Mastopexy in Vienna – a firm, natural breast shape without implants

Many women experience a change in breast shape over the course of their lives. Pregnancy, breastfeeding, weight changes or age-related changes in the skin can cause the breasts to sag or lose their shape. A mastopexy in Vienna offers a targeted way of restoring the breasts to a harmonious, firm shape – entirely without implants.

This is for women who suffer from sagging breasts, want a more natural breast contour or notice a visible change after pregnancy and breastfeeding.

A mastopexy is a surgical procedure to tighten the breast tissue and correct sagging skin in the breast area. The aim is to lift the breast, reposition the nipple and create a harmonious shape. Excess skin is removed and the existing tissue is reshaped.

Unlike breast augmentation, there is no increase in volume through implants, but an anatomically adapted correction of shape. The method is particularly suitable for women with normal or reduced breast volume for whom correcting the shape is the main concern.

Changes in breast shape can have various causes. Common triggers are:

• Pregnancy and breastfeeding: stretching followed by loss of volume leads to sagging.
• Significant weight loss: reduces the fatty tissue in the breast.
• Natural ageing of the skin: reduced elasticity causes the breasts to sink.
• Genetic predisposition: some women naturally have a softer tissue structure.

Surgical tightening can make sense if the change in shape is permanent and affects your body image.

Depending on the extent of the sagging skin and the anatomical conditions, different mastopexy techniques are used:

• Periareolar lift (Benelli technique): for a small excess of skin, around the nipple.
• Lejour technique (vertical incision): a combination of a round incision and a vertical scar downwards.
• T-incision (inverted-T technique): for a greater excess of skin, with an additional incision in the inframammary fold.

The choice of incision depends on the amount of skin, the breast shape and the individual goal. In the consultation, we decide together which method promises the best results.

Before the procedure, there is an in-depth consultation to clarify your wishes, analyse the condition of the skin and discuss the right method. The procedure itself usually takes place under general anaesthesia and takes about two to three hours.

On the day of surgery, the chosen technique is carried out, excess skin is removed and the breast is reshaped. The nipple is moved to a new, anatomically harmonious position.

After the operation, rest for a few days is recommended. A special support bra supports healing. The first check-ups take place in the first week, and complete healing takes several weeks.

Like any surgical procedure, a mastopexy carries certain risks. These include bruising, wound-healing problems or temporarily reduced sensation in the nipples.

Depending on the technique, scars form around the nipple and possibly vertically or in the inframammary fold. With good care, they usually fade considerably. Using scar creams, silicone plasters and UV protection helps them heal inconspicuously.

Sport and physical strain should be avoided for the first four to six weeks. A structured aftercare plan supports healing in the long term.

In many cases, patients want not only a lift but also more volume. A combination of mastopexy and implant is possible and is performed in one procedure.

When does this make sense?

• When the breasts have emptied considerably after breastfeeding or weight loss
• When more projection or upper fullness is desired

Fat transfer is an alternative if there is enough donor fat. This can also be combined with a lift but is technically more complex.

The cost of a breast lift in Vienna varies depending on the extent of the procedure, the surgical technique and the practice facilities. On average, it is between €4,500 and €7,000.

This usually includes:

• consultation & preliminary examination
• anaesthesia & surgery costs
• aftercare, bra and check-ups

Health insurance only covers the costs in exceptional cases, e.g. if there is a medical indication such as chronic skin irritation or marked asymmetry.

Choosing the right specialist in aesthetic surgery in Vienna is crucial for a successful result. Important criteria:

• certification & specialisation in breast surgery
• experience & photo documentation (before-and-after photos)
• a detailed consultation
• a transparent breakdown of costs

Be careful with unrealistically cheap offers, a lack of information or poor hygiene standards.

A mastopexy gives women the opportunity to improve their breast shape naturally and permanently – without implants, but combined with a volume increase if desired. Choosing the right method and medical expertise is crucial for a safe, harmonious result.

Contact Dr. Handl's practice – mastopexy in Vienna
Consultation & appointments: book an appointment online

Will the scars remain visible? Depending on the technique, scars form, but with good care they fade.

How long does the result last? Usually several years, depending on lifestyle and skin quality.

Can I breastfeed afterwards? In many cases, the ability to breastfeed is preserved, especially with a gentle technique.

How much time do I need to plan? You can usually work again after about a week; take a six-week break from sport.

Is general anaesthesia necessary? Yes, a mastopexy is usually performed under general anaesthesia.