthesia a5> performed under general anaesthesia or alternatively local anaesthesia and sedation, in the operating theatre of an hospital or clinic authorised and by the hands of a plastic surgeon.

Depending on the degree of sagging of the the breast, the surgeon may choose between three types of incisions:

  • Around the areola and in the shape of an upside-down T
  • Around the areola and in a vertical line.
  • Only around the edge of the areola.

Once the incision has been made, all the tissues of the breast are repositioned and tightened a11> the breast into a position higher up and with a shape more attractive.

Next, the excess skin is removed to define the new contour of the breast, and silicone implants are inserted beneath the breast tissue or the pectoral muscle to increase the volume of the breasts.

Finally, the areola and nipple rise depending < a7> the height of the breast and if it is necessary even it may reduce the size of the areola. A drain is placed and the entire breast is bandaged.

The duration of the surgery for a breast lift of breast implant surgery ranges from one and a half hours to approximately three hours.

The new shape and size of the breasts are become apparent after approximately two months, but the final result will a13> will only be noticeable from as early as 6 months.

The results of the breast lift are not permanent and may may be affected by future pregnancies and the passage of time, although they are more long-lasting if one uses a prosthesis

Following the surgery to lift the breasts scars remain, but when implants are combined with mastopexy, these are usually be smaller, as less skin needs to be removed. Normally there is only one scar around the areola, although sometimes, a vertical or inverted T-shaped scar is left.

A breast lift is not a complicated or painful procedure. Within 24–48 hours of the procedure, the patient will be able to return resuming gradually your normal life

  • It is normal to experience pain, discomfort, swelling, a burning sensation in the chest or a stinging sensation, and a loss of sensation in the nipples during the first few days. The medication prescribed by your surgeon will help you manage these symptoms.
  • Two or three days after the procedure, the dressing will be removed and replaced with a special support bra, which you will need to wear 24 hours a day for a month.
  • The items are collected between the 7th and the 14th of the month.
  • Depending on the type of work you do, you may be able to return to work within a few days, or you may need to wait a few weeks if the work is more physically demanding. Your surgeon will advise you when it is safe to return to work.
  • After about a month and a half, the appearance of the scars begins to improve. There are many cosmetic products available to help regenerate your skin and minimise the appearance of scars. Ask your doctor when you can start using them.

Avoid doing exercise during the first month.

Avoid lifting objects above your head for at least up to at least two weeks.

You should also avoid excessive physical contact during the first month, as your breasts will be more sensitive.

Like any surgical procedure, a breast lift carries risks: reactions to the anaesthetic, infection and bleeding from the incisions, poor healing, changes in sensation in the skin or nipples, problems with the shape of the breast, and asymmetry.

For all these reasons, it is very important to choose a good plastic surgeon, with experience in this type of procedures.

In the case of very large breasts, there may be a risk of compromising the CAP and a reduction in sensitivity.

Furthermore, breastfeeding in some cases may be affected.

In the case of performing a graft free from CAP, this tends to remain without projection, depigmented and with no or little projection. Because in this technique the a19> the galactophore is completely sectioned, breastfeeding will not be possible.

The price of a breast lift to lift the breasts varies from one practitioner to another, depending on whether implants are inserted or not,…but on average, a breast lift in Barcelona costs between 5,500 euros and 8,500 euros.

This price includes, the pre-operative assessment of your surgeon to determine the most suitable breast implant most a40> suitable for the case, the tests required, the operation together with the stay at the clinic and the follow-up visits during the postoperative period.

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