Mastopexy without implants
Dr. Rodrigo Jorrat · Plastic surgeon · Buenos Aires · Lic. MN 122903Last updated: October 8, 2026Lifting the breast using only your own tissue. When there is enough volume, a mastopexy without implants repositions the gland and removes the excess skin; with the auto-augmentation technique, part of your own tissue is used for shape and support. More and more patients ask me not to have anything non-biological in their body, and these options exist for them.
Who it's for
Patients with ptosis and enough breast tissue, who don't want to increase size and prefer a natural result to the touch and the eye. In very empty breasts the result without an implant may fall short, and I say so beforehand.
How it's done
The gland is worked on one side (repositioned, redistributed or used as auto-augmentation) and the skin on the other. In very large breasts it's combined with volume reduction to achieve the desired proportion, taking each patient's height into account.
Scar and recovery
Periareolar, vertical or L/T depending on the case; I favour short scars when possible. Without implants there is no long-term implant surveillance, although routine breast follow-up continues as usual.
What we discuss beforehand
How much tissue there is, what proportion you want and what you can expect without an implant. If what you want is projection and the tissue isn't enough, I'll tell you in consultation.
The YouTube chapter on this topic
Real cases of this procedure
Patients I treated, published with their consent. Drag the divider to compare.
Inverted-T mastopexy, no implants
Repositioning and lifting the breast by removing excess skin and repositioning the areola. The volume is the patient's own. See on Instagram
BeforeAfterBreast reduction with structured mastopexy
Relieving discomfort, improving posture and achieving a firmer shape using only the patient's own tissue: lighter, lifted breasts. See on Instagram
BeforeAfterBreast reduction with inverted-T mastopexy
Relieving discomfort, reducing volume and achieving a firmer, better-proportioned shape. Result at three years. See on Instagram
BeforeAfterBreast reduction and multi-plane mastopexy
Relief of discomfort and improved posture, mobility and shape. See on Instagram
BeforeAfterImages published with each patient's written consent. Results vary from person to person and are not a guarantee for other patients.
Frequently asked questions
What is breast auto-augmentation?
Using part of your own breast tissue to provide volume and position it higher on the chest, working the gland and the skin separately.
Is the result lesser than with implants?
It's different: more natural and with no prosthesis, but with no added volume. In very empty breasts it may be insufficient.
Does it work after bariatric surgery?
Yes, when there is enough tissue. In post-bariatric patients we also assess skin quality and nutritional status.
The information in this article is general and does not replace an individual evaluation.
From my Instagram
Cases and explanations I shared on my account, in Spanish. Tap to play.
Explantation with capsulectomy: we removed the implant and the capsule covering it. Then we performed an L-shaped mastopexy that lifted and restructured the tissue, restoring its shape. The patient got a firmer, more natural result and, above all, peace of mind.
