Mastopexie
Lifting mammaire à Genève
La mastopexie, également appelée lifting mammaire, est une intervention chirurgicale visant à raffermir et à rehausser la poitrine en remodelant le tissu mammaire. Avec le temps, des facteurs tels que la grossesse, l’allaitement, la perte de poids ou le vieillissement naturel peuvent entraîner un affaissement des seins, une descente des mamelons et un relâchement cutané.
Grâce au lifting mammaire, il est possible de :
- Repositionner le mamelon pour lui redonner une place harmonieuse
- Réduire l’aréole si celle-ci s’est élargie avec le temps
- Raffermir les seins en retirant l’excédent de peau et en remodelant le volume.
Cette intervention peut être réalisée seule ou combinée à :
- Une augmentation mammaire (implants ou lipofilling) pour restaurer du volume
- Une réduction mammaire pour alléger la poitrine et améliorer le confort
Mastopexie – en bref
| Durée du traitement | 2 à 4 heures |
| Anesthésie | locale ou générale |
| Hospitalisation | en ambulatoire ou 1 nuit |
| Traitement de suivi | soutien-gorge de compression pendant 6 semaines |
| Vie quotidienne | appr. 1-2 jours |
| À considérer | 4 semaines sans effort physique, 3 mois de renonciation de bronzer/solarium avec poitrine non couverte |
| Nos tarifs | à partir de 6’500 CHF |
Le lifting mammaire : dans quels cas et pour qui ?
Voici les signes pouvant vous inciter à effectuer un lifting mammaire :
- Seins tombants ou « vides » : Lorsque la poitrine semble avoir perdu de son volume et de sa fermeté, affectant ainsi l’estime de soi
- Position des mamelons : Si vos mamelons se situent en dessous du pli sous-mammaire et/ou pointent vers le bas, la mastopexie peut aider à les repositionner
- Peau étirée et aréoles élargies : Lorsque la peau de vos seins est distendue et que vos aréoles sont plus larges ou asymétriques
- Asymétrie ou déformation des seins : Si vos seins présentent une différence notable de taille ou une forme irrégulière, la mastopexie peut restaurer une apparence plus harmonieuse.
Pour que l’opération se déroule dans les meilleures conditions possibles, il est essentiel de maintenir un poids stable. Les variations de poids peuvent altérer le résultat de la chirurgie, et un excès de poids augmente le risque de complications.
Quelles sont les différentes techniques de la procédure ?
Le choix de la technique d’intervention dépend de plusieurs facteurs, notamment du volume initial des seins et de la structure cellulaire et glandulaire. En fonction de l’ampleur du relâchement, l’intervention s’effectuera avec les techniques suivantes :
- Péri-aréolaire : Cette technique consiste en une cicatrice discrète autour de l’aréole. Elle est idéale pour corriger une descente légère du sein, en améliorant la position du mamelon sans laisser de cicatrice visible
- Verticale : La cicatrice se situe autour de l’aréole et descend verticalement vers le bas du sein. Cette technique est utilisée pour traiter une descente modérée, offrant un bon résultat esthétique tout en minimisant les cicatrices visibles
- T inversé : La plus complète des techniques, elle combine une cicatrice autour de l’aréole, verticale et sous le sein. Elle est utilisée pour corriger une descente importante du sein et permet un remodelage plus significatif.
Quel type d’anesthésie exige l’intervention ?
Dans la plupart des cas, la mastopexie nécessite une anesthésie générale. Une consultation préopératoire avec un anesthésiste sera organisée avant la procédure pour garantir la sécurité de l’intervention.
Toutefois, une mastopexie péri-aréolaire, plus légère et moins invasive, peut être réalisée sous anesthésie locale.
Une hospitalisation est-elle nécessaire ?
En règle générale, une mastopexie ne nécessite pas d’hospitalisation ; une journée en ambulatoire suffit.
Toutefois, dans de rares cas, une hospitalisation d’un ou deux jours peut être recommandée, en fonction du type d’intervention et de l’état général de la patiente.
Quels sont les étapes avant la procédure ?
- Première consultation : Discussion sur vos objectifs, analyse de la morphologie et choix de la technique appropriée.
- Période de réflexion : Vous aurez le temps nécessaire pour réfléchir et poser toutes vos questions.
- Deuxième rendez-vous : Réponses aux questions restantes, choix final de la technique (choix d’une combinaison avec réduction ou augmentation mammaire) et fixation de la date de l’intervention.
Une mammographie et/ou échographie mammaire datant de moins d’un an est nécessaire avant toute chirurgie.
Comment se déroule la période postopératoire ?
À la sortie de la clinique, vous aurez des pansements simples qui seront changés la semaine suivante lors de la première consultation postopératoire. Vous pourrez prendre une douche environ 7 jours après la chirurgie. Vous devrez porter un soutien-gorge de sport (sans armature, avec une large bande élastique, et de préférence à ouverture frontale) jour et nuit pendant 6 semaines.
