Appropriate for
Increase breast volume, improving shape and harmony even after mastectomy or in the presence of significant asymmetries.
Breast Surgery
Breast augmentation is one of the most requested procedures in aesthetic surgery, allowing for an increase in breast volume and a redefinition of shape in a proportional and natural way. At Image Regenerative Clinic in Milan, the procedure is fully personalized, with a careful selection of anatomical or round implants based on the patient’s morphology, skin quality, and aesthetic goals. In some cases, implants can be combined with autologous fat grafting using Lipogems® technology, which enhances tissue quality and creates a softer, more harmonious, and longer-lasting enhancement of the décolleté. The goal is not merely volume enhancement, but the creation of a result that truly respects and enhances the patient’s individual identity.
Treatment Overview
Age
18 years and up
Procedure Details
60-90 minutes
Sessions and frequency
Single session
Precautions
Possible suspension of certain medications in agreement with the surgeon, avoid smoking for 2 weeks.
Plan Your Treatment
Schedule a video consultation or a call from the clinic
"Placing the implant beneath the pectoral muscle is very important for a natural long-term result. The use of stem cell lipofilling is, in my opinion, currently advisable only for touch-ups or to improve capsular contracture. Sagging breasts cannot be resolved with an implant but require a mastopexy procedure first."
Prof. Carlo Tremolada
About the Treatment
Forms, Materials, and Surgical Techniques
The choice of implants represents a crucial moment in any aesthetic surgery procedure. Ensuring safety, reliability, and lasting results is not just a matter of aesthetic quality but also protecting patient health and well-being. High-quality implants are distinguished by their ability to integrate perfectly with tissues, offering a natural appearance and excellent durability while minimizing the risk of complications such as capsular contractures, ruptures, or deformations.
For this reason, Professor Tremolada, always attentive to offering maximum quality, relies on premium implants like Motiva, recognized as the industry benchmark for safety and aesthetics.
Breast implants can be of different shapes, such as anatomical (teardrop) or round, and are made with highly cohesive silicone, ensuring safety, durability, and a natural feel. Implant placement can be under the mammary gland, under the muscle fascia, or under the pectoral muscle, based on anatomical characteristics and desired results.
Surgical access varies between periareolar, transareolar, inframammary, or axillary, chosen based on patient conformation and the need to minimize scarring. Modern suturing techniques and implant quality minimize the risk of complications and ensure quick and safe post-operative recovery.
An Innovative and Minimally Invasive Approach: Professor Tremolada's Drain-Free Additive Procedures
Professor Tremolada generally doesn't use drains in additive procedures. This choice is based on a minimally invasive approach attentive to post-operative management. His innovative techniques, such as those employed in the Lipogems protocol, minimize surgical trauma and promote more natural and efficient healing.
The absence of drains offers several advantages:
- Greater patient comfort: The absence of external devices reduces discomfort and increases well-being during convalescence.
- Lower infection risk: Eliminating drains reduces entry points for bacteria.
- Advanced swelling control techniques: Adopted methodologies, such as specific infiltrative solutions, minimize fluid accumulation.
This philosophy reflects his vision: maximizing patient benefits through safe, precise, and natural techniques.
Size and Shape Selection: Choosing Your Ideal Implant
Breast implant selection requires a personalized approach considering anatomy, lifestyle, and aesthetic expectations. Anatomical implants (teardrop) offer a natural profile, ideal for patients with limited breast tissue. Round implants create greater upper pole fullness, perfect for those desiring more pronounced cleavage. Volume choice depends on chest width, height, body constitution, and personal preferences. Our approach includes 3D simulations and sizing with external implants to visualize the final result before surgery.
Lipogems Integration: Revolutionary Breast Augmentation
Combining breast augmentation with Lipogems represents a significant innovation. Autologous adipose tissue, processed with Lipogems technology, is used to perfect aesthetic results: improves implant integration with natural tissues, corrects minor asymmetries, softens implant edges, and stimulates skin regeneration. This dual-phase approach ensures more natural and lasting results, reducing capsular contracture risk and improving surrounding tissue quality.
