Mastopexy: Step by Step

Mastopexy: Step by Step

22nd Jul 2017

Mastopexy: Step by Step


It is said that a woman’s pride is in her breasts. Every woman dreams of having full, supple breasts that incite the envy of other women and earn the adoring gaze of her significant other. Sadly, there are certain factors that stand in the way of preserving the youthful appearance of the breasts. Gravity and aging greatly influence the aspect of a woman’s bust and no amount of exercise or push-up bras can offset their effects. Fortunately, a cosmetic surgery procedure exists to correct sagging breasts and return them to their original figure. This is called breast lifting, otherwise known as, mastopexy.

More about mastopexy

Mastopexy is the cosmetic surgery intervention developed and performed to contour and elevate sagging breasts. Using this procedure, we can also reduce the dimensions of the areola as necessary. Women experience sagging breasts as they age due to the weakening of the connective tissues present in their chest.

Losing skin elasticity as you age is completely natural and it happens to everyone sooner or later. If this could be avoided, then our skin will retain its softness and flexibility all our lives. It would be the same as having a 20-year-old’s skin in your 60s or 70s.Skin elasticity is also a matter of genetic inheritance. If poor skin quality runs in your family, it is highly likely that you will experience this, earlier than most people.

Pregnancies and massive weight loss can also contribute to the loss of firmness in the breasts. The natural modifications in skin elasticity happen gradually and they can occur between 20 and 40 years. The volume might be the same, but the position and consistency of the breasts changes dramatically.

The good news is that the mastopexy procedure can reestablish the firmness of your breasts and at the same time correct and elevate their position, even without augmenting or reducing their dimensions. In the event that the breasts have lost volume due breast tissue atrophy and the patient wishes to have their previous dimensions restored, the plastic surgeon can perform the mastopexy with breast implants.

Mastopexy procedure step by step

The procedure is done under general anesthesia and the surgery can take two to three hours to perform. The length of the surgery is dependent on the complexity of the case and the amount of breast tissue that needs to be excised. There are multiple techniques available to perform the mastopexy. The most frequently used method involves making use of an anchor-shaped incision that follows the contour of the breast. The excess skin is removed and the nipple-areola complex is elevated to an area designated before the start of the surgery. The mammary gland might also be fixed to a new position. The intervention will result in a circular scar around the areola, another vertical scar descending towards the inframammary fold and another scar running along the inframammary fold.

The women with small breasts and a mild case of breast sagging are ideal candidates for a different technique that would involve smaller incisions. If the patient decides to use a breast implant, it will be introduced inside a pocket made either under the mammary gland or under the pectoral muscle. The surgeon will also insert drain tubes to avoid fluid accumulation at the surgical site.

It is essential for the patient to understand that there will be permanent scarring after breast lifting procedures. Of course, the scarring will become smaller and less visible in time and people who are unaware that you have undergone this procedure might never be able to tell.

Mastopexy: what to do before and after the intervention

It is forbidden to take anti-inflammatory medications such as aspirin two weeks before the scheduled intervention. Smoking should also be avoided for the same amount of time before and after surgery as it can have a negative impact on the patient’s recovery in general. Usually, most plastic surgeons will avoid scheduling your intervention during your menstruation.

Keep in mind that all interventions come with risks and possible complications. If the patient has carefully studied all the aspects of the surgery, such as the procedure, safety measures and the qualifications of her surgeon, the complications can be avoided and the risk can be significantly reduced. The most frequent minor complications are localized infections and small hematomas. The recovery time is solely dependent on the patient as each body has its own recovery ability.

Mastopexy: what to expect after the surgery

The mastopexy will certainly provide you with firm, elevated and more appealing breasts. Since the objective of the procedure is to lift the breasts to a more natural position, performing the surgery without implants will not yield augmented breasts. They will look perkier, but their size will remain the same. Remember to discuss all pertinent details about the procedure with your plastic surgeon. It is also a good idea to state your expectations from the surgery so that your physician will be guided accordingly.


The mastopexy procedure, commonly known as breast lifting, can provide you with your ideal breast size and shape. This surgery can also restore the fullness and suppleness of your breasts. The major factors that cause breast sagging are the condition and quality of the skin, genetic inheritance, gravity and aging. In time, the skin loses elasticity as the body’s elastin and collagen fibers start to degenerate. These fibers comprise the connective tissue that supports the breasts and keep them from drooping. Unfortunately, breast sagging is unavoidable especially after a certain age. The good news is that even if we cannot stop time, we can still reverse its effects with the help of cosmetic surgery. The mastopexy intervention offers amazing results in the majority of cases and the patients are satisfied with the outcome of the procedure. Women are happy with the appearance, as well as the size and shape of their newly elevated breasts. It should be noted, however, that the results of the surgery are only temporary as the procedure cannot stop the aging process.

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