Évitez de conduire et de porter des charges supérieures à 2-3 kilos en quittant la clinique. La reprise de l’activité peut être envisagée après 2 semaines selon le type d’activité et votre état. Le sport est déconseillé pendant les 6 premières semaines.
Pansements :
Ils seront changés lors de la première consultation postopératoire, environ une semaine après l’intervention.
Douche :
Autorisée environ 7 jours après la chirurgie.
Soutien-gorge de sport :
À porter jour et nuit pendant 6 semaines (sans armatures, avec une large bande élastique et de préférence à ouverture frontale).
Activités physiques :
• Évitez de conduire et de porter des charges supérieures à 2-3 kg.
• Reprise des activités légères après 2 semaines, selon votre état.
• Le sport est déconseillé pendant 6 semaines.
Quel est le prix d’une mastopexie ?
Nos tarifs commencent à partir de CHF 6’500
L’intervention est-elle couverte par l’assurance ?
La chirurgie est purement une procédure cosmétique et ne sera pas couverte par votre assurance maladie.
Breast enlargement, also known as breast augmentation or augmentation mammaplasty is one of the most common procedures in aesthetic plastic surgery. It can be done by placing modern silicone implants or transferring your own fat, also called lipofilling.
There are different reasons why we are asked for a breast enlargement. As an important female sex characteristic, the breast has a great significance for a woman’s psychological well-being and self-esteem. The subjective and objective perception of the breast is strongly dependent on the ratio of its shape and size to the perceived body portions. The desire for a breast enlargement aims to restore or build up a harmonic female body silhouette.
An aesthetic breast enlargement could be the right treatment, If you want to feel younger or more feminine.
As the decision to enlarge breasts not only is made for aesthetic reasons – nor is a question of age by the way – it can be covered by the health insurance in selected cases.
Breast enlargement
Essential treatment facts
Duration of treatment: |
| about 1–2 hours |
Anesthesia: |
| local or general depending on choosen technique |
Hospitalization: |
| out-patient or 1 night stay |
Follow-up treatment: |
| custom compression bra for 6 weeks |
Fit for everyday life: |
| 2-5 days |
To be considered: |
| 4 weeks without physical effort, 2 months waiver of training of the upper body, 3 months waiver of sunbathing / solarium with uncovered chest |
Costs: |
| starting at 6’500 CHF |
Your surgeon specialist
Paul v. Waechter-Gniadek
Specialist for plastic,
reconstructive and aesthetic surgery (AEKN / FMH)
Who is a breast enlagement for?
A breast enlargement might be right for you if:
- your breasts are too small, you experienced breast sagging after breastfeeding and pregnancy, you are hung up about the size of your breast because you think it does not match your age or you systematically wear padded bras
- your breasts are asymmetrical or your breasts have a deformity.
To consider having a breast augmentation in the best possible conditions, it is important to present a stable body weight. In fact, variations in weight can alter the result of the surgery, as well as excess weight increases the risk of complications.
It is important for young women to reach milestones in growth and physical maturity before considering surgery.
Each individual condition will be discussed with Dr. v. Waechter-Gniadek, who can advise you the best.
Two different ways: silicone implants or fat transfer – what kind of breast augmentation is right for me?
A breast enlargement can be done in two principal different ways. The most common method is the insertion of individually selected silicone implants. Alternatively, the breast volume can be reliably increased by transfer of one’s own body fat also called lipofilling.
At our Centre de Chirurgie du Visage, ORL et Plastique in Geneva, we perform both treatment methods.
The choice of the appropriate technique is determined on the one hand by your desire. On the other hand, certain individual requirements must be met for a safe and successful treatment. In some cases, the treatment has to be limited only to a single technique, but sometimes different techniques are possible.
Hyaluronic acid or other filling materials are by the way no longer approved for injection into the breast and are not offered in our clinic for breast enlargement.
A breast enlargement with silicone implants is especially suitable for young and active women. Many of them exercise intensively and have only a low body fat percentage. Here, in most cases, not enough free adipose tissue can be obtained from the existing fat deposits for a reliable resizing of the breast by transfer of own body fat. The insertion of an implant is in this case the right way to fulfill the desire for a larger breast.
This is a question that will be discussed in a personal conversation between you and Dr v. Waechter-Gniadek.
Implant choice and positioning
The type of the implants (round or anatomic / standard weight or Be-lite) and their position (below or above the muscle) will be selected depending on your desire, morphology, skin quality and your sports activity.
Does breast enlargement leave a scar?
In general, an inframammary fold incision is preferred, resulting in hardly visible, short scars. If a lift procedure is associated, the position and the visibility of the scars will vary. In rare cases it is possible to put breast implants by an incision in the lower part of the areola. We do not perform axillary nor umbilical incisions.
