1. Anatomical Evaluation
The surgeon assesses the degree of ptosis, skin elasticity, and available volume. He determines the most suitable technique, defines if implants or fat grafting are needed, and provides a complete budget.
Mastopexy or breast lift: surgery that elevates and reshapes the sagging breast, with or without implant placement. Indicated after pregnancy, breastfeeding, or significant weight loss.

Breast lift —also known as mastopexy— is the surgery that corrects breast sagging (ptosis) by repositioning the nipple-areola complex, removing excess skin, and reshaping breast tissue to restore its shape and firmness. It does not increase volume on its own: if the patient wants more projection, it can be combined with an implant or with breast fat grafting.
The result depends on the chosen technique, the degree of sagging, and the available tissue. At ALMO Clinic, we plan the surgery based on each patient's anatomy to obtain a proportional, natural result with the minimum scars the case allows.
The technique is selected according to the Regnault classification of breast ptosis
| Technique | Resulting Scar | Indication (Degree of Ptosis) |
|---|---|---|
| Periareolar (Donut) | Circular only around the areola | Grade I Ptosis (mild) |
| Vertical L | Circular + vertical towards the crease | Grade I-II Ptosis (mild to moderate) |
| Inverted T (Anchor) | Circular + vertical + inframammary crease | Grade II-III Ptosis (moderate to severe) |
| Mastopexy + Implant | According to base technique + implant position | Ptosis with volume deficit |
| Mastopexy + Fat Grafting | According to base technique + small liposuction incisions | Ptosis with mild volume deficit (without implant) |
Preoperative selection defines the technique and if additional volume is required
Mastopexy is indicated when the nipple falls below the inframammary fold (grade II or III ptosis), when there is excess skin and the breast has lost firmness after pregnancy and breastfeeding, or after significant weight loss. It is also the usual complement to breast explantation when removing implants results in sagging.
Weight should be stable for at least 3 months. If the patient is planning a pregnancy soon, it is recommended to wait: breastfeeding can reverse the result of the surgery.
Mastopexy is not performed in patients with active infections in the breast area, severe coagulation disorders, uncontrolled autoimmune diseases, or a recent history of untreated breast cancer. Preoperative breast ultrasound is required, and for women over 40, a baseline mammography.
Active smoking is an especially relevant modifiable risk factor in mastopexy: the risk of nipple necrosis significantly increases in smokers. Quitting at least 4 weeks before surgery is required.
Total transparency from the first consultation: no hidden costs
| Procedure | Description | Estimated Price |
|---|---|---|
| Breast Lift Without Implant | Lifting and reshaping with own tissue (vertical or inverted T technique) | $5,500,000 - $7,500,000 |
| Periareolar Breast Lift | Minimal scar technique for mild ptosis | $5,000,000 - $6,500,000 |
| Mastopexy with Implants | Lifting + silicone implant placement in a single time | $8,000,000 - $12,000,000 |
| Mastopexy with Fat Grafting | Lifting + filling with own fat (without implant) | $7,000,000 - $10,000,000 |
| Mastopexy + Explantation | Implant removal and simultaneous breast lifting | $9,000,000 - $13,000,000 |
Estimated prices for 2026. Include surgeon, anesthesiologist, operating room, and supplies fees. Post-operative check-ups included. No hidden costs. Exact budget in the evaluation.
From evaluation to final results, with support at every stage
The surgeon assesses the degree of ptosis, skin elasticity, and available volume. He determines the most suitable technique, defines if implants or fat grafting are needed, and provides a complete budget.
Procedure under general anesthesia for 2 to 4 hours depending on the technique. The surgeon marks incisions preoperatively and performs surgery with direct visual control of the final shape and symmetry.
Check-ups at 3, 7, 15, and 30 days. Use of post-surgical medical bra for 8 weeks. Breasts look high and swollen initially: the definitive result is seen between 3 and 6 months.
| Period | What to Expect | Allowed Activity |
|---|---|---|
| Days 1-3 | Moderate discomfort controlled with analgesia. Chest tightness | Rest. Limited arm movements |
| Days 4-7 | Peak swelling. Breasts look high and somewhat asymmetrical | Short walks. Basic household activities |
| Weeks 2-4 | Swelling decreases. Scars pink and somewhat hardened | Sedentary work. No heavy lifting |
| Weeks 5-8 | More natural appearance. Scars begin to mature | Moderate exercise without impact. No bra after week 8 |
| Months 3-12 | Definitive result. Scars lighten progressively | Full routine without restrictions |
Colombia is an international reference in aesthetic breast surgery. Prices for mastopexy in Bogotá are between 50% and 70% lower than in the United States or Europe, with international training and SCCP certification.
ALMO Clinic offers a complete program for international patients: virtual evaluation, coordination of pre-surgical exams, surgery, and remote follow-up during recovery.
International Program →
A certified plastic surgeon assesses the degree of sagging in your breasts, explains what technique applies in your case, and gives you a complete budget without commitment.
Schedule Breast Lift Evaluation