Treatment at ICPM: Breast Lift in Valencia

In short

  • 🔑 The breast has no muscle inside it. It is held up by the skin and by its internal support structures. The pectoral muscle is behind, not inside: training it moves the platform the breast rests on, not the breast.
  • That is why no exercise “lifts” the breast. It can improve posture and the look of the décolletage; it does not reposition the nipple.
  • 🚨 On thread lifts for the breast we have to be blunt about what exists: there is no literature. Searching specifically for absorbable threads to lift the breast, no series with follow-up, complication rates or durability data come up.
  • And no cream can act on structures that lie beneath the skin.
  • The only published elevation figure from minimally invasive surgery gives the scale: radiofrequency-assisted mastopexy — which is surgery — achieved a mean nipple elevation of 1.2 centimetres.
  • ⚠️ Compare that with what is needed. In grade 2 or 3 ptosis, the nipple sits below the inframammary fold: 1.2 cm is not the order of magnitude of the problem.
  • What does work without theatre: the right bra, keeping your weight stable and looking after your skin. Unglamorous and genuinely useful.

The short answer is no, and this page exists to explain why — which is more useful than the refusal — and to say precisely what can be achieved without going into theatre, which is not nothing.

It is a page written by a clinic that performs breast lifts, so the declaration is due: the commercial interest here would push towards saying exactly what you are about to read. That is why everything that follows comes with its source, and where there is no source it says so.

Why the breast cannot be lifted from outside

This is anatomy and it explains everything else.

The breast is not a muscle and it contains no muscle. It is gland and fat, wrapped in skin and held by its internal support structures. When a breast “drops” it is because that skin and those structures have given way: the reference is lost and the nipple-areola complex descends relative to the inframammary fold. Exactly how that is measured is in the grades of breast ptosis.

The pectoral muscle is behind. The pectoralis major sits beneath the breast, against the chest wall. It is the platform the breast rests on, not a structure that holds it up from inside.

🔑 An inevitable consequence: training the pectoral muscle can thicken that platform and slightly change how the décolletage projects, but it cannot raise a nipple that has descended, in the same way that widening a shelf does not lift what is sitting on it.

And the same applies to creams: a cream acts on the skin. It can moisturise it and improve how it looks. It does not reach the internal structures that have given way, and there is no mechanism by which it could.

Cross-section of the chest wall with the breast on top and the layers distinguished: the ribs at the back, the pectoral muscle resting on them and extending behind the breast without entering it, a thin fibrous dividing layer, the breast made up of gland and fat with no muscle fibre inside it, and the skin covering everythingWhy the breast cannot be lifted from outsideThe cross-section shows, from the inside out, the ribs, the pectoral muscle resting on them, a thin fibrous layer, the breast and the skin. What the drawing makes clear without any need for explanation is that the pectoral muscle extends behind the breast and ends where the breast begins: it does not penetrate inside it. The breast is made up of glandular tissue and fat, with no muscle fibre inside, and it is held up by the skin and by thin fibrous septa running from the deep layer to the surface. Hence training the pectoral muscle moves the platform the breast rests on, but not the breast.Why the breast cannot be lifted from outsideThe pectoral muscle is behind the breast, not inside itRibsPectoral muscleFat and gland: there is no muscle hereSkinThe breast contains no muscle: it is held up by the skin and by thin fibrous septa.The pectoral muscle lies behind and ends where the breast begins.That is why training it moves the platform the breast rests on, but not the breast.
It is the anatomical reason why no exercise lifts a dropped breast, and also why an implant placed under the muscle changes the volume without correcting the position of the nipple.

Thread lifts: what has been published

Here the honest answer is not “they do not work”. It is something more uncomfortable: we do not know, because it has not been studied.

Searching the medical literature for absorbable threads — polydioxanone, barbed sutures — applied to lifting the breast, what comes up is other things: reinforcing meshes and matrices placed within an operation, not threads inserted in a clinic room. On thread lifts for the breast there are no series with follow-up, no complication rates, no durability data and no comparisons.

⚠️ How to read that absence. A treatment offered commercially with no published literature is not necessarily a fraud, but it does mean nobody has demonstrated that it works, how long it lasts or with what risks. And in a tissue like the breast — where an infection or an extrusion is not trivial — that lack of data is itself a piece of data.

