Dr. Uriel Muñoz - Cirujano Plástico Certificado

Mastopexy in Puerto Vallarta

Breast Lift: firmness and youthful reshaping

Surgical procedure to lift and reshape sagging breast tissue, trimming excess loose skin and repositioning the nipple-areola complex to an aesthetic, natural height.

CMCPER CERTIFIEDAMCPER MEMBERISAPS MEMBERPUERTO VALLARTA & TEPIC
Breast Lift Procedure - Dr. Uriel Muñoz
CLINICAL OVERVIEW

What is a breast lift?

A breast lift, or mastopexy, is a reconstructive and aesthetic surgery that repositions breast tissue that has sagged due to gravity, pregnancy, or weight loss.

Our philosophy prioritizes stable internal glandular reshaping. A long-lasting lift does not rely solely on trimming excess sagging skin (which would stretch again under its own weight), but on performing an auto-flap or suturing the breast gland itself to secure it firmly to the upper muscular plane. We honestly assess whether you require the complementary support of implants or if your own breast tissue is sufficient.

The goal is to restore a conical, firm, and youthful contour, with nipple-areola complexes positioned at a height appropriate for your body proportions, while preserving blood supply and sensitivity as much as possible.

What changes

  • Elevation and firmness of sagged breast tissue
  • Repositioning and reduction of enlarged areolas
  • Removal of loose or wrinkled skin at the breast base

What doesn't change

  • Breast size (requires implants or a reduction)
  • The absence of scars (incisions are required to remove skin)
  • Your skin's natural collagen quality during weight changes
SURGICAL METHODS

What does the plan typically include?

A breast lift is customized to the degree of sagging (ptosis) using one of three incision techniques:

Mild Sagging

Periareolar Technique (Donut)

A circumferential incision around the areola. It allows the removal of a small ring of skin, which is ideal for lifting the nipple by 1 or 2 cm and correcting subtle sagging.

Moderate Sagging

Vertical Technique (Lollipop)

An incision around the areola combined with a vertical line running down to the lower crease. Ideal for reshaping moderately heavy breasts into a conical contour.

Severe Sagging

Inverted-T Technique (Anchor)

Combines a periareolar incision, a vertical line, and a horizontal incision along the inframammary fold. Crucial for stably lifting very heavy, severely sagged breasts.

* During your evaluation, the surgeon will measure breast ptosis in centimeters relative to the clavicle line to determine your ideal technique.

This procedure may be right for you if...

  • Your breasts look saggy or flattened, and your nipples point downward or are positioned below the submammary fold.
  • You have completed childbearing and breastfeeding and wish to restore the original appearance of your chest.
  • You have experienced significant weight loss that resulted in loose, sagging breast skin.
  • You are fully aware that lifting the breasts requires incisions and scars, and you accept their long-term healing process.

It is best to consider alternatives if...

  • You plan future pregnancies in the near term, as hormonal fluctuations and breastfeeding will stretch the breast tissue again.
  • You only wish to restore volume to the upper pole without additional scars, and you have mild sagging (a simple implant might suffice).
  • You are an active smoker and are not willing to quit nicotine, as it severely increases the risk of wound healing complications (dehiscence) or necrosis.
DIAGNOSTIC PHASE

How we define your plan

An individualized clinical consultation is essential. We measure the degree of ptosis (sagging), the thickness of the remaining glandular tissue, and skin elasticity to plan a safe mastopexy.

“We aim to restore the breast's conical projection. We evaluate the remaining volume to decide if combining the lift with implants is necessary or if your own tissue is sufficient.”
Ptosis Classification (Regnault)

We determine whether the areola is positioned at the level of the crease (Grade I), below it (Grade II), or pointing toward the floor (Grade III).

Glandular Remodeling Assessment

We evaluate whether we can utilize an inferior pedicle flap to restore volume to the upper pole without implants.

Incision Pattern Customization

We precisely mark surgical lines in an upright position to ensure symmetry and controlled tension in the operating room.

