Mastopexy and reduction mammoplasty with short inverted T-scar

Today, breast lift without implants is very popular. After all, elastic, attractive breasts are the main decoration of a woman’s body.

But due to genetic predisposition, sudden changes in weight, pregnancy and breastfeeding, the bust can change and sag.

To get a toned shape, clear contours, elasticity and beauty, you don’t even have to go under a scalpel, because there is more than one method of breast lift without implants.

#5 causes of ptosis (sagging) of the mammary glands

Let's first figure out why breasts sag. There are many reasons that negatively affect the elasticity of the bust. Heredity is of great importance, which determines the shape and volume of the breast.

In medicine, sagging bust is called ptosis, and it is divided into certain stages:

Other factors can also influence the manifestation of deficiencies:

1. Lactation. The most pronounced deformities are observed if the bust is small and milk production is high.
2. Sudden changes in body weight. Fat cells accumulate quickly, stretching the skin. Sagging occurs when a woman loses weight in a short period of time.
3. Hormonal imbalance. Leads to changes in the size of the mammary glands and deteriorates the quality of the skin.
4. Signs of aging. With age, the concentration of elastin, hyaluronic acid and collagen decreases, causing breast sagging.
5. Sport. Sports training without the use of supportive underwear.

People often leave reviews about breast lifts without implants. And many talk about the high effectiveness of certain methods.

Breast lift methods without implants

Before proceeding with a breast lift, using one method or another, experts advise understanding the anatomy of the breast structure and the reasons for its sagging. As a rule, most women attribute changes in the shape and location of the mammary glands to age, but in addition to this there are a number of other influencing factors:

• large breasts sag over time under their own weight;
• sudden weight loss or weight gain;
• insufficient care of the body and skin;
• refusal to wear a bra;
• failure of the hormonal system due to menopause, pregnancy, hormonal drugs, etc.

To correct the deformation of the mammary glands, their ptosis (mastoptosis) or disproportion, many women resort to the help of non-surgical breast lift specialists. They are usually carried out either naturally or artificially, with the difference being the cost, side effects and results obtained. Before starting to carry them out, a specialist must assess the degree of mastoptosis in order to select an effective method for lifting the mammary glands.

It could be:

• vertical breast lift;
• periareolar mastopexy;
• anchor mastopexy.

All three mastopexy techniques are aimed at effectively and non-surgically combating mastoptosis without the use of implants.

And only three reasons can postpone such procedures to a later date: planning a pregnancy, expecting the patient to achieve sky-high results, and obesity of any degree.

Indications

When should you consider a breast lift? The procedure is intended for women who suffer from the problems listed below.

INDICATIONS

• unsightly sagging breasts;
• loss of elasticity, sagging;
• stretched skin;
• loss of volume after birth and feeding the baby;
• sagging caused by rapid weight loss.

You must first consult with a specialist and pass all the necessary tests.

What does the operation allow?

In addition to restoring a woman’s psychological comfort, mastopexy with a vertical scar allows one to achieve significant aesthetic results, eliminating:

• pronounced stretch marks remaining after losing weight;
• asymmetry of the mammary glands;
• discrepancies between the amount of skin and the volume of the gland;
• stretching of the ligamentous apparatus of the bust during feeding.

Thanks to this operation, it is possible to place the SAH in place by moving the nipple from the bottom of the breast to the top.

Breast augmentation with a vertical lift allows you to fill the space allocated for glandular tissues with the help of implants. Augmentation mammoplasty or breast reduction and mastopexy can be performed within the same surgical procedure.

Procedure methods

Modern medicine offers the fair sex various options for breast lift without implants (in the before and after photos, based on the reviews below, you can evaluate the final result).

All methods are divided into 2 types:

1. Operational. They are serious operations that are performed under general anesthesia and require long rehabilitation. After the procedure, scars remain on the skin.
2. Non-surgical. They are performed under local anesthesia and are easier to tolerate by patients. They are used only at the initial or middle stages of prolapse. At the same time, the final result can last for several years.

The selection of suitable methods is carried out only by a doctor who takes into account the patient’s health status, individual characteristics of the problem, and personal wishes.

