“Regaining form and support, in harmony with your body.”

Additive mastopexy with glandular self-implantation is an innovative procedure to lift and reshape the breasts without the use of implants. This approach uses the patient’s own residual glandular tissue distributed in the lower breast quadrants to create volume and improve breast shape, providing a natural and harmonious result. It is indicated for patients who have, despite ptosis and breast emptying, still residual glandular volume distributed in excess in the lower breast quadrants. This method results in a significant improvement in breast firmness and projection.

Pre-Operative Analysis

Thorough preparation is essential to tailor the procedure to the breast characteristics and aesthetic goals.

Medical Consultation: assessment of skin quality, degree of ptosis (breast drop), and residual mammary gland volume; analysis of expectations and discussion of realistic goals.

Diagnostic Examinations: mammogram or ultrasound to rule out pre-existing conditions; blood tests (blood count, coagulation, liver and kidney function) to check suitability for surgery.

General Evaluation: physical examination to assess general health status and identify any contraindications; discussion of any drug therapies and changes to be made before surgery.

Reasons for Intervention

Additive mastopexy with glandular self-implantation is chosen to: lift and reshape the breasts in the presence of mild to moderate ptosis; restore volume and shape after pregnancy, breastfeeding, or weight loss; avoid the use of artificial implants, preferring a natural approach; and improve body harmony and proportion with a customized procedure.

Surgical Solutions

Glandular Autoprosthesis Technique: this technique uses the residual mammary gland to create an internal “pad” to replace the role of implants. The main steps include: separation and shaping of the glandular tissue; fixation of the gland in an elevated position, usually in the upper portion of the breast, to increase its projection and volume.

Incisions and Surgical Approaches: peri areolar, for mild ptosis; vertical, from areola to breast sulcus, indicated for moderate ptosis; Inverted T: necessary in cases of severe ptosis with significant skin excess.

Planes of Fixation: intramammary, the glandular tissue is anchored within the breast structure for lasting stability; muscular, in some cases, the glandular tissue may be partially supported by the pectoralis muscle for added support.