Over time, pregnancy, breastfeeding, or changes in weight can cause the breast to lose both position and volume at once. Mastopexy with implants corrects both in the same surgery: it lifts the tissue and restores the volume that skin and glandular tissue can no longer hold on their own.
It is indicated for patients with breast ptosis (sagging) who also want more volume than they currently have — not just a lift, and not just augmentation, but both resolved in a single procedure.
Combining a lift with an implant requires a precise balance: too much tension on newly lifted skin can compromise the result; too small an implant won’t correct the lost volume. Before deciding on the lifting technique and the implant, Dr. Villafañe evaluates the quality of your skin, the position of your areola, and how much volume is reasonable for your anatomy — not for a predefined size. Every mastopexy with implant is planned as two decisions that must work together: where the fold and areola should sit, and which implant accompanies that new shape without forcing it.
The goal is for your breast to be lifted, with a harmonious volume, in its best version — not a generic breast. The scar, although present, fades over time, and the final result is assessed once the swelling goes down and the tissue settles, generally between 3 and 6 months.
During recovery, continuous use of a post-surgical bra is indicated for several weeks, along with a restriction on high-impact physical activity and arm movement for a period defined individually. Like any surgery, it carries risks — bleeding, infection, scarring, possible need to adjust position or symmetry, and the considerations specific to implant use — which are explained in detail during your assessment: the moment when, examining your skin, tissue, and anatomy, we decide together what is really possible for your case.
I also don’t believe in promoting "short scars": in my view, that’s more of a marketing idea than a surgical reality. My technique is the evolution of the classic, well-known mastopexy scars, using new suturing methods and special internal tissue handling. And the result of breast surgery isn’t only what’s shown in intraoperative or immediate photos: the real result is how your breast looks over time — how it holds its shape and position. That’s where the difference lies.
What if you already have implants and want them removed? Removing an implant is a decision unlike any other in breast surgery, and I treat it as such. I don’t call it "reconstruction" — in my view, that term better describes a marketing idea than the reality of this surgery. What I perform is a technique I call preservation mastopexy: I combine the explant with an internal handling of your own tissue (flaps) to preserve as much volume as possible and achieve the best appearance. The final volume that can be preserved is limited by the amount of breast tissue each patient has — which is why explant results aren’t comparable between patients: they depend on your anatomy, not just the technique.
wa.me/573223926973
We clarify all your doubts, we accompany you throughout the process