OPERATING ROOM

The procedure, explained simply

RemodelingInternal Support

The breast gland is lifted and sutured to the deep fascial plane, ensuring a long-lasting, stable lift.

Nipple & AreolaRepositioning & Reduction

They are moved to their new, aesthetic height without disconnecting them from their vital blood supply and nerve endings.

AnesthesiaGeneral

Performed under controlled and fully monitored general anesthesia for your complete safety and surgical comfort.

Hospital StayOvernight Observation

We typically recommend staying the first night in the hospital for fluid monitoring and initial pain management.

PREOPERATIVE

Preparing for your surgery

Responsible preparation is essential to optimize surgical safety and facilitate a smooth, comfortable postoperative recovery.

01
Blood Work & MammogramComplete lab panels, electrocardiogram (EKG), and a recent pre-operative bilateral mammogram.
02
Strict Tobacco CessationStop smoking cigarettes and vaping completely 4 to 6 weeks before surgery, as nicotine critically increases the risk of poor wound healing and scarring.
03
Postoperative Compression GarmentPurchase the recommended post-surgical compression bra to wear immediately upon leaving the operating room.
POSTOPERATIVE RECOVERY

Recovery timeline

Recovery after a mastopexy requires meticulous care, particularly regarding arm movements, to prevent tension on the sutures.

Days 1 to 3 — Bandage and Drain Removal

We remove the thick compression dressings from the operating room and any soft drains during your first follow-up consultation. The continuous postoperative bra is then placed.

Days 10 to 14 — Gradual Stitch Removal

Detailed inspection of the incisions and removal of external stitches. Swelling begins to subside gradually.

Week 3 — Return to Work and Social Activities

Daily office routines may be resumed. You must still avoid lifting heavy objects and refrain from vigorous physical exercise or lifting your elbows above shoulder level.

Months 3 to 12 — Scar Maturation

The breasts settle into their final, soft position. Scar lines transition from pink to a flat, pale shade, becoming highly discreet with the consistent use of silicone sheeting.
Dr. Uriel Muñoz - Board-Certified Plastic Surgeon
Dr. Uriel MuñozBoard-Certified Plastic Surgeon (CMCPER #2585)
PROFESSIONAL BACKING

Surgical safety and excellence

Each procedure is performed under the highest quality standards, backed by solid academic training and official board certifications.

Certified Surgeon

Certified by CMCPER, active member of AMCPER and ISAPS.

Safe Environments

Surgeries performed at CMQ Premiere Hospital (PV) and Puerta de Hierro (Tepic).

Internal Reshaping

Focus on restructuring the gland itself rather than simply stretching the skin.

Controlled Healing

Postoperative monitoring protocol, including medical gels and lasers for scars.

Direct Follow-up

Consistent checks on healing and direct medical support throughout your recovery.

Mastopexy Expertise

Advanced lifting techniques, with or without implants, in the retropectoral plane.

ETHICAL COMMITMENT

Surgical safety and realistic expectations

Like any breast surgery, a breast lift requires an ethical clinical analysis. During your medical consultation, we evaluate your skin elasticity, nipple position, and breast medical history to minimize risks and confirm if the surgery is appropriate for you.

An individualized clinical consultation defines the anatomical viability of your breast lift.

Inevitable ScarsLifting the breasts requires removing excess skin; periareolar and vertical scar lines are necessary.
Tobacco RisksNicotine compromises microcirculation in the nipple-areola complex. Smoking is strictly prohibited.
Loss of SensationIt is normal to experience temporary numbness in the nipple, which typically resolves gradually over a few months.
Biological AgingThe lift repositions the gland, but gravity and weight changes can stretch the skin over time.
OUT-OF-TOWN PATIENTS

Support for out-of-town patients

If you reside outside the region or abroad, we facilitate your medical journey through a preliminary virtual consultation and clinical coordination support provided by our designated team.