It is worth noting that there are also special exercises for breast lift. But they are ineffective. The thing is that the mammary glands themselves cannot be tightened through training.

The muscles behind them are pumped up. This can visually tighten the bust a little, but in advanced cases the result is practically not visible.

Preventing sagging

How to prevent breast sagging? There are special essential oils for breast tightening. They are concentrated liquids that can relieve stress from the skin and glands and increase their elasticity. For these purposes, essential oil complexes are used:

1. Complex for increasing skin elasticity. Mix 10 drops of jojoba oil, 4 drops of fennel oil, 2 drops of hop oil and 10 drops of hazel oil.
2. Non-surgical breast lift. Take 30 ml of base oil and add 7 drops of fennel oil, 5 drops of anise oil and 3 drops of rosemary oil.
3. For aging skin. Take 20 ml of jojoba oil and 10 ml of avocado oil, add 4-5 drops of geranium, dill, cypress and sage oils to the mixture.

Essential oil mixtures should be rubbed into the skin of the mammary gland with massage movements in the morning and evening. How to tighten large breasts? The effect will also be for large breasts if you take a bath with added oils 2 times a week.

After childbirth

What kind of breast correction can be done after childbirth? For example, you can use masks to tighten the skin of the mammary glands:

1. Cabbage mask. Mix cabbage in a blender with 7-10 drops of castor oil. Apply the mask to the skin of the mammary glands, avoiding the nipple area. Leave for 15 minutes, and then remove the remaining mixture with a napkin.
2. Blue clay mask. Dilute the prepared clay package with calendula decoction, add 5 drops of myrrh and apply to the mammary gland area. Wash off after complete drying.
3. Oatmeal mask with honey. Take half a glass of oatmeal and steam with hot water. After 30 minutes, add 3 teaspoons of honey. Apply to the mammary gland for 15 minutes and rinse with water.

From this article we learned how to lift sagging breasts, what methods exist to restore their elasticity surgically and at home.

Surgical intervention

Surgical correction of breast prolapse is considered a radical method that allows you to achieve the most pronounced result even in the presence of serious aesthetic problems.

Mastopexy (lift)

Plastic surgery aimed at correcting and lifting the breasts is called mastopexy. It involves excision of excess skin, fat deposits, tightening and suturing.

As a result, excess skin is eliminated, the size of the areola is reduced, the mammary glands are tightened, and the nipple takes an anatomically correct position.

The problems that mastopexy solves include:

• giving an attractive shape to the areola and nipple;
• moving the nipples to their normal position;
• elimination of stretched skin;
• bust lifting.

The manipulations are completed by suturing the incisions. Depending on the stage of prolapse and the condition of the skin, the procedure technology may vary:

Mammoplasty

The intervention is carried out to change the shape or volume of the breast, up or down. The main indications include:

• rapid increase in bust while maintaining elasticity and correct position;
• congenital underdevelopment;
• omission;
• a pronounced decrease in volumes after feeding the baby;
• gynecomastia in the stronger sex.

A doctor can perform more than one operation at a time, but simultaneous interventions have their own nuances:

Lipofilling (correction with your own fat)

This is a cosmetic operation that allows you to change the silhouette, as well as correct the bust by transferring the patient’s fat tissue to certain places where there is a lack of volume.

The main advantage of the procedure is the absence of synthetic materials that can cause rejection. Fat grafting is safe for women who are overweight.

It is worth knowing that often not all adipose tissue survives. That is why you have to repeat the manipulation again.

If severe ptosis is present, this technique will not help.

To learn more about lipofilling, we recommend watching this interesting video:

Tightening method

In order to carry out different types of mastopexy, a woman should consult with a specialist and define for herself the scope of the expected results. As a rule, women whose desires are excessively exaggerated are not allowed to undergo procedures until they understand the real risks and consequences of such medical services.

All three methods of mastopexy today enjoy approximately the same popularity and demand among patients; each differs in its implementation, advantages and disadvantages. The price for a breast lift without implants also varies. But each of the previously mentioned methods of breast lift involves mandatory stages:

• First, the specialist’s work is aimed at returning the original shape and size of the areola and nipples of the mammary glands.
• Excess stretched skin on the lower chest is removed.
• The tissues of both breast glands will be directed upward for attachment to the fascia of the pectoral muscle.
• The end of the procedure will be carried out by carefully suturing the wound.

