Breast mastopexy scars

Mastopexy - Mastopexy/Augmentation

Mastopexy augmentation, also referred to as breast lift with augmentation, combines the benefits of breast lift surgery (mastopexy) with breast augmentation to enhance both the shape and size of the breasts.

At our practice, we apply the principles used in breast augmentation and our standardized breast reduction technique in order to choose an implant that appears natural and harmonious with the patient's body proportions, as well as lifting inferiorly displaced nipples and minimally excising excess breast sagging .

Mastopexy can be done without a breast implant but only treats mild upper pole deflation and therefore should be readily associated with breast implants or fat transfer in more deficient cases.

The incisions are in most cases identical to those in a breast reduction (inverted-T), but could be reduced to a circumvertical pattern (around the nipple and a small vertical incision = lollipop) depending on the amount of excess skin and breast.

Usual contraindications include patients with unrealistic expectations, uncontrolled chronic disease or bleeding disorder, patients responding to peer, spousal, or parental pressure, women <18 years and if there is a significant breast disease (severe fibrocystic disease, ductal hyperplasia, high-risk breast cancer).

Secondary cases will not be accepted without an operative report describing the technique used.

In case of use of breast implants or fat transfer, consult the page on breast augmentation to learn more.

  • Under regional anesthesia + anesthetic infiltration into tissues + sedation (thoracic spinal anesthesia) or general anesthesia.

  • Minimal pain usually controlled with pain medication

  • Postoperative antibiotics are of no proven benefits

  • Medical brassiere for 6 weeks, worn day and night (no push-up bras or harsh manipulation)

  • Scar massage starting 3 weeks

  • Aerobic exercises at 2 weeks (gently at first)

  • Heavy lifting at 6 weeks

  • Swelling for 1 month usually, breast descends during the first 3 months and the final result is at 6 months.

  • Scar usually fades in about a year.