Mastopexy or breast augmentation in Barcelona: How to know which surgery you really need

Regarding mastopexy or breast augmentation in Barcelona, ​​this is one of the most frequent questions you ask us in consultations:

How can I avoid a mastopexy? Can I add more volume to enhance my breasts?

The key is understanding that mastopexy and breast augmentation are not the same, although in some cases they can be combined. Choosing correctly depends not only on what you would like, but also on the current state of your breasts.

As you know, breast augmentation is one of the most requested surgeries. It is performed with silicone implants, which can be ergonomic, round, or anatomical, and its purpose is to increase volume.

But here’s where the important question arises: does more volume always improve the breasts?

The answer is no.

Can a mastopexy be avoided by adding more volume?

This is probably the most common question in consultations.

Many patients believe that a larger implant can eliminate the need for a mastopexy. However, when sagging is present, the problem isn’t a lack of volume, but rather excess skin and tissue drooping.

In these cases, placing a larger implant not only does not correct the problem, but can worsen it, adding weight and promoting further sagging over time.

That’s why it’s important to understand that volume is not the same as elevation.

When is a mastopexy or breast lift necessary?

Mastopexy is indicated in all cases where we need to lift and firm the breasts.

This occurs in very specific situations:

  • When the breast has become significantly stretched due to pregnancies, prolonged breastfeeding, or substantial weight changes, there is excess skin that no implant can correct on its own.
  • When the distance between the areola and the inframammary fold is greater than 8-9 cm and the nipple is pointing downwards, it is necessary to reposition the areola higher to restore a natural shape.
  • When significant breast asymmetries exist, and one breast is significantly larger than the other, a reduction and lift procedure (mastopexy) may be necessary to balance the overall appearance.
  • When there have been previous surgeries that have altered the shape of the breasts, it may be necessary to remove the implant, replace it, perform a mastopexy, or even combine it with fat transfer.

How can you tell if your breasts need a lift or just volume?

This is the key question.

If your chest has lost its position and is sagging, you need to lift it.

If the breasts maintain their position but have lost volume, the increase may be sufficient.

The most common mistake is treating sagging breasts as if they only need volume.

And that’s where the results stop being natural.

Can mastopexy and breast augmentation be combined?

Yes, and in many cases it’s the best option.

When there is sagging and a lack of volume, a mastopexy with implants can be performed. This lifts the breasts and improves their shape, while also achieving the desired volume.

The goal is not to make breasts bigger, but breasts that are better proportioned, firmer, and more harmonious.

What happens to scars after a mastopexy?

One of the main concerns is the scar.

In general, we want to avoid vertical scars, as these are the most noticeable initially. However, currently there is no other method to lift the breast when it is truly indicated.

It is important to understand that scarring is part of the procedure when we are looking for a good result.

With proper care, these scars heal well and become much less visible over time.

How is the most appropriate technique decided?

The decision does not depend on an aesthetic preference, but on a complete medical evaluation.

Factors such as the following are analyzed:

  • The degree of sagging
  • Skin quality
  • The position of the nipple
  • The current volume
  • And the patient’s expectations

Only with this assessment can it be correctly determined whether you need augmentation, mastopexy, or a combination of both.

Mastopexy or breast augmentation in Barcelona?

https://www.youtube.com/watch?v=zco_zzwrpWg

In conclusion, we would like to highlight that:

  • Trying to avoid a mastopexy when it is indicated usually leads to unsatisfactory results.
  • In breast surgery, it’s not about “adding more,” but about treating the problem correctly.

At the Dr. Ana Torres Institute, we specialize in breast surgery (breast reduction, breast lipofilling, mastopexy, or breast augmentation in Barcelona) and we approach each case individually, always seeking a harmonious, natural, and lasting result.

If you are considering a mastopexy or breast augmentation in Barcelona and want to know if you are a candidate or which option is best for you, don’t hesitate to request an appointment at the Dra. Ana Torres Institute: We will study your case individually to offer you the most suitable solution and answer all your questions with medical expertise.

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