Mastopexy with implants

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Suitable when the patient has sagging skin and drooping breasts.

Sagging skin and drooping breasts

Suitable when the patient has sagging skin and drooping breasts. The technique is performed by removing excess skin and internal breast tissue (glandular and fatty).

As the areolas are also in a position lower than the normal anatomical one, they need to be repositioned by means of reduction and ascension flaps.

The usual scars are: around the areolas, along the submammary fold and vertically between the lower part of the areola and the submammary fold (in an inverted T or L shape, when possible).

Silicone implants can be placed above or below the muscle, depending on the patient’s existing breast volume.

If you have little volume, the best option is to insert the implant underneath the muscles, which acts as a greater camouflage and avoids the “rippling” (visible ripples that show that the implant is barely covered by the gland, with practically only the skin covering it) effect.

Formats and techniques

In particular, I have adopted the submuscular plane (Dual Plane) in most cases, with an incision in the submammary fold.

In this method, the implant is partially covered by the muscle, with the lower pole free, providing a smoother transition to the chest and a more natural fit.

The volume is chosen by measuring the base of the breast so that the fit does not exceed the anatomical limits of the breasts, thus avoiding symmastia (when a “bridge” of tissue forms between the two breasts, giving the impression that the breasts are “glued” together) and lateral displacement.

The “internal bra” technique is nothing more than fixing the new submammary sulcus, in order to prevent the implants from shifting inferiorly (“bottoming out effect”).

Breasts with more glandular tissue are firmer, while breasts with more fat tend to sag sooner.

Therefore, although mastopexy can be performed without implants, the option of draining most of the tissue and replacing it with an implant may be the most suitable.

It is important to have the surgery when your weight is more in line with your height, because if you lose weight after the procedure, your skin may sag again.

Additional information
Mastopexy with implants

Click on the questions to see the answers

With regard to post-operative care, we recommend avoiding raising your arms above the shoulder line for the first 15 days, as well as avoiding driving during this period.

We also recommend avoiding carrying any weight over 2 kg in the first 2 months. Wearing a post-surgical bra is also usually indicated for this period.

Special dressings and healing creams will be prescribed as you progress.

The result usually appears in the third month, stabilizing in the sixth month after surgery.

With regard to risks, it should be noted that anywhere in the world, an informed consent form will be provided, which includes: unfavorable scars, bleeding, infection, changes in breast or nipple sensitivity, capsular contracture, which is the formation of rigid scar tissue around the implant, implant rupture, skin wrinkling on the implant, anesthetic risks, fluid accumulation (seroma), pain that can last, deep vein thrombosis, heart and lung complications and the possibility of another surgical procedure.

These complications can be found on the website of the Brazilian Society of Plastic Surgery – São Paulo Regional – at this link:

Unfortunately, there are no risk-free surgeries. However, you will always be able to count on our comprehensive support and professional service. Surgeries are carried out after preparation, with preoperative tests, adequate hospital infrastructure and post-operative follow-up for the next few months, until the result stabilizes.