Vertical breast lift

Vertical breast lift is a surgical intervention aimed at lifting the mammary glands in a vertical manner. During this method of mastopexy, the physician makes two neat incisions: near the areola of the nipples and from there along the breast to the lower fold under it. As a rule, women whose ptosis is in the first or second stage of development resort to such a breast lift.

The technique for performing a vertical mastopexy by a physician consists of the following steps:

• preliminary marking of the future location of the areola and nipples in comparison with the lower fold under the breast;
• after the patient approves the plan, the doctor must determine the amount of excess stretched skin from the bottom of both mammary glands for subsequent removal;
• predetermined excess parts of the dermis in the areola area and below the mammary glands are surgically removed;
• areolas are reduced to a maximum size of 4.5-5 cm;
• after reduction, the nipples along with the areolas are raised to the designated height and fixed with sutures;
• the surgeon moves adipose tissue and skin from the lower part of the mammary glands to the areolar area;
• the tissues of both mammary glands are also raised to the previously designated level and secured to the pectoral fascia by suturing;
• The final stage of mastopexy consists of fixing all drainages along with their active aspiration.

After completing the vertical mastopexy operation, the doctor can show the patient the first results of a breast lift after some time. Vertical mastopexy in Moscow will cost patients from 65 thousand rubles to 120 thousand rubles , depending on the popularity and pricing policy of the capital’s clinics. As cities move away from Moscow, the price for such an operation will decrease.

Anchor mastopexy

Anchor mastopexy is a surgical breast lift without the use of implants, intended for patients with pronounced third and fourth degree ptosis. The main difference between this type of mastopexy is that this procedure involves a larger area of ​​diepidermization of the lower part of the mammary glands. Through anchor mastopexy, the doctor transfers most of the sagging dermis and fatty tissue of the lower part of the breast to its upper part, thereby tightening it and giving it the same volume.

The technique for performing an anchor breast lift by a physician consists of the following steps:

• carrying out markings on the patient’s body to predetermine the future location of the areola and nipples, as well as the inferolateral areas of the breast to remove excess and draw clear boundaries of the breast;
• the initial stage of anchor mastopexy will be diepidermization along markings in the area of ​​the areola and nipples, as well as on the sides and bottom of both mammary glands;
• the skin and fatty tissue of the breast is carefully peeled off to the level where it should be according to the surgeon’s markings;
• the areolas and nipples of the mammary glands moved higher are attached with single neat sutures;
• the raised lower part of the mammary glands is fixed by the physician using the fascia of the mammary gland;
• Upon completion of the operation, the surgeon applies layer-by-layer sutures to the incision and performs drainage along with active aspiration.

At this point, anchor mastopexy to correct ptosis is completed, and soon the patient will be able to see the results of the operation. An anchor breast lift in the capital will cost patients from 180 thousand rubles to 200 thousand rubles , prices will decrease depending on the distance from the capital.

Periareolar mastopexy

Periareolar mastopexy is an operation that is not always considered a breast lift method, since it is intended for diepidermization of the purely nipple-areola complex of the mammary glands. Typically, this operation is prescribed for women who are diagnosed with pseudoptosis, and amazing results can be obtained with the introduction of breast augmentation implants.

The technique for performing periareolar mastopexy is based on simple steps:

• marking for future diepidermization of the nipple-areola complex of the mammary glands;
• making small incisions to remove excess fat and skin tissue of the areola;
• fixing the areola and nipples at the desired height using sutures;
• finishing sutures, drainage of the mammary glands.

Only the surgeon can determine the cost of a future mastopexy.

The price level will depend on the clinic’s pricing policy, the volume and complexity of the surgical work, as well as the breast lift technique. On average, a periareolar breast lift will cost a patient 75-85 thousand rubles in the capital; in remote cities the price of the operation will be lower.

Preparatory stage for surgery

Each representative of the fair sex who decides to make her breasts attractive with the help of plastic surgery will have to take several tests and undergo a special examination.

