Breast Lift (Mastopexy)

A breast lift is one of the most sought-after procedures in plastic surgery. The term encompasses a wide range of surgical techniques, all sharing the same goal: to sculpt your breasts into the most beautiful shape possible. An attractive, full, and youthful contour is achieved by repositioning the nipple and areola—typically placing them 17–21 cm from the sternal notch and the collarbone—and reshaping the breast tissue to sit higher on the chest wall. Excess, stretched skin is removed, which may create the initial impression that your breasts have become smaller. However, once you put on a bra, you will realize that not only has the volume remained the same, but you no longer need push-up bras.

Because it involves repositioning the breast tissue and the nipple, a "classic" mastopexy is similar to breast reduction surgery; the key difference is that a reduction involves removing a significant amount of breast tissue, whereas a breast lift focuses primarily on the removal of excess skin. While some cases may require less extensive surgery, the removal of skin almost always leaves a thin scar running from the nipple down to the inframammary fold (the crease under the breast). Do not let this discourage you, however; over time, these scars fade, and for some women, they become virtually invisible.

The results of a breast lift can be further enhanced through fat grafting or the insertion of an implant—a procedure known as a "lift with augmentation." Whichever procedure you choose, you will soon feel a breath of youth in your newly shaped, lifted breasts.

A breast lift with implants is a procedure designed to give your breasts a youthful, beautiful shape while simultaneously increasing their size. This approach provides lasting fullness to the décolletage, eliminating the need for push-up bras.

Because the skin is largely "filled out" by the implant, the amount of skin that needs to be removed is less extensive than in a lift performed without implants. Consequently, it is often—though not always—possible to achieve an ideal shape without requiring a vertical skin incision. In such cases, the only scar is located around the areola; while this area may take a long time to heal, the resulting scar is ultimately virtually invisible. However, if there is a significant excess of skin, a vertical incision—or even an "inverted T" incision—may be necessary to effectively remove the skin from multiple directions, ensuring it fits snugly around the implant. Achieving a stable, long-lasting result requires a stable implant. For this reason, I most frequently use polyurethane-coated, ultra-light, or highly textured implants in these procedures, as they are resistant to sagging.

Following a healing period comparable to that of less invasive breast augmentation methods, you will quickly adapt to and begin enjoying your new, larger, and firmer breasts.

Sagging and "empty" breasts can be effectively lifted by inserting an implant—either through the nipple or via an endoscopic transaxillary approach—combined with the excision of skin around the areola and the repositioning of the breast tissue. A clear advantage of this method is the absence of visible scarring on the breasts; however, it often requires the use of a large implant to adequately fill the skin envelope.