What's included

  • Guidance on appointment scheduling and medical agenda
  • Preoperative clinical and logistics recommendations

What's not included

  • Flights and direct lodging reservations
  • Logistical services outside of medical coordination
FINANCIAL TRANSPARENCY

Breast lift cost: what determines the price

The cost of a mastopexy (breast lift) cannot be determined in a generic manner or without a prior medical evaluation. Every surgical quote is customized and based on the unique details of your case.

During your surgical evaluation, Dr. Uriel Muñoz will examine your anatomy and define a personalized surgical plan. The final quote for the procedure is calculated based on the following factors:

  • The type of technique (periareolar, vertical, or inverted-T) based on the degree of sagging.
  • Complementary use of breast implants or fat transfer.
  • Operating room fees at a certified, fully equipped hospital.
  • Professional fees for the anesthesiologist, surgeon, and nursing staff.
FREQUENTLY ASKED QUESTIONS

Common questions about a breast lift

Yes, it is entirely possible. If you have an adequate amount of breast tissue and gland, a simple mastopexy (or autologous breast lift) is performed. In this procedure, the surgeon reshapes and lifts the breast using your own tissue to provide internal projection, removing only the excess sagging skin.
It is recommended when, in addition to lifting the breasts, you wish to restore lost volume in the upper pole (the cleavage) or increase their overall size. The implant provides additional structural support, firmness, and projection that the breast tissue alone may not sustain over time.
Scars are necessary to remove excess loose skin. Depending on the degree of sagging (ptosis), the incision can be periareolar (around the areola), vertical (lollipop), or an inverted-T (anchor). Following postoperative instructions, including the use of scar-healing creams and silicone sheeting, these lines typically fade and flatten significantly over a year.
It is normal to experience temporary changes in nipple sensation (either numbness or hypersensitivity) due to the surgical manipulation of the nipple-areola complex. For the vast majority of patients, normal sensation is gradually restored within the first 3 to 6 months.
The results are long-lasting, but your body continues to age naturally. Gravity, future pregnancies, and significant weight fluctuations can stretch the skin again, causing sagging over the years. Maintaining a stable weight is the most important factor in preserving the achieved firmness.
Hospital Facilities

World-Class Medical Infrastructure

For your peace of mind and medical safety, all surgical procedures are performed exclusively in certified hospitals with intensive care units and valid sanitary accreditation.

CMQ Premiere HospitalPuerto Vallarta, Jalisco

CMQ Premiere Hospital

The most prestigious hospital facility in Puerto Vallarta for elective surgeries. Features premium amenities focused on patient comfort and comprehensive surgical safety.

  • High-tech equipped surgical suites
  • Fully equipped Intensive Care Unit (ICU)
  • Nationally certified facilities
  • Specialized bilingual medical staff
Av. Francisco Villa 1749, Las Arboledas, 48315 Puerto Vallarta, Jal.
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Puerta de Hierro HospitalTepic, Nayarit

Puerta de Hierro Hospital

High-specialty hospital and member of the region's most prominent medical network. Provides international-level infrastructure and comprehensive tertiary medical support.

  • High-specialty surgical blocks
  • State-of-the-art Intensive Care
  • Accredited by the General Health Council
  • International hospital safety standards
Av. de la Salud 152, Ciudad de la Salud, 63173 Tepic, Nay.
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Assessment

Personalized Evaluation

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Medical Review: Content prepared under the supervision and approval of Dr. Uriel Muñoz, Plastic Surgeon certified by the Mexican Board of Plastic, Aesthetic and Reconstructive Surgery (CMCPER Board Certification #2585). Last medical review: July 8, 2026.

This information is educational and does not replace a medical consultation. Individual results, recovery, risks, and recommendations vary by patient.

Scientific Sources & Reference Guidelines: American Society of Plastic Surgeons (ASPS) - Mastopexy / Breast Lift guides; Mayo Clinic - Breast Lift information; CMCPER.