During your consultation with a plastic surgeon, you should openly answer any questions and talk about all the facts related to your health.

This will help to avoid possible complications during the operation, as well as during the recovery stage.

Preparations should begin approximately 14 days before the intended procedure. It is important to give up cigarettes and alcohol and stick to a healthy diet.

If the patient is taking any medications, you should tell the specialist about it. You may have to temporarily stop therapy or reschedule surgery at a later time.

The last meal should take place in the evening before the procedure. Liquid intake is stopped 60 minutes before the intervention.

Immediately before the operation, the doctor draws markings on the patient’s body with a special marker. It is according to this pattern that the cuts are made.

Rehabilitation period after surgery

It often takes from 1 month to six months for complete recovery. The speed of healing is influenced by the condition of the body and its individual characteristics.

The first few days after surgery are best spent in a hospital under medical supervision.

The recovery period is characterized by several features:

1. Immediately after completion of the manipulations, drainage tubes are installed in the mammary glands, through which lymph flows out.
2. To make the scars less noticeable, you will need to undergo physical therapy immediately after removing the drainage tubes.
3. To combat pain, anesthetics are taken for 10 days.
4. Sick leave is issued to patients for a maximum of 14 days.
5. Physical activity is prohibited for 2 months after surgery.
6. Laser technologies are often used to combat scars.

The before and after photos clearly show the effect of a breast lift without implants; the price of the procedure is determined individually.

Could there be complications?

The method of bust lifting under consideration is considered one of the safest. The risk of complications does not exceed three percent.

The most common side effects that occur after surgery include:

• The sutures do not heal for a long time (in a normal situation, the tissue should completely recover within a year).
• Instead of almost invisible stripes, ugly large scars remain.
• Asymmetry of the mammary glands.
• Reduction or loss of sensitivity in the nipples, both unilateral and bilateral.
• Hematoma formation.
• Development of necrosis.
• Seams coming apart.

The doctor’s experience and proper preparation for the procedure reduces the risk of complications to a minimum.

Contraindications

You will have to refuse a breast lift if certain factors are present.

CONTRAINDICATIONS

1. the period of bearing a baby and breastfeeding;
2. benign and malignant neoplasms;
3. arterial hypertension, diabetes mellitus;
4. all kinds of pathologies of the mammary glands;
5. infectious diseases;
6. stage of exacerbation of chronic illnesses;
7. epilepsy, mental disorder.

If there are no contraindications, then a breast lift without implants can be performed at any time; from the photo it is easy to evaluate all the advantages of modern techniques.

Advantages and disadvantages

Each method of mastopexy for breast lift without the use of implants has both a large list of advantages and a list of disadvantages. Any surgical intervention involves positive changes in the patient’s body, but also entails certain risks and the possibility of side effects.

• Vertical mastopexy breast lift method.

The advantages of this operation:

• the effectiveness of breast lift with ptosis of the first and second stages of development;
• preservation of the results obtained over a long period of time;
• completion of the operation does not involve large obvious sutures and scars, since they are applied to areas of invisible and rapid healing;
• the possibility of carrying out this method of lifting in many cities of Russia, which allows you to save money on payment.

The disadvantages of vertical mastopexy include only one factor:

• Such a breast lift will not be effective for those women whose breasts are susceptible to ptosis of the third and fourth degree.

• Anchor mastopexy.

Anchor mastopexy for breast lift is popular in Russia and can be performed not only directly in the capital, but also in many other cities, where prices will be much lower.

The benefits of an anchor breast lift include:

• pronounced ptosis of the third and fourth stages of development will be effectively eliminated by anchor mastopexy;
• long term aesthetic result of such an operation;
• in the future, the patient has the opportunity to correct varying degrees of ptosis.

Despite the popularity of this method of breast lift, it has a number of disadvantages:

• a high degree of trauma is expected during the operation;
• upon completion, the patient will have visible scars that are difficult to hide;
• The duration of rehabilitation is much longer compared to other methods of breast lift.

• Periareolar mastopexy.

Periareolar mastopexy is intended to correct and tighten only the nipple-areolar complex of the mammary glands.

