Augmentation Mastopexy




Augmentation mastopexy is a combined procedure that lifts and reshapes sagging breasts while also enhancing their volume with implants. It is often chosen by women who experience breast deflation due to aging, weight loss, or pregnancy. This surgery restores firmness, corrects nipple position, and adds fullness—offering both a rejuvenated contour and a more youthful breast appearance.
What is important to know...
01
Initial Consultation
During your first visit, the surgeon will assess your goals, breast anatomy, skin quality, and level of sagging. You’ll discuss implant options, the best technique for lifting, and what results you can realistically expect.
03
Incision / Scars
Because a lift is involved, augmentation mastopexy requires more extensive incisions. Common techniques include vertical (lollipop), “L” shaped, or inverted-T (anchor) incisions, depending on how much skin needs to be removed and the degree of reshaping required.
05
Implant types
We offer implants with smooth silk surfaces, cohesive silicone gel (including the "round," style, best for lift). The right choice depends on your body, the amount of lift needed, and your personal aesthetic goals.
02
Anesthesia
This procedure is usually performed under general anesthesia, similar to a breast augmentation, however with a longer operative time. You will be completely asleep and comfortable throughout the surgery.
04
Implant Placement
Implants are often placed under the chest muscle to provide longer-lasting support and a more natural result. In our practice, for severe ptosis we use the CRIMS technique (Composite Reverse Inferior Muscle Support) to ensure durability and optimal positioning of the implant.
06
Postoperative Care
Recovery includes wearing a support bra, limiting upper body movement, and following all postoperative instructions carefully. Some swelling and tightness are normal in the first few weeks. Regular follow-ups will help track your healing and ensure the best outcome

Breast lift (mastopexy), with or without implants, has seen a significant rise in demand over the past decade. According to the 2023 statistics from the American Society of Plastic Surgeons (ASPS), over 165k mastopexy procedures were performed in the US, marking a 30% increase compared to 2019. Mastopexy can be performed alone to reshape and elevate the breasts by removing excess skin and repositioning the nipple–areolar complex, or combined with implants (augmentation-mastopexy) when additional volume or upper pole fullness is desired. As patients increasingly seek natural yet rejuvenated results, mastopexy—with or without implants—continues to be one of the fastest-growing procedures in aesthetic breast surgery.

Alexandre M. Munhoz, M.D., PhD
Frequently asked questions...

Augmentation Mastopexy with the real "inner bra" technique
CRIMS Technique
Composite Reverse Inferior Muscular Sling
(Prof. Alexandre Mendonça Munhoz)

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CRIMS technique is an advanced surgical approach developed for breast reshaping in patients with severe sagging and ptosis and poor skin quality, especially during augmentation mastopexy.
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It uses part of the patient’s own pectoralis muscle, repositioned to create a supportive “sling” under the implant, enhancing lower pole stability / minimizing risks of implant displacement and ptosis over time.
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Indicated in primary/revision surgeries, and it is particularly beneficial when smooth implants are used. The technique has demonstrated excellent outcomes, with low complication rates / high patient satisfaction.

Key References:
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Munhoz AM, et al. Single-stage augmentation mastopexy with composite reverse inferior muscle sling technique for autologous reinforcement of the inferior pole: technical refinements and outcomes. Aesthetic Surgery Journal. 2020;40(4):356–373.
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Munhoz AM, et al. Reoperative augmentation mammoplasty: an algorithm to optimize soft-tissue support/pocket control and smooth implant stability with composite reverse inferior muscle sling (CRIMS) and its technical variations. Aesthetic Plastic Surgery. 2022;46:1116–1132.
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Munhoz AM, et al. Hybrid augmentation mastopexy with new generation of smooth surface implants: combining the benefits of fat grafting, inferior muscle support, and an L-shaped scar. Plastic Reconstr Surgery. 2023;152(1):29e–41e.



