Recovery Timeline and Post-Operative Care
Breast augmentation recovery follows precise, predictable phases. First 2-3 days: rest, moderate pain controllable with analgesics, elastic bandaging. First week: shower permitted, limited arm movements. Weeks 2-4: gradual return to daily activities, specific massage to prevent capsular contracture. Months 2-3: light sports activity resumption, definitive shape emerging. 6 months: stable, mature result. Post-operative bra is essential for first 2 months, supporting correct implant position during healing.
Surgical Combinations: Augmentation Plus Procedures
Many patients benefit from combining breast augmentation with other procedures. Augmentation + Mastopexy: for patients wanting both volume and lift. Augmentation + Liposuction: complete body contouring using aspirated fat for Lipogems. Augmentation + Abdominoplasty: "mommy makeover" approach for post-pregnancy recovery. Feasibility assessment of multiple combinations considers safety, operative time, and result expectations, always privileging conservative, personalized approach.
Ideal Candidacy: Who Can Undergo Surgery
Ideal breast augmentation candidacy includes specific criteria for optimal results. Minimum age 18 with completed breast development, good general health, realistic result expectations, emotional stability, and personal motivation. Stable weight for at least 6 months, BMI preferably under 30, non-smokers or willing to quit 4 weeks before/after surgery. Important also understanding that breast implants aren't permanent and might require replacement during lifetime.
Long-Term Results: Expectations and Maintenance
Modern breast implants have average duration of 15-20 years, but many patients maintain them lifelong without problems. Annual check-ups are recommended to monitor implant integrity and position. Signs that might indicate revision necessity: changes in shape or consistency, persistent pain, progressive asymmetries. Post-augmentation pregnancy is safe but may modify breast appearance. Natural aging continues, but from an "enhanced" baseline. Most patients maintain high satisfaction for decades.
Understanding Implant Types: Technology and Innovation
Modern breast implants represent decades of technological advancement. Silicone gel implants offer natural feel and proven safety, with cohesive gel that maintains shape even if shell ruptures. Saline implants allow smaller incisions and easier monitoring but may feel less natural. Motiva implants, our preferred choice, feature advanced shell technology, ergonomic shape adaptation, and integrated safety chip for easy identification. Surface texturing reduces rotation but smooth implants lower capsular contracture risk - choice depends on individual factors.
Why Choose Image for Breast Augmentation
Regenerative Approach: Lipogems integration for more natural, lasting results.
Drain-Free Technique: Innovative methodology without drains for greater comfort.
Premium Implants: Exclusive use of Motiva, global benchmark for safety.
Advanced Personalization: 3D simulations and tailored approach for each patient.
Consolidated Experience: Decades of specialization in regenerative aesthetic surgery.
Plan Your Treatment
Schedule a video consultation or a call from the clinic
Frequently Asked Questions
Which women choose regenerative mastopexy?
Regenerative mastopexy is chosen by women who see aesthetic surgery as an opportunity to improve their appearance in a natural and innovative way. Thanks to Lipogems technology, this treatment doesn't just correct, but regenerates tissues and enhances breast beauty with a modern and advanced approach.
What are the differences between a mastopexy and a regenerative mastopexy?
Traditional mastopexy gives breasts a firmer and lifted shape, correcting skin sagging. Regenerative mastopexy, on the other hand, not only lifts the breasts but visibly improves skin quality, making it more elastic and toned, and gives an overall younger and more natural appearance, with longer-lasting results over time.
Can mastopexy and breast augmentation be performed together?
Yes, mastopexy and breast augmentation can be performed in the same procedure. This combination is ideal for women who wish to lift sagging breasts while simultaneously increasing their volume. The combined procedure allows for correction of skin sagging, improvement of breast position, and achievement of fuller, more proportionate décolletage in a single procedure, reducing recovery time compared to separate interventions.
What are the recovery times and scars after regenerative mastopexy?