The advantages of this operation:

• excellent results with pseudoptosis, ideal aesthetic effect in tandem with breast implantation;
• absence of significant damage and injury during the operation;
• small, inconspicuous scars only in the areola area of ​​the breast.

The disadvantages of periareolar pseudoptosis lift are as follows:

• ineffectiveness of the surgical technique for ptosis of any degree of manifestation;
• due to tissue tension in the areolar area of ​​the mammary glands, the upper part of the breast is flattened during the periareolar lift;
• due to excessive tension of the skin tissue, the scar in the areola area stretches over time;
• some time after the operation, the lower part of the mammary glands sag, since diepidermization is not carried out in this area.

Question answer

Often, after such an intervention, women calmly feed the baby with breast milk. But the fact is that you cannot know exactly what changes may happen. There are still risks.

Even severe ptosis can be treated surgically, because the nipple itself will be transferred.

Of course, undergoing a breast lift does not guarantee that the bust will remain in this form forever. And pregnancy and breastfeeding have a strong impact. You may even need a second procedure if you want to change your breasts again. Its appearance is also affected by weight fluctuations and hormonal imbalances.

The most effective method of breast lift without implants

As practice shows, mastopexy of any type gives good results in correcting asymmetry and sagging of female breasts. Currently, Russian medicine offers three methods of performing a breast lift without the use of implants: vertical mastopexy for ptosis of the first and second degree, anchor for greater ptosis, as well as periareolar mastopexy for correction of the areola and nipple area in a woman with pseudoptosis. It is impossible to say specifically which of the three types of breast lift is considered the most effective. Each technique is intended for a specific case of manifestation of sagging mammary glands, having a number of advantages and disadvantages.

Mastopexy may be contraindicated for women who have diabetes mellitus, diseases of the cardiovascular system, complex somatic ailments, infections and nervous disorders, tumors and varicose veins, as well as chronic respiratory diseases. In addition, a mandatory condition for admitting a patient to such an operation is her age, 18 years and older.

Non-surgical methods

These include breast correction using special threads. The procedure is essentially surgical, but the intervention will be minimal.

The most popular threads are PDO and APTOS. They are made from special materials that can self-resolve and activate collagen production.

The threads form a supporting frame, complete dissolution occurs within 2 years. This time is enough to strengthen the tissue structure.

The main advantages of thread lifting include:

• absence of scars;
• maintaining achieved results for 2 years;
• improvement of vascular condition;
• increasing collagen production.

The procedure does not cause severe discomfort and lasts no more than 1 hour. The first positive changes will be noticeable after 3 months.

Prices for breast lift without implants in Moscow start from 5 thousand rubles per thread. In total, the procedure will require 40 - 50 threads.

5 other methods of breast correction in cosmetology

There are many salon procedures that can help tidy up your breasts.

Cosmetic procedures do not cause harm because they do not involve any incisions or stitches and do not require long-term recovery.

The most effective methods are:

1. Microcurrents. The mammary glands are exposed to mild current discharges, which creates a training effect. The muscular system is strengthened, the skin acquires tone and elasticity. Serums and natural oils are used to enhance the effect. Several courses of procedures will be required with breaks so that the muscles do not get used to the load.
2. Myostimulation. In essence, the method is close to the previous one, but is carried out without additional funds and is cheaper. At least 10 sessions with equal breaks will be required.
3. Mesotherapy. Using injections, components beneficial to the skin are introduced: vitamins, hyaluronic acid and other substances. This gives velvety, elasticity, and firmness.
4. Laser lifting. The procedure is completely safe, does not cause discomfort, has no complications or side effects. The course consists of 6 sessions.
5. Contour plastic. This is a procedure for introducing fillers (special preparations with hyaluronic acid) into the desired area. They are different from each other. The effect after such a procedure does not last forever; after a while you need to repeat the procedure. Microline filler is used for breast correction. This is a dense filler. Contour plastic surgery will help to enlarge the bust and tighten it a little. You will have to go for a repeat procedure a year later.

Prices in Moscow depend on the skill of the specialist, the individual characteristics of the patients, and the procedures chosen. The cost of a breast lift without implants in St. Petersburg and Yekaterinburg can be significantly lower than in the capital.

