Surgery to raise the sagging breast is called mastopexy,
which can be accompanied by breast implants when you want to increase the volume.
It is also possible to reduce the size of the areolas in the same procedure.

Dr Honorio Labaronnie

Reasons for surgery

Many women find that their breasts have lost their shape, firmness, and sagging. Changes can occur as a result of: Pregnancy and lactation, weight fluctuations, age and severity, heredity. In some cases, young women may have sagging and sagging breasts.

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How do we do it

The concept of this surgery is to elevate the breast tissue, reposition the nipple-areola complex, and remove excess skin. Lifting techniques vary according to the degree of breast sagging, and can be periareolar, vertical periareolar, or anchor depending on the resulting scar. In addition, if it is necessary to increase the breast volume, an implant can be used. Depending on the case, the surgery can be performed under general anesthesia or sedation and last from 1 to 4 hours. I do not leave drains nor do I have to remove stitches because I use absorbable sutures to close the incisions. I place adhesives over the incisions to improve healing. We left a surgical bra to reduce swelling.

Why do the breasts droop?

The breasts undergo changes over time both in their function and in their shape. The relaxation of the skin and the fixation structures produce the drooping of the breast which is called breast ptosis. The cause may be an excess weight of the gland, an exaggerated flaccidity of the skin, or both.

Is the surgery painful?

The surgery is not painful. The anesthesiologist through general anesthesia uses pain medication, in addition long-lasting local anesthetics are placed and the patient takes common analgesics to minimize postoperative discomfort.

How long does the surgery last?

The process from the arrival of the patient to the operating room, the surgery itself, and going to the room, takes from 2 to 4 hours, depending on the technique used and if it is associated with the placement of breast implants.

Is it better with sedation or general anesthesia?

It is usually done under general anesthesia, but there are cases that can be done with sedation and local anesthesia. The most important thing is to operate in an institution with adequate technology and infrastructure and trained professionals.

How is the recovery from surgery?

Rest is relative, you don’t need to be in bed. Normal daily activity resumes in 2 to 3 days. You can bathe the day after surgery. Work activity and driving can be resumed after the third day. For 1 month you cannot do strength or exercises. After that period you can do all kinds of physical exercises without restrictions. The postoperative controls are the day after your surgery, a week, 15 days, a month, 3 months, 6 months, once a year with ultrasound control and eventually a mammogram.

How do I choose my implants?

The choice of breast implant is very personal. There is an implant tester with different volumes, profiles, and shapes. Together in front of the mirror we will choose the most suitable implant for you. 

Can I get pregnant and breastfeed after surgery, or should I wait until I have my last child?

The mastopexy does not cause absolutely any inconvenience to get pregnant, however, if the mastopexy is in anchor there is a greater risk of not being able to breastfeed. The placement of the prosthesis in front of or behind the muscle does not have a negative influence either. It is not necessary to wait to have the last child.

Are smooth or rough prostheses better?

The most commonly used prostheses today are the smooth ones, since it has been proven that they have less possibility of capsular contracture placed behind the muscle. In any case, the rough ones can be used when they are placed in front of the muscle.

Can I have other procedures done at the same time as my breast lift?

I often perform another procedure along with the breast lift surgery. As long as the patient is healthy and the combination of procedures does not take too long, combined surgeries can be performed. Your safety, of course, is the most important thing.

If I have sagging breasts, do I need a prosthesis?

We must know that implants add volume, but they do not lift or support the breast. The appropriate procedure to lift sagging breasts is mastopexy, which removes excess skin and accommodates the gland, giving it a better shape. Implants are used only if, in addition to lifting the breast, you want to add volume.

Is it possible to lose sensation in the nipple?

Breast lift surgery can affect the sensation of the nipple. The risk is related to the degree of breast fall and the technique used. I use a technique to minimize the risk of loss of nipple sensation.

What types of mastopexies are there?

PERIAREOLAR MASTOPEXY: If the sagging of the breast is minimal, it can be resolved with a periareolar mastopexy in which a circular incision is made around the areola. The scar resulting from this operation is just where the areola changes color. Virtually imperceptible over time.
VERTICAL MASTOPEXY: If the sagging of the breast is moderate, a vertical periareolar mastopexy is performed, where tissue is extracted around the nipple-areola complex and the central portion of the lower pole of the breast. The resulting scar resembles the shape of a lollipop or lollipop.
INVERTED ANCHOR OR T-MASTOPEXY: If the fall is severe, you will need an inverted anchor or T-mastopexy, leaving a circular scar around the areola, vertical in the central portion of the lower pole of the breast and horizontal in the submammary fold. This operation works for women with significant breast sagging and excess skin