Recovery after regenerative mastopexy is faster compared to traditional techniques, thanks to the anti-inflammatory properties of Lipogems tissue. Light activities can be resumed after a few days, while scars, already minimal, tend to become almost invisible over time thanks to the improvement in skin quality offered by tissue regeneration.
Can breast Lipogems be used to prevent aging?
Yes, Lipogems can be used preventively to counter breast aging. Thanks to its regenerative properties, it improves skin elasticity and tone, stimulating cell regeneration and helping maintain a young and natural appearance over time, delaying signs of aging.
Related Articles
Our Stories
Patient Testimonial: Breast Reduction Surgery for Overly Large Breasts
The Testimonial After seeing the results of a mastopexy on her sister-in-law, who was already a patient at Image Regenerative Clinic, she decided to undergo surgery. Her testimonial is a moving story of true transformation. Motivation for Surgery Meeting Professor Tremolada was a moment of relief, as during the initial consultation he confirmed that I would feel like a different person immediately. Moreover, he took my back problem very seriously and arranged for his specialist to examine me, combining the breast reduction with orthopedic Lipogems treatment for my back. The Surgical Experience
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Beauty
Lipogems and Regenerative Breast Aesthetic Surgery
What is regenerative breast aesthetic surgery? A depleted breast can be rejuvenated and volume-enhanced through the Lipogems method, either as a support to conventional mastopexy procedures or as a standalone treatment. Regenerative breast aesthetic surgery is a surgical technique that utilizes the regenerative properties of microfragmented autologous fat. The procedure can be incorporated into all types of breast surgery (augmentation, lift, and reduction). Microfragmented adipose tissue processed using the Lipogems method can also be used independently from traditional surgery to restore volume, improve skin texture (stretch marks), or rejuvenate pre-existing breast augmentation. What is the Lipogems method? The Lipogems method represents a significant advancement over traditional lipofilling. Autologous fat is harvested from the patient under local anesthesia using microcannulas, then microfragmented and infiltrated into the breast subcutaneous tissue through minimally invasive injections. The procedure ensures minimal volume loss and prevents irregularities and hardening typically associated with traditional lipofilling. Advantages of Lipogems Technology The primary advantages include tissue structure preservation, maintaining adipose tissue integrity and its vascular network. The presence of mesenchymal stem cells in the processed tissue promotes tissue regeneration and repair. The procedure is minimally invasive, safe, and can be performed in an outpatient setting.
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Our Stories
Patient Testimonial: Post-pregnancy Breast Volume Loss
Image Regenerative Clinic, consistently focused on patient needs, serves as a reference point for mothers and their specific concerns. Regenerative medicine proves particularly suitable for restoring women affected by sleepless nights and the physical demands of motherhood. The Testimonial This was the primary reason why Chicca sought treatment at Image Regenerative Clinic. The procedure was performed under local anesthesia with mild sedation. Recovery was rapid, with near-immediate return to social activities. The procedure lasted approximately two hours, with visible results apparent immediately. The Lipogems methodology provided significant added value. Adipose tissue harvested from love handles was processed and reinjected into the treatment areas, particularly in the scarring areas and breast tissue. This technique contributed to accelerated healing, with scars becoming white within six days and notable skin elasticity, especially in the upper breast region. Post-operative recovery involved minimal discomfort, primarily related to the inability to sleep prone. There was no significant pain, and normal daily activities could be resumed the day following the procedure. Results and Follow-up While final results require 10-12 months for complete tissue settlement, improvements are evident within the first weeks: breasts appear firmer, natural, and have regained their original position. Follow-up is managed by a multidisciplinary team ensuring constant monitoring of the healing process and achieved results. Image Regenerative Clinic offers a comprehensive approach to post-pregnancy recovery, combining surgical procedures with non-invasive treatments such as diathermy, Coolsculpting, bio-revitalization, and specific peels, all customized to individual needs.