You need to understand that through such procedures it will not be possible to achieve the same effect as after surgery. After cosmetic manipulations, the condition of the skin will only improve, the muscles will be pumped up, which will tighten the bust a little.

Home techniques

Home methods will not be able to radically change the situation, but they can improve the condition of the skin and pump up the muscles that support the mammary glands. And this will have a positive effect on her appearance.

These methods include:

1. Masks with collagen. To do this, you can go to the appropriate stores where finished products are sold. But you can also prepare the mask yourself. You can use gelatin for this. Simply dilute it with water, spread the mixture on the skin, and when it dries, wash it off. You can also make masks with oatmeal. It costs a third of an hour to hold it.
2. Wraps. It is worth purchasing kelp. About 100 g of algae are soaked in 1 liter of water. When they are wet, they are laid out on the bust. Cover yourself with a towel for half an hour. It is also useful to make wraps with cream and rose petals. The ingredients are mixed and also applied to the skin for a quarter of an hour.
3. Exercises. Sports activities can pump up the pectoral muscles, which will tighten the bust a little. To do this, you need to do push-ups from the floor, from a support. Palm-to-palm pressure is also helpful. There is also a useful exercise for tightening the chest with dumbbells. It is required to spread your arms with this device to the sides.

Process

The course of breast lift surgery using silicone implants usually consists of six main stages:

1. Immersion on the operating table, application of anesthesia.
2. Making skin incisions in areas of previously applied markings.
3. Making pockets for dentures using an endoscope.
4. Positioning of implants according to markings using additional equipment. Giving breasts a new shape.
5. Applying a cosmetic suture at the incision site.
6. Installation of special compression garments.

Coagulation with the device allows you to avoid heavy bleeding. After the operation, the patient is prescribed a course of medication and a recovery period regimen.

Useful tips

Over the years, breasts sag, which is due to natural processes occurring in the female body. Lifting cannot be done frequently, so everything possible should be done to preserve the beauty of the bust.

Some useful tips will help with this:

• give up bad habits that dehydrate cells, lead to sagging skin, and activate the aging process;
• choose suitable, comfortable underwear made from quality materials;
• monitor your body weight, since sudden changes in weight are considered the most common cause of ptosis;
• protect your bust from UV rays, both on the beach and in the solarium;
• play sports, it has a beneficial effect on the condition of the skin and the entire body as a whole;
• use high-quality care products to maintain skin elasticity;
• make homemade masks, for example, from gelatin or oatmeal;
• apply wraps using rose petals or seaweed;
• do not take contraceptives without consulting a specialist; pills often lead to hormonal imbalance.

Operation technique

Measurements and preoperative markings

Most often, this type of operation is performed for grade 2 ptosis and hypertrophy.

To determine the new nipple position, a measuring tape is passed behind the neck towards the nipples.

The dotted lines mark the midclavicular line. The intersection point of this line with the level of the inframammary fold will be the new position of the nipple. On average, the distance from the interjugular notch to the nipple is 19-21 cm.

Using a ruler, mark points located at a distance of 9.5 cm from the medial and lateral edges of the inframammary fold.

The distance between these points corresponds to the area of ​​skin removed vertically. O according to the Wise diagram, corresponding to an areola with a diameter of 5 cm.

In this case, the distance between the nipple and the inframammary fold should be 7 cm, and the length of each vertical “T” branch in this case will be 5 cm, since 2 cm corresponds to the diameter of the areola.

At the midpoint of the inframammary fold, a small triangle with a side length of 1 cm is marked, which is necessary to relieve tension in the area of ​​the convergence point of the two lateral flaps with the inframammary fold.

The length of side AB of the triangle must be equal to the sum between sides BC and CD. After complete marking, a final photo with markings is taken

Expert opinion

• Cosmetologist
• Surgeon

Anna Avaliani

practicing cosmetologist

I would like to note that cosmetic methods lead to insignificant results when it comes to breast lift. After them, the condition of the skin surface improves, but the bust itself does not change much. You need to understand that, for example, microcurrents affect the muscles that are located under the mammary glands. Passive training leads to their strengthening and enlargement, which slightly tightens the breasts themselves.

Aisha Baron