Breast Surgery
Breast Lift (Mastopexy)
A breast lift, or mastopexy, is a cosmetic surgery procedure that corrects breast ptosis (sagging) by reshaping the gland, tightening the skin envelope, and repositioning the nipple-areola complex to a higher, more youthful position — without significantly altering breast volume. Dr. Nahed Fathi Ahmed, plastic surgeon trained at CHU Avicenne de Rabat and Associate Member of SOMCEP 2024–2025, performs mastopexy in Agadir with her exclusive Ribxcar scar management protocol for consistently discreet, long-lasting results. Breast ptosis affects more than 40% of women over 35. Mastopexy restores height, projection, and firmness without increasing volume. Three techniques are offered depending on the ptosis grade: • Grade I (mild) — Nipple at the level of the fold: Periareolar mastopexy (donut scar) • Grade II (moderate) — Nipple below the fold: Vertical mastopexy (lollipop scar) • Grade III (severe) — Nipple very low, abundant skin: Inverted-T / anchor mastopexy
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What Is a Breast Lift (Mastopexy)?
A breast lift, or mastopexy, is a cosmetic surgery procedure that corrects breast ptosis (sagging) by reshaping the gland, tightening the skin envelope, and repositioning the nipple-areola complex to a higher, more youthful position — without significantly altering breast volume. Dr. Nahed Fathi Ahmed, plastic surgeon trained at CHU Avicenne de Rabat and Associate Member of SOMCEP 2024–2025, performs mastopexy in Agadir with her exclusive Ribxcar scar management protocol for consistently discreet, long-lasting results. Breast ptosis affects more than 40% of women over 35. Mastopexy restores height, projection, and firmness without increasing volume. Three techniques are offered depending on the ptosis grade: • Grade I (mild) — Nipple at the level of the fold: Periareolar mastopexy (donut scar) • Grade II (moderate) — Nipple below the fold: Vertical mastopexy (lollipop scar) • Grade III (severe) — Nipple very low, abundant skin: Inverted-T / anchor mastopexy
Key Benefits
- Correction of breast ptosis (Grades I, II, and III)
- Repositioning of the nipple-areola complex to its ideal anatomical height
- Skin envelope tightening for a natural, youthful contour
- Preservation of nipple vascularisation and sensory innervation
- Technique tailored to ptosis grade (periareolar, vertical, or anchor)
Exclusive Techniques
- Exclusive Ribxcar protocol: intradermal suturing with absorbable sutures, regenerative topical care with silicone-based products from Day 7, fractional CO2 laser sessions from the 3rd postoperative month — pale, flat scars within 12 to 18 months
Ideal Candidates
Ideal Candidates
- Cosmetically significant breast ptosis (Grade I, II, or III)
- Good general health and non-smokers (or confirmed smoking cessation 4 weeks prior)
- Completed maternity plans (a subsequent pregnancy can affect results)
- Adults with realistic expectations and clear understanding of surgical scars
Contraindications
- Ongoing pregnancy or breastfeeding
- Active, uninterrupted smoking
- BMI > 30 (case-by-case consultation required)
- Active autoimmune diseases
- Active breast cancer or ongoing oncological surveillance
- Severe keloid tendency (mandatory prior assessment)
The Procedure Step by Step
Duration: 2 to 3 hours
1
Pre-operative consultation
Ptosis grade assessment, technique selection, blood tests, anaesthetic review, reference photographs
2
Pre-operative markings
Dr. Fathi precisely traces the new NAC position and skin resection lines on the patient in standing position
3
General anaesthesia
Administration of general anaesthesia under the supervision of the anaesthesia team
4
Glandular repositioning
Dissection and reshaping of the breast gland, creation of an internal glandular support pillar
5
NAC transposition
Elevation of the nipple-areola complex to its ideal anatomical position, preserving vascularisation and sensory innervation
6
Skin resection and re-draping
Skin resection and re-draping according to pre-operative markings
7
Multi-layer closure
Intradermal suture for optimal scar quality
8
Dressing and surgical bra
Dressing and surgical bra applied in the operating room
Recovery Timeline
Recovery timeline
Days 1–3
Tension, mild pain, breast swelling. Rest, surgical bra 24/7, prop up bust on pillows.
