AUGMENTATION
MASTOPEXYin
dubai
Combining lift and volume to improve breast shape, projection and overall balance.
BREAST LIFT WITH IMPLANTS
For women who have lost both breast volume and position, augmentation mastopexy combines lifting with implants to improve fullness, shape and upper breast contour in a single procedure.
DR. IRAJ
overview
Considering Augmentation Mastopexy
Augmentation mastopexy may be appropriate for patients who experience both loss of breast fullness and breast sagging.
Common scenarios include:
• breast deflation following pregnancy or breastfeeding
• loss of upper breast fullness
• stretched breast skin
• downward pointing nipples
• significant breast shape changes after weight loss
In these situations, restoring volume alone will not correct the breast position, while lifting the breast without restoring volume may leave the breast appearing smaller.
The combination procedure allows both concerns to be addressed simultaneously.
SURGICAL PLANNING
Augmentation mastopexy is one of the more technically demanding procedures in aesthetic breast surgery because it requires balancing two opposing surgical goals.
Breast augmentation increases volume and expands the breast envelope, while mastopexy tightens the skin and reshapes the breast.
Careful planning is therefore essential.
Factors considered during consultation include:
• degree of breast descent
• breast tissue volume
• skin elasticity
• implant size and projection
• nipple position
• overall body proportions
In patients with mild to moderate breast descent the procedure is usually performed in a single stage.
In more severe cases a staged approach may occasionally be recommended to optimise safety and long-term results.
surgeon insight
Augmentation mastopexy is one of the most technically challenging breast procedures. Healing of the breast depends on its blood supply, and both the lifting and augmentation components can affect that circulation. Achieving a good result requires careful surgical planning and precise execution.
Implant Selection
When combining augmentation with mastopexy implant selection becomes particularly important.
Larger implants can increase tension on the breast lift and may affect wound healing or long-term breast shape. For this reason, implant size is usually chosen carefully to balance enhancement with tissue safety.
Moderate implant dimensions are often preferred in order to:
• protect the integrity of the breast lift
• minimise tension on the surgical incisions
• maintain natural breast proportions
The aim is to create a result that appears balanced rather than exaggerated.
AT A GLANCE
Overnight Stay
O DAYS
Final Result
6 MONTHS
Anaesthetic
Duration
1-2 HRS
GENERAL
Surgical Technique
Augmentation mastopexy is typically performed under general anaesthesia.
The operation involves two key steps:
placement of a breast implant to restore volume
reshaping and lifting of the breast tissue
Excess skin is removed while the underlying breast tissue is carefully repositioned. The nipple and areola are elevated to a more youthful position on the breast.
A wise pattern mastopexy technique is commonly used when significant reshaping is required.
Implant placement is tailored to the patient’s anatomy and lifestyle considerations.
BEFORE AND AFTER
See before and after photos of a successful Breast Augmentation Surgery.
Side-by-side images showing a woman's physical transformation. The 'before' image depicts a woman with sagging skin and large breasts, while the 'after' image shows her with a tighter abdomen and more lifted breasts, wearing a necklace and black underwear.
Side-by-side comparison of a woman before and after breast reconstruction surgery, showing her naked torso with visible scars and changes in breast shape.
INTERNAL SUPPORT
In many modern augmentation mastopexy procedures additional internal support may be used to reinforce the breast tissue.
Bioabsorbable scaffolds such as GalaFLEX® can act as a temporary internal support structure while the body forms stronger connective tissue during healing.
Internal support may be particularly helpful in situations such as:
• augmentation mastopexy procedures involving implants
• weaker natural tissue support
• patients at higher risk of recurrent breast descent
• revision breast surgery
While augmentation mastopexy can be performed without this reinforcement, many surgeons find that internal support can help maintain long-term breast shape.
surgeon insight
Internal support scaffolds are not essential for every patient, though in modern breast surgery they can provide additional reinforcement that may help maintain the surgical result over time.
Recovery
Augmentation mastopexy is usually performed as a day procedure.
Most patients experience mild to moderate swelling and tightness during the first several days as the body begins to heal.
Typical recovery milestones include:
• light daily activities within several days
• return to most normal routines within one to two weeks
• avoidance of strenuous exercise for approximately four weeks
As swelling settles the breast gradually softens and assumes its final shape.
PLANNING NATURAL PROPORTION
The goal of augmentation mastopexy is not simply to enlarge the breast or lift it higher on the chest.
Instead the procedure focuses on restoring shape, proportion and harmony with the body.
When implant dimensions, breast reshaping and nipple position are carefully balanced the result should appear natural rather than surgical.
Risks and Safety
Augmentation mastopexy is a surgical procedure. A full discussion of risks and safety considerations forms an important part of the consultation process.
Detailed consent information can be reviewed here.
Results
The results of augmentation mastopexy evolve gradually as healing progresses.
Swelling settles over several weeks while the breast tissue adapts to its new shape and position.
When carefully planned the procedure restores both fullness and contour while maintaining natural breast proportions.
FAQs
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Augmentation mastopexy is a procedure that combines breast implants with a breast lift to restore both volume and shape.
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Not always. Some patients achieve excellent results with mastopexy alone. Augmentation mastopexy is recommended when both volume and lift are required.
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In most cases the procedure can be performed in a single stage. In severe breast descent a staged approach may sometimes be recommended.
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Implant size is usually chosen carefully to protect the breast lift and avoid excessive tension on the surgical incisions.
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An internal bra refers to the use of a bioabsorbable scaffold such as GalaFLEX to provide temporary support to the breast tissue during healing.
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Most patients return to light activities within several days and resume most normal routines within one to two weeks.
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Scars are part of any breast lift procedure though they typically fade significantly over time.
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Fat grafting may be used in selected patients to enhance contour though implants are usually required when significant volume restoration is desired.
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Results are long lasting though natural ageing and gravity will continue to influence the breast over time.
GET TO KNOW
DR. IRAJ.
Dr Iraj Ahmadi is a specialist plastic and reconstructive surgeon whose work bridges aesthetic refinement and complex reconstructive surgery.
Alongside this work, his practice spans aesthetic surgery of the face and body as well as reconstructive surgery for cancer, trauma and complex tissue loss.
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