Mastopexy ( correction of breast ptosis )

When breasts sag, this is referred to as breast ptosis. Ptosis can develop over time, but sometimes breasts grow from the outset with a naturally “ptotic” shape.

Whatever its origin, it can be corrected by a procedure that lifts and reshapes the breast, either by adding volume ( implants or autologous fat grafting ) or by reducing volume ( breast reduction ). Placing implants alone without reshaping never truly lifts the breasts, but by filling a “flattened” breast, it may create a limited lifting effect.

Breast lift, correction of ptosis or mastopexy all mean exactly the same thing, you may choose the term you prefer!

The result is immediate : the breasts are firmer and lifted. It takes between six months and one year for scars to become barely visible.

When the nipple projects below the inframammary fold, true ptosis is present. It is classified into different grades, like all morphological descriptions, as this helps surgeons determine the most appropriate approach. Indications depend on the degree of ptosis and also on the volume of the breast gland.

When breast volume is sufficient, reshaping the gland and removing excess skin allows the breast to regain a harmonious, elevated contour. If breast volume is insufficient, implant placement must be combined with the breast lift.

Under my care, scars are always kept as short as possible, but to achieve a well shaped, conical breast, a vertical scar on the lower part of the breast is often necessary. The extent of scarring depends on the severity of the ptosis : the more excess skin there is to reposition, the more extensive the scar. It may be limited to around the areola, extended with a vertical scar, or in some cases require a horizontal scar in the inframammary fold.

Sometimes, ptosis is minimal and increasing breast volume or a simple areolar scar is sufficient. Precision of the gesture is the foundation of an elegant and lasting result.

After one or two consultations, once my patient and I are certain that we fully agree on the expected result, surgery can be scheduled.

General anesthesia is preferred and the operation lasts between 1 hour 30 minutes and 2 hours ( for both breasts ). You may choose an outpatient procedure or stay one night in the clinic for greater comfort.

Postoperative recovery is simple and only mildly painful. One week off work should be planned.

At present, scarless breast lifting is not possible. The use of threads or meshes without scars has not produced convincing results, despite attempts over more than 60 years. However, the use of UrgoTouch° to reduce scar visibility is a promising option.