Weeks 1–2
Pain decreasing, incisions under dressings. No lifting, no driving, sedentary work from Day 10.
Weeks 3–4
Noticeably improved comfort, pink scars. Begin Ribxcar topical protocol.
Months 2–3
Breasts taking final shape. Light sport permitted, sport bra recommended.
Month 6
Near-final result, scars lightening. Laser CO2 sessions if included in Ribxcar protocol.
Months 12–18
Very discreet scars. Stable result, annual check-up with Dr. Fathi.
Post-operative care
- Surgical bra worn 24/7 for the first weeks
- Ribxcar topical scar care protocol from week 3
- Fractional CO2 laser sessions from month 3 if included
- Annual check-up with Dr. Fathi
Important restrictions
- No lifting for the first 2 weeks
- No driving for the first 2 weeks
- Avoid high-impact sports or arm-intensive activities for 6 to 8 weeks
Results
Results timeline
Near-final result at 6 months, very discreet scars at 12–18 months
Longevity
Mastopexy delivers long-lasting results when weight remains stable and no subsequent pregnancy occurs. Results typically hold very well for 10 to 15 years with a properly fitted, supportive bra worn daily. Agadir's warm, coastal climate also supports optimal recovery for European medical tourists.
What to expect
- Lifted, firmer breasts with a natural contour
- Nipple-areola complex repositioned to its ideal anatomical height
- Discreet, pale scars thanks to the Ribxcar protocol
- Stable result for 10 to 15 years with an adapted lifestyle
See our results
Discover our patients' transformations
Pricing — Breast Lift (Mastopexy)
Estimated price
Fee upon consultation
This price includes
- Surgical fees
- Anaesthesia
- One night in the clinic
- Postoperative dressings
- All follow-up consultations
- Ribxcar laser sessions itemised separately if included
Prices shown are estimates and may vary depending on the complexity of your case. A personalized quote will be provided during your consultation.
Frequently Asked Questions
Mastopexy repositions and lifts a sagging breast without significantly changing its volume. Breast augmentation increases breast size using an implant or fat grafting. The two procedures can be combined — augmentation-mastopexy — when the patient needs both lifting and increased volume.
All mastopexy techniques involve some scarring, the extent of which depends on the ptosis grade. A periareolar-only scar (Grade I) is very discreet. An anchor scar (Grade III) is longer but remains within areas covered by a bra. Dr. Fathi's Ribxcar protocol optimises long-term scar quality with visible improvement between 12 and 18 months.
In most cases, yes. Dr. Fathi preserves the continuity between the breast gland and the nipple throughout the procedure. Patients are advised to complete their breastfeeding plans before proceeding, as a subsequent pregnancy can re-stretch the skin envelope.
The result is long-lasting but not entirely immune to natural ageing. Avoiding subsequent pregnancy, significant weight changes, and wearing a properly fitted bra daily helps maintain the result, typically for 10 to 15 years.
Gentle walking is encouraged from the first week. Desk-based activities can resume around Days 10–14. High-impact sports or activities involving the arms should be avoided for 6 to 8 weeks.
Yes. Augmentation-mastopexy is frequently performed at Dr. Fathi's practice, particularly for patients who have both ptosis and volume loss following pregnancy. Dr. Fathi will assess during your consultation whether this combination is the right approach.
Very much so. Direct flights from Paris, Madrid, Brussels, Amsterdam, and Lyon connect to Agadir in under 3h30. Dr. Fathi offers pre-operative video consultations and a structured remote follow-up protocol. Contact the clinic via WhatsApp to begin.
Questions about lifting-seins-mastopexie?
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