In my experience as a plastic surgeon in Madrid, mastopexy is one of the procedures that transforms the most — and one of the most misunderstood. It is not simply a matter of ‘lifting’ the breast. It is about redesigning it with judgement: a ‘reconstruction’ of the breasts that respects the anatomy of each woman and considers how that result will accompany her over time.
What Is Mastopexy and Why Is It Growing in Demand?
Mastopexy, also known as a breast lift, is the surgical procedure designed to correct breast ptosis: the drooping of breast tissue caused by pregnancy, breastfeeding, weight changes, or simply the passage of time. In 2025, demand for mastopexy grew by 31.4% globally, establishing itself as the fastest-growing breast procedure among women aged 30 to 55.
The reason is clear: more and more patients are not seeking simply a ‘larger’ breast, but a breast that feels like their own again — in position, in shape, in proportion.
Am I an Ideal Candidate for Mastopexy?
This is always the first question I address in consultation. Mastopexy is indicated when there is:
- Breast ptosis of any degree (mild, moderate or severe)
- Loss of volume or shape following pregnancy or breastfeeding
- Asymmetry caused by uneven tissue descent
- Changes following pregnancy or significant weight loss
- Disproportion between the tissue and the available skin
What does not define good candidacy is the desire for ‘more volume’. If that is the objective, mastopexy can be combined with an implant — and that decision is always made together, with time, with information, and with a plan designed for the long term.
Current Techniques: Smaller Scars, More Natural Results
One of the most significant advances in mastopexy in recent years is the reduced scar technique, known as Short Scar Mastopexy. Depending on the degree of ptosis and each patient’s anatomy, the technical options are:
Periareolar mastopexy (crescent or donut scar)
Indicated for mild ptosis. The scar is concealed around the areola and becomes virtually invisible once consolidated.
Vertical mastopexy (lollipop scar)
The most widely used technique today for mild to moderate ptosis. It combines a periareolar incision with a vertical one down to the inframammary fold. This allows precise remodelling with a discreet, well-placed scar.
L-shaped or short T mastopexy
In certain cases of moderate ptosis, an L-shaped or short T scar can reduce visibility along the inner and/or outer aspect of the inframammary sulcus.
Inverted T mastopexy (anchor scar)
Reserved for severe ptosis or large volumes. The result is more complete, but the scar is more extensive. In my practice, this technique is reserved for cases where it is the only option that guarantees the expected result.
The choice of technique is not a personal aesthetic preference of the surgeon. It is an anatomical decision, made after rigorous evaluation. The best result is always the one that is correctly indicated.
Mastopexy With Implants: When Does the Combination Make Sense?
When breast drooping is accompanied by volume loss, combining mastopexy with implants may be the most complete indication. This combination — known as augmentation mastopexy — is technically more complex than either procedure performed alone, and not all surgeons command it with the same level of precision.
In my consultation, I assess whether the desired volume can be achieved solely through remodelling of existing tissue, or whether an implant is necessary to reach the intended result. I never propose the combination simply to increase the value of the intervention. I propose it when there is a clear clinical rationale.
Recovery: What to Expect Week by Week
Recovery from mastopexy is similar to that of augmentation or breast reduction surgery, with some particularities specific to tissue remodelling.
- First 72 hours: Relative rest, post-operative bra, and oral pain management. Swelling is normal and expected.
- Weeks 1–2: Moderate activity. Most of my patients resume social and non-physical work activities within 10 to 14 days.
- Weeks 3–6: Swelling gradually resolves. Scars evolve visibly — this is part of the process, not an indicator of the final result.
- From month 6 onwards: The breast reaches its definitive position and the scars begin to fade significantly.
- At 12 months: Consolidated result. In most cases, scars are relatively unobtrusive and sun exposure becomes possible with proper high-factor sunscreen and appropriate care.
Real Benefits: Beyond the Aesthetic
A well-indicated and well-executed mastopexy does not only change the silhouette. It changes the relationship a woman has with her own body:
- Greater comfort when dressing and exercising
- Recovery of symmetry and proportion
- Increased bodily confidence
- Results that appear more natural or more defined, depending on the patient’s preference
Good surgery is not only seen. It is felt.
Frequently Asked Questions About Mastopexy
Are the results permanent?
The results are long-lasting, but the body continues to be a living organism. Gravity, ageing, and any significant weight changes will continue to act over time. That is why I choose techniques that are generous with the future — not just the present. Patients should always bear in mind that time cannot be stopped, only slowed.
Can I become pregnant after a mastopexy?
Yes, though I always recommend planning the procedure once breastfeeding has ended, where possible. A new pregnancy may affect the result, particularly in terms of volume.
How long should I wait after weight loss before having surgery?
Ideally, surgery should be performed with a stable weight maintained for at least six months. Significant subsequent weight changes may affect the result.
If you are considering mastopexy in Madrid, book a consultation with Dr. Marco Vricella and discover which type of breast lift — or combination of techniques — makes the most sense for you.