01
Breast augmentation (implants)
Volume and shape with an implant chosen from your own measurements.
IndicationAnyone who wants more volume or to recover volume lost after pregnancy and breastfeeding.
Breast surgery
Breast surgery: shape, proportion and weight are different problems
Volume, sagging and excess breast weight are distinct issues, each with its own particularities and options for correction. The choice of the ideal technique is individualized, taking into account chest measurements, skin quality and, above all, your concerns and expectations.
01 · Overview
Breasts in proportion and in balance with your body
Volume, shape, support and symmetry planned from each patient's measurements and anatomy.
Breast surgery treats shape, proportion and contour: increasing volume, repositioning tissue, correcting sagging, reducing weight, or removing an implant that no longer makes sense for you.
The decision doesn't start from a size picked out of a photo. It starts from the width of the breast base, the thickness and quality of the tissue, the position of the inframammary fold and the height of the areolar complex relative to it.
In practice: a breast lift repositions the breast and treats sagging; augmentation adds volume and projection; reduction removes weight and restores comfort; and implant removal takes the implant out, with or without a lift and fat grafting. Which one fits your case comes from the exam, not from a catalogue.
02 · Procedures
Each technique addresses a different concern
Explore the techniques indicated for each need.
02
Mastopexy with implant and hybrid mastopexy
Breast repositioning combined with an implant and, when indicated, fat grafting.
IndicationAnyone with sagging who also wants added volume and projection.
03
Mastopexy without implant and breast reduction
Repositioning of the tissue and areolar complex and, when there is excess weight, reduction of volume.
IndicationAnyone with satisfactory volume who is bothered by sagging and breast droop.
04
Implant removal
Removal of the silicone implants which, in cases of breast sagging, may or may not be combined with mastopexy and fat grafting, when complementing breast volume is desired.
IndicationFor patients who wish to remove the implant for reasons such as personal choice, aesthetics, changes in the implants or medical indication.
05
Mastopexy with an L scar or reduced T scar (short scar), with or without silicone implants
Repositioning of the breasts and areolar complex, keeping the décolletage free of scars. Implants can be used when more cleavage and volume are desired; for a more natural result, the patient’s own breast tissue is used.
IndicationSagging with a scar plan chosen for the anatomy and degree of droop.
03 · Real cases
Transformations that respect every body
Results published with authorization, organized by the techniques performed at the consultation.
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01
Breast augmentation
An increase in volume and improved breast contour, with an implant chosen from the patient's anatomy.
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02
Breast lift with implant
Repositions the breast and treats sagging by adding an implant, for more firmness, volume and projection.
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03
Breast lift without implant
Repositions the breast tissues without increasing volume. It is indicated for those with breast sagging who do not wish to increase volume or achieve a marked cleavage with silicone implants.
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04
Implant removal + lift + fat grafting
Removal of the implants combined with lifting the breast and restoring volume with the patient's own fat.
Images of real cases are published with authorization. Each result is individual and is not a promise of an outcome.
04 · Videos
Get to know each technique on video.
Videos published by Dra. Niandra Sartori explaining each technique and showing real results, with patient authorization.
Breast lift with implant
Videos from Dra. Niandra Sartori's official channel. Each result is individual and does not represent a promise of outcome.
05 · Reviews
What patients say
Public patient reviews on Google.
Fiz meu explante com a Dra Niandra e só tenho a agradecer pela sensibilidade, competência e profissionalismo. Sempre conduziu todo o processo cirúrgico com excelência me orientando a todo momento com carinho e verdade.
Fazer a mamoplastia redutora foi a decisão mais importante da minha vida e eu não poderia ter escolhido profissional melhor que a doutora Niandra. Desde a primeira consulta me passou segurança, competência e acolhimento.
Estava há anos procurando um cirurgião que pudesse fazer a minha mastopexia. Ela tomou todo o cuidado possível e sempre em contato com a minha hematologista e toda a equipe dela.
A Dra Niandra, além de uma profissional de excelente qualidade, se preocupou desde o começo com a minha situação. Me deixou confiante e ciente do meu resultado desde a primeira consulta.
Individual accounts of care and experience; results vary from person to person and are not a promise of outcome.
How is the implant size chosen?
By the width of the breast base, the thickness and quality of the tissue, and the position of the fold. Your chest defines the safely compatible volume range; within that range, your preference is taken into account.
Does breast augmentation lift a sagging breast?
No. The implant restores volume and projection, but doesn't correct significant sagging. When there is meaningful sagging, the recommendation is a lift, with or without an associated implant.
How long before I can return to work?
For jobs without physical effort, return usually happens between the second and third week. Activities requiring upper-body effort take longer and depend on clearance at an in-person follow-up.
Does breast surgery prevent breastfeeding later?
Many techniques preserve the ability to breastfeed, but none guarantee it. If you're planning a pregnancy in the near term, that changes the approach and should be discussed at the consultation.
Do I need to replace the implant after ten years?
There is no automatic replacement schedule. What exists is monitoring: periodic clinical and imaging exams. Replacement is indicated by a change, not a calendar.
Does implant removal leave the breast empty?
It depends on the skin and remaining tissue. When excess skin is expected, removal is usually combined with a lift and, when indicated, fat grafting to restore shape.
Is breast reduction considered cosmetic?
It has a significant functional component, neck pain, shoulder pain, bra-strap grooving and limitations for physical activity are common complaints. The evaluation records these objectively.
Does the scar disappear?
A scar doesn't disappear; it matures. Over the first year it changes color and texture, and the result depends on technique, individual healing characteristics and sun protection.
Next step
Ready to recognise yourself in the mirror?
Firm breasts that look like you are not vanity, they are a personal choice. The next step is an in-person consultation, with recorded measurements and a clinical exam.
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