Breast lift / mastopexy

from woman to woman

General information on breast lift

Associated terms:

Breast lift, mastopexy

Weak connective tissue or the natural ageing process of the skin can lead to sagging, drooping breasts with increasing age. Pregnancy and breastfeeding or weight loss can also result in similar findings, which can significantly affect the aesthetic appearance and body image.

A sagging, drooping breast can be lifted and reshaped with a breast lift to create a firmer, more youthful and natural breast.

The primary aim is to avoid unnecessary scars as far as possible. However, the prerequisite for a good result is the existing skin quality.

In the case of very large and sagging breasts, a Breast reduction make sense.

Brief overview of breast surgery Breast lift:

Duration of treatment:
2-3 hours

Anaesthesia:
General anaesthesia

Follow-up treatment:
Compression bra

Load restrictions:
2 weeks

Scope of treatment depending on your initial situation

Less sagging of the breast tissue can possibly be compensated for by tightening around the areola (periareolar tightening). However, the breasts may lose some of their projection and appear somewhat flatter.

If the breast is more severely sagging, other tightening techniques (I and T technique) are used with a skin incision around the areola, vertically up to the inframammary fold and, if necessary, in the inframammary fold to achieve a beautiful result. The areola is repositioned upwards in this way without affecting the nerves and vessels that are important for blood circulation and sensitivity in the areola.

If you also want more breast volume, a combination of a breast lift and the simultaneous insertion of an implant (Breast augmentation) achieve a good result. This not only tightens the gravity-following tissue, but also compensates for the lost volume.

Are there alternatives to surgery?

Yes, there are alternatives to breast lift surgery. However, they cannot be used to remove excess skin.

A non-invasive method is radiofrequency therapy, which uses heat to tighten the skin and stimulate collagen production. This technique can help to improve the appearance of the skin and lift the breast slightly, but the results are not as permanent as with surgery.

Laser treatments can also be used to tighten the skin and improve the appearance. There are also special exercises and physiotherapy that aim to strengthen the chest muscles and thus improve the appearance of the breast.

What requirements should be met?

Before you decide to have a breast lift, you should fulfil a few important requirements. Good general health is crucial, as the operation is performed under general anaesthetic and the healing process requires optimal physical condition. Your body weight should also be stable, as significant weight fluctuations can affect the result.

Smoking can have a negative effect on wound healing, so it is advisable to refrain from smoking for at least four weeks before and after the operation. It is also important to have realistic expectations and to be aware that although surgery can improve the shape and firmness of the breast, it cannot guarantee perfect symmetry.

Procedure for breast surgery

The operation is performed under general anaesthetic and takes 2-3 hours depending on the technique. For all surgical procedures, we recommend wearing a compression bra day and night for a period of six weeks.

The suture material can be removed after about two weeks. In general, you will be largely symptom-free again after just a few days and, depending on your activity, able to work.

We will discuss which of the above-mentioned surgical options is best for you in a personal consultation. We will also inform you about the results that can realistically be expected, conceivable risks and possible complications.

Risks and complications

The risks and complications of a breast lift can be varied and should be carefully considered. The general risks include infection, bleeding, swelling and pain that can occur after the operation. There is also the possibility of scarring and skin changes, such as reduced nipple sensitivity. Other specific complications may include asymmetries, problems with wound healing and, in rare cases, the occurrence of seromas or haematomas.

Healing process and behaviour after the operation

After a breast lift, the healing process is of great importance in order to achieve an optimal result. Immediately after the operation, you should expect a period of rest during which you should limit your activities and recover sufficiently. It is advisable to follow our instructions carefully, especially with regard to taking medication and caring for the wounds.

Swelling and bruising may occur in the first few days after the operation, but this should subside over time. To support healing and minimise the formation of bruising, it may be necessary to wear special compression garments. This also helps to stabilise the tissue and support the shape of the breast.

As the healing process progresses, it is important to avoid physical exertion, especially that which could strain the chest muscles. However, light movements and walks can be beneficial to improve circulation and support the healing process.

Complete healing can take several weeks to months, with the scars fading and becoming less noticeable over time. Regular check-ups with your doctor are essential to monitor the healing progress and recognise possible complications at an early stage.

Cost of a breast lift

complexity of the operation, the method used and the material required, for example whether implants are necessary. Please note that the costs always consist of the preliminary examination, operation, anaesthetic, possible inpatient stay, aftercare and, if necessary, compression garments. As the costs vary from person to person, a detailed cost breakdown can be provided after your consultation and examination.

Who bears the costs of a breast lift?

It is important to note that these costs are generally not covered by statutory health insurance unless there is a medical necessity. You should therefore inform yourself well in advance and, if necessary, obtain several cost estimates in order to make the best decision for yourself.

What should you look out for when choosing a doctor?

When choosing a specialist, make sure that you use the term Specialist in Plastic and Aesthetic Surgery. Other designations such as beauty doctor, cosmetic surgeon, etc. are unprotected and not a sign of qualification (more on "What should you consider when choosing a specialist?„.

Make sure that you receive a comprehensive preliminary examination and information about the course of treatment, possible risks and the healing process.

Why should you come to us for a breast lift?

Extensive experience, maximum hygiene and infection protection, continuous further training and the utmost care are the basis of our practice. This is also reflected in the large number of positive patient reviews and our seals & awards.

Take advantage of our almost 20 years of experience for your desired change. Dr Michaela Montanari has been a member of the board of the German Society for Aesthetic Plastic Surgery (DGÄPC) since 2021. She has also been certified since 27.02.24 by the DGPRÄC certified breast surgeon.

Do you have any questions?

We will be happy to answer all your questions about the procedure, options, risks or recovery of your breast lift. Arrange your personal consultation. We will advise you individually about your options.