Information about the procedure
Lifting the breast and returning the nipple to a natural position, without a significant change in volume.
On this page
What it involves
Mastopexy removes excess skin and reshapes the glandular tissue to lift the breast. The volume stays roughly the same — it is the shape and position that change.
The breasts sag after pregnancy, breastfeeding, weight loss or simply with age, as the skin and supporting ligaments lose elasticity. Surgery does not stop this process, but it turns back the clock.
The key question at the consultation is whether the patient wants a lift only, or more volume as well. If more upper-pole fullness is desired, combining the lift with an implant or fat grafting is discussed.
Types and approaches
Periareolar
The scar runs only around the areola. Suitable for very mild ptosis. It gives a limited lift and can slightly widen the areola.
Vertical
A scar around the areola and running vertically downwards. The most widely used technique for moderate ptosis — a good balance between the result and the length of the scar.
Inverted T or anchor type or anchor type
An additional horizontal scar lies in the inframammary fold. It is used for marked ptosis and significant excess skin.
Mastopexy with an implant
Combines a lift with added volume in the upper pole. A more complex operation in which the two aims work against each other — which is why planning is particularly important.
Who it is suitable for
Suitable for
- A nipple positioned at or below the inframammary fold
- Loss of shape after pregnancy and breastfeeding
- Sagging after significant weight loss
- Stretched areola
- Asymmetric nipple position
Not suitable, or postponed, in cases of
- Planned pregnancy in the near future
- Significant weight loss still to come
- Smoking, without willingness to stop
- Expecting more volume without adding an implant or fat
- Current breastfeeding — wait at least 6 months after stopping
Preparation
- Breast ultrasound or mammography, depending on age
- Pre-operative tests and a consultation with a cardiologist or an anaesthetist
- Stopping smoking at least three to four weeks before surgery
- A stable weight
- A realistic discussion of the scars — they are the main price of this operation
How it is performed
The operation is performed under general anaesthesia and takes about two to four hours. The hospital stay is usually one night.
The excess skin is removed, the glandular tissue is reshaped and secured in a higher position, and the nipple is moved upwards together with its blood supply.
When combined with an implant, a pocket for the implant is also created.
Recovery
- The first 48 hoursModerate discomfort, swelling and a feeling of tightness. A support bra is worn day and night.
- The first weekSleep on your back. Do not raise your arms above your head or carry anything heavy.
- 2–4 weeksReturn to office work is usually possible after 7–14 days. The breasts still look higher and firmer than the final result.
- 1–3 monthsThe breasts settle into their natural position. Scar care begins.
- 6–18 monthsThe scars fade. The final result is assessed after one year.
Pain and discomfort
Mastopexy is one of the better-tolerated breast operations because it does not involve going under the muscle. Discomfort is moderate during the first few days and is controlled with standard painkillers. When combined with a submuscular implant, the discomfort is more pronounced.
Risks and complications
Every intervention carries risks. Listing them does not mean they are expected to occur — it allows you to make an informed decision.
- Visible scars whose quality depends on individual healing
- Changes in nipple sensation
- Asymmetry in breast shape or nipple position
- Widening of the areola over time
- Recurrent ptosis, especially with heavy breasts or poor skin elasticity
- Delayed wound healing, more common in smokers
- Haematoma, infection, fat necrosis
Results and longevity
The lift is long-lasting, but it does not stop gravity. With good skin elasticity and a stable weight, the result lasts for years.
Heavy breasts sag faster than lighter ones — which is why, with larger volumes, a breast reduction is sometimes recommended instead of mastopexy alone.
Pregnancy and breastfeeding after mastopexy usually bring back some of the changes.