Augmentation Mastopexy

Breast Augmentation Dr. Alexandre Mendonça Munhoz Dr. Alexandre Munhoz AMM Clinica Protese de Mama Mastopexia Silicone

AMM Prof. Alexandre Mendonça Munhoz Aesthetic and Reconstructive Breast Surgery Clinic

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...

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.

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.

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.

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.

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.

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

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Clinical Examples

Here you can see some illustrative clinical cases of augmentation mastopexy, breast lift associated with implants. This section is only to illustrate the before and after of each surgery. Remember that each anatomy is unique and results may vary according to each patient.

Augmentation Mastopexy with the real "inner bra" technique

CRIMS Technique

Composite Reverse Inferior Muscular Sling

(Prof. Alexandre Mendonça Munhoz)

The Composite Reverse Inferior Muscle Sling (CRIMS) technique is an advanced surgical approach developed for breast reshaping in patients with sagging (ptosis) and poor tissue coverage, especially during augmentation mastopexy (a combined procedure that lifts and augments the breast). This technique uses part of the patient’s own pectoralis major muscle, repositioned to create a supportive “sling” under the implant, enhancing lower pole stability and minimizing risks of implant displacement and ptosis over time. Additionally, the upper portion of the breast and cleavage area is improved using autologous fat grafting, allowing for a more natural transition and contour, especially when thin tissues are present. CRIMS is indicated in both primary and revision surgeries, and it is particularly beneficial when smooth implants are used, as they lack tissue adhesion. Technical refinements include precise planning of implant position, muscle sling height tailored to the implant dimensions

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.

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.

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:

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.
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.
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.

"I never thought I could have lifted, fuller breasts again. The transformation is amazing—my clothes fit better, and I feel more confident in my own skin."

Ana Maria (6 months after aug-pexy with "L" shaped scar technique and 235cc smooth silk round implant)