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Press
"I Had Breast Surgery and It Changed My Life"
This week, Starbene magazine features an interview with Prof. Tremolada about mastopexy: a procedure that, beyond aesthetic improvement, can have an extremely positive psychological impact. Below is Anna's story, narrated in Starbene magazine by Mathilde Bonetti. Anna had lost significant weight at 18, and the diet left her with an empty, sagging décolletage. Then came the decision to change that body again, which she had never truly liked. My name is Anna and I'm 45. My breasts have always been problematic. They were empty, sagging, and without firmness. Like those of an elderly woman. They had been this way since I was twenty, so it had nothing to do with age. As a teenager, I was significantly overweight: 85 kilos at 170 centimeters tall. After high school graduation, I decided to become magazine-cover worthy. It was my personal challenge for the future. And yes, I succeeded. I'm one of those miraculous before-and-after cases: I lost 35 kilos, rebuilding every muscle through meticulous bodybuilding work. It took several years, but I became a different person. Now I model for various catalogs. But my breasts... well, I wasn't as fortunate with them as with the rest of my body. The challenge was lost from the start: it doesn't take much imagination to understand the consequences of going from a G cup to a C cup, on skin that had irreversibly stretched when I gained weight. I Avoided Looking at Myself Dressed and with the right bra, I knew I had an enviable figure, but when undressed... I felt ashamed. Even when I caught my reflection in the mirror - by accident, as I usually avoided looking - I felt an instinctive need to cover myself, close my shoulders, hide behind my hands. My breasts extended below my rib cage, nipples pointing downward. The skin was wrinkled and loose. Moreover, they were still large, so the weight pulled them down further. It was a frustrating situation in relationships, both before marriage and with my husband, who despite always reassuring me lovingly, never managed to convince me that my breasts were fine as they were. As they were meant accepting compromise, which made me feel defeated. Not in absolute terms, of course, but regarding a body part that's very important for every woman, as it relates to attraction, sensuality, sexuality, and consequently, self-confidence. I Didn't Feel Free There were significant practical aspects: unable to wear low-cut dresses, not even backless ones, since going without a bra was unthinkable. Same with swimwear - I felt ridiculous at the beach wearing a bra underneath... I had always contemplated seeing a plastic surgeon, but at twenty, fresh from obesity issues, I still lived with my parents, who opposed it. Later, after moving out, I had purchased my apartment and couldn't afford such an expensive procedure. The idea of general anesthesia and an apparently long, complicated procedure with slow recovery often held me back. So, breast surgery became a dream to realize someday. But approaching 45, I realized that day hadn't come yet. What was I waiting for? Choosing the Surgeon I decided, in one of those pivotal moments, similar to when, thirty-five years earlier, I'd decided to change my body. I consulted several surgeons, but all suggested adding implants alongside mastopexy, claiming I wouldn't achieve good results otherwise. Then I found one (Prof. Carlo Tremolada) who finally excluded the implant idea: there was enough glandular tissue to work with! Another advantage was that he was the first to mention local anesthesia. He routinely performed this type of surgery without general anesthesia and assured me recovery would be rapid, painless. And Finally, Joy I had doubts, naturally, but in his office I met others there for routine check-ups who had just undergone the same procedure under local anesthesia. They were all happy. One even showed me her results - and her 'before' photos on her phone. My procedure lasted two hours, and I, under mild sedation, spent the time joking with the surgeon and his staff. That evening I was dining out, pain-free, just with stitches and gauze; the next day I was at work, and the day after, back at the gym. It was less impactful than wisdom teeth extraction. And it changed my life. Mastopexy: Technical Details It's a breast surgery procedure that reshapes and lifts the breasts, restoring harmonious form. "Through specific incisions, excess skin is removed and the entire breast structure is elevated," explains plastic surgeon Carlo Tremolada. "The objective of mastopexy is to reshape relaxed and sagging breasts. Contrary to common belief, it's an outpatient procedure that can be performed under local anesthesia." Mastopexy generally doesn't require implants, but in cases of very small sagging breasts, where skin reduction might drastically decrease breast volume, implants may be considered.
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