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Mastopexy at MACS Clinic: A Comprehensive Guide to Breast Lift Surgery

Posted on: 12 Jun 2025

What is Mastopexy?

Mastopexy, commonly known as a breast lift, is a surgical procedure that elevates and reshapes sagging breasts . This procedure involves removing excess skin, tightening surrounding tissue, and repositioning the nipple-areola complex to a higher, more natural position. Unlike breast augmentation, mastopexy does not aim to increase breast size, although it can be combined with implants or fat graft for added volume.

At MACS Clinic, mastopexy is performed with following techniques.

Schematic representation of principles of mastopexy
schematic representation of principles of mastopexy
Schematic representation of principles of mastopexy

Why Do Women Opt for Mastopexy?

Women choose mastopexy for various personal, emotional, and physical reasons. Common motivations include:

  • Post-pregnancy changes: Following childbirth and breastfeeding, the breasts often lose firmness and volume, leading to sagging.
  • Aging: As skin loses elasticity over time, breasts naturally begin to droop.
  • Weight fluctuations: Significant weight loss or gain can cause the breast skin to stretch and sag.
  • Genetic predisposition: Some women may naturally have low-set or droopy breasts even from a young age.
  • Desire for improved symmetry: Uneven breasts can be corrected through mastopexy, giving a more balanced look.
  • Self-confidence: Many women report feeling more confident and satisfied with their body image after the procedure.

Sagging Breasts causes following signs and symptoms :

Sagging or ptotic breasts can lead to several physical issues beyond aesthetic concerns:

  • Chronic back, neck, and shoulder pain due to improper weight distribution.
  • Skin irritation or rashes under the breast fold, especially in humid climates.
  • Poor posture resulting from trying to hide the breast shape or due to discomfort.
  • Discomfort during exercise or physical activity, including chafing and bouncing.
  • Difficulty finding supportive bras or clothing that fits properly.

These issues can reduce a woman’s quality of life and interfere with daily functioning.

Social and Personal Issues

The psychological impact of sagging breasts is profound. Many women face:

  • Body image issues and lack of self-esteem, particularly in intimate situations.
  • Avoidance of certain activities such as swimming or gym workouts due to embarrassment.
  • Postpartum dissatisfaction with their body that may affect mental well-being.
  • Strained relationships due to reduced sexual confidence.

Restoring breast shape through mastopexy often brings emotional relief and a renewed sense of self.

Patient - 1:

Treatment Options for Sagging Breasts

MACS Clinic provides a spectrum of treatment options tailored to the degree of sagging and individual goals:

  • Non-surgical interventions: While these include supportive bras and exercises, they offer only temporary or limited improvement.
  • Standalone mastopexy: Ideal for women seeking lift and reshaping without a change in volume.
  • Mastopexy with augmentation: Combines lifting with implants or fat grafting to restore lost volume.
  • Mastopexy with reduction: Suitable for women with large, heavy breasts needing a lift and size reduction.

Each treatment plan is customized after a detailed consultation and examination by Mr. Vadodaria.

The Mastopexy Procedure at MACS Clinic

The surgical process at MACS Clinic is meticulously planned and executed. Here’s a step-by-step breakdown:

Preoperative Consultation:

  • Detailed assessment of breast size, shape, and skin quality is done by Mr. Vadodaria
  • Evaluation of overall health and medical history
  • Discussion of personal goals and expectations
  • Selection of the most suitable surgical technique
  • Breast screening as appropriate

Surgical Day:

  • Performed under general anaesthesia
  • Duration: Approximately 2 to 3 hours

  • Techniques:
    1. Periareolar (Donut Lift): Incision around the areola, suitable for mild sagging
    2. Vertical (Lollipop Lift): Circular and vertical incision, used for moderate sagging
    3. Anchor Lift: Adds a horizontal incision in the breast crease, for significant sagging

  • Repositioning of the nipple and tightening of breast tissue is done
  • Optional placement of implants or fat graft if combining with augmentation
  • Mr. Vadodaria uses dissolvable sutures and scar-minimizing strategies

Patient 2: Vertical scar mastopexy performed under general anaesthesia by Mr. Shailesh Vadodaria

Post-Operative Care

Proper aftercare is essential for healing and long-term success. At MACS Clinic, patients are advised to use:

  • Compression garments to support healing and reduce swelling
  • Prescription medications for pain management and infection prevention
  • Drain care (if used), typically removed within 24 to 48 hours
  • Activity restrictions: Avoid heavy lifting or vigorous exercise for 4-6 weeks
  • Follow-up visits (in 1 weeks and 6 weeks time) for monitoring wound healing and addressing any concerns

Patients are given clear instructions on scar care, wound hygiene, and signs to watch for during the recovery process.

Patient 3: Breast Lift (Mastopexy) performed by Mr. Shailesh Vadodaria under general anaesthetics following massive weight loss

Complications of Mastopexy

While generally safe, mastopexy carries potential risks like any surgical procedure:

    • Scarring (which fades over time but is permanent)
    • Infection or hematoma
  • Under / over correction
  • Asymmetry
  • Fat necrosis
  • Deep vein thrombosis / pulmonary embolism
  • Temporary or permanent changes in nipple sensation
  • Irregular contour
  • Delayed wound healing, particularly in smokers or those with certain health conditions

Mr. Vadodaria minimizes risks through preoperative screening, sterile technique, and appropriate surgical execution.

Combining Mastopexy with Other Procedures

Mastopexy can be effectively combined with:

  • Breast augmentation: For added volume and shape
  • Breast reduction: For a lifted and lighter result

Combining procedures allows for balanced results and a single recovery period, which many patients prefer.

Patient 4: Augmented Mastopexy following massive weight loss in a female patient performed under general anaesthetics by Mr. Shailesh Vadodaria

Is Revision Surgery Required?

Most women are satisfied with the initial results, but revision may be necessary in cases such as:

  • Asymmetry that becomes noticeable over time
  • Poor scar healing or keloid formation
  • Desire to add or remove implants later
  • Changes due to aging, pregnancy, or weight fluctuations

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