We use proven plastic surgery methods to minimize the appearance of scars and, whenever possible we make incisions where they will be easily concealed.
Dr. v. Waechter-Gniadek will advise you on the various possibilities suited to your specific situation.
Anaesthesia
Depending on the technique we choose, local or general anaesthesia is needed.
An implant-based breast augmentation requires general anaesthesia. A preoperative consultation with an anaesthesiolgist will therefore be organised before the procedure.
A breast enlargement by fat transfer is usully performed in local anaesthesia.
Hospitalisation
A breast enlargement does not usually require hospitalisation, one-day outpatient care is enough. In rare cases, inpatient treatment is required for one or two days.
Before the procedure
After the 1st consultation you will have time to think it over. Then a 2nd appointment will be arranged in order to answer your additional questions, choose the implants and set a date for the surgery. The choice of implants depends on your wishes, but especially on your body morphology. Concerning the breast implants size, the final decision rests with the surgeon.
An X-ray control (mammography) and/or breast ultrasound dating since less than a year is required before any surgery.
Postoperative period & convalescence
When leaving the clinic, you will have simple dressings that will be changed the following week for the first time at our consultation. You are allowed to shower around 7 days after surgery. You should wear a sports bra (without underwire, with a wide elastic band, if possible, with front opening for greater comfort) day and night for 6 weeks.
It is not recommended to drive and carry weight (more than 2-3 kilos) when leaving the clinic. Activity resumption may be considered after 2 weeks depending on the type of activity. It is necessary to wait 6 weeks before doing sports.
Pricing
Our tarifs start at CHF 6’500
Insurance
The surgery is purely a cosmetic procedure and will not be covered by your health insurance.
Breast Enlargement by Silicone Implants
Implantation of silicone implants is the most obvious option for breast enlargement. However, there are different ways to put an implant into a breast, just like there are many different brands and types of breast implants to choose from.
During the consultation, we will discuss with you all aspects of the breast enlargement procedure. We have various tools to assist you: You can put on a number of imptants underneath your clothes to see for yourself what the extra volume in your chest will look like. We can also create a digital 3D-simulation of the breast enlargement, based on a photoscan of your body.
With the anatomical shape of modern implants, it is possible to achieve a very natural looking result. Breast enlargement is a highly predictable and safe procedure when performed by experienced surgeon.
Breast Enlargement by autologous fat trasfer
Another way to increase the size of your breasts, which has been in use for several years now, is to use your own body fat, which will be injected into the breasts. This precudere is also known as lipofilling, liposculpture.
During this procedure, the required amount of fat tissue is removed from elsewhere in your body through liposuction. This fat graft is then injected into your breasts via a few mini-incisions of 2 millimetres.
The advantages of this method are:
- no foreign materials in the body
- two procedures for the price of one (breast enlargement and liposuction)
- the result will last a lifetimey
- your breasts will look and feel perfectly natural.
The major downside of this method is that roughly half of the injected fat will disappear during the recovery period. Circa 4 months after the procedure, this process will stabilise and the results will no longer change. If you decide to want more volume at that point, it is possible to undergo a second lipofilling procedure.
Related Treatment
Mastopexy
A Breast Lift procedure which can be done as a single treatment or combined with a breast enlargement (read more …)
Mommy Makeover
Coming soon…
Rejuvenation
Procedures like threadslift or varikosis treatment…
Mastopexy
A Breast Lift procedure which can be done as a single treatment or combined with a breast enlargement
Rejuvenation
Procedures like threadslift, injections or varikosis treatment…
Mommy Makeover
Treatment: |
BREAST ENLARGEMENT (breast augmentation) |
Duration of treatment: |
About 1 – 2 hours |
Anaesthesia: |
General anaesthesia |
Hospitalization: |
Outpatient or 1 night stay |
Follow-up treatment: |
Custom compression bra for 6 weeks |
Fit for everyday life: |
Appr. 1 week |
To be considered: |
4 weeks without physical effort, around 2 months waiver of training of the upper body, 3 months waiver of sunbathing / solarium with uncovered chest |
Costs: |
Starting at 6’500 CHF |
Further questions: |
book individual consultation |
Treatment: |
| BREAST ENLARGEMENT (augmentation mammaplasty) |
Duration of Treatment: |
| about 1 – 2 hours |
Anesthesia: |
| general anesthesia |
Hospitalization: |
| outpatient or 1 night stay |
Follow-up Treatment: |
| custom bra for 6 weeks |
Fit for everyday life: |
| appr. 1 week |
To be considered: |
| 4 weeks without physical effort, around 2 months waiver of training of the upper body, 3 months waiver of sunbathing / solarium with uncovered chest |
Costs: |
| starting at 4’500 CHF |
Further questions: |
| book individual consultation |