What we do know by analogy and by mechanics. A thread holds by traction on an anchor point. In a face, with firm fibrous planes, that traction has something to grip. In a breast, what has to be lifted is a volume of gland and fat that weighs and pulls downwards continuously. The question worth asking anyone offering it is very specific: what is the thread hanging from, and how long does that hold?

And this clinic’s position is explicit: thread lifts for the breast are not offered here. Not for lack of means, but for what this whole page sets out: they achieve no appreciable result, and there is consensus in the scientific community about their lack of indication.

🔑 Anyone who comes asking about them is told exactly that, and is shown what can be done in their case — which is sometimes surgery and sometimes nothing.

Radiofrequency: two different things with the same name

It is worth separating them because they are deliberately confused in advertising.

Aesthetic radiofrequency. A device applied to the skin, in sessions, with no incisions. Its aim is the quality and retraction of the skin. There is no literature attributing measurable elevation of the nipple-areola complex to it in the breast.

Radiofrequency-assisted mastopexy. It is an operation: incisions are made and the energy is applied in the subcutaneous plane. It is grouped among the so-called “scarless” techniques because the incisions are minimal.

And here there is a figure, and it is the most useful on this whole page. A systematic review of 11 studies and 1,517 patients on “scarless” aesthetic breast surgery recorded that radiofrequency-assisted mastopexy achieved a mean nipple elevation of 1.2 centimetres. The authors themselves call for long-term outcome studies, which are still lacking.

🔑 Why that 1.2 matters even if you are not considering that technique. Because it gives the scale. It is what a real operation, with incisions and energy in the subcutaneous plane, achieves. Any treatment applied on top of the skin that promises more than that is promising more than minimally invasive surgery achieves.

⚠️ And it has to be compared with the size of the problem: in grade 2 ptosis the nipple sits below the inframammary fold, and in grade 3 it is the lowest point of the breast. 1.2 cm does not cover that distance.

What each option lifts, with the only published figureOf the options offered for lifting the breast, only one has an elevation measured in the literature: radiofrequency-assisted mastopexy, which is surgery, with a mean nipple elevation of 1.2 centimetres. For thread lifts applied to the breast, aesthetic radiofrequency and firming creams there is no literature measuring any elevation. The absence of a figure is not the same as a low figure: it means nobody has measured it.What each option lifts, with the only published figureMean nipple elevation measured in the literatureRadiofrequency-assisted mastopexywhich is surgery1.2 cmThread lifts on the breastno literature measuring elevationno figureAesthetic radiofrequencyno literature measuring elevationno figureFirming creamsno literature measuring elevationno figureThe only option with a measured elevation is the one that goes through theatre.That the other three have no figure does not mean they lift a little: it means nobody has measured it.
And that distinction is the one worth taking to a consultation where any of the three is offered to you: not “how much does it lift”, but “where is it published that it lifts”.

What does work without surgery

Not everything here is negative, and this part matters because for many women it is enough.

The right bra. It is the only “treatment” that really changes how a dropped breast looks and feels, immediately, reversibly and cheaply. And it is under-used: in a survey of 2,089 British schoolgirls, more than half never wore a sports bra when doing sport, and breast bounce was their most frequent concern. In adults, 27.4% of a survey of 438 women reported that lack of support had stopped them exercising.

Keeping your weight stable. Every large swing fills and empties the breast, and the skin does not always recover. It is one of the few factors you can genuinely influence, and it is developed in empty, dropped breasts after weight loss.

Looking after your skin and not smoking. It will not lift your breasts, but the elasticity of the skin is part of the system holding them up.

And the pectoral muscle, with the right expectations. Training it does not lift the breast, but it improves posture — which does change how the décolletage looks — and it forms part of managing the back pain that goes with large breasts.

When to stop looking for alternatives

Without drama, three signs that non-surgical options are no longer the conversation:

  • Your nipple sits below the inframammary fold. Beyond that point there is no external treatment that raises it.
  • You have spent years trying things and the breast has gone on dropping.
  • The problem has stopped being cosmetic: irritation under the breast, back pain, limitation in sport.

At that point, what is called for is not another treatment: it is an assessment. What the surgery that does correct it does is in breast lift without implants in Valencia.

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Frequently asked questions

Can the breast be lifted without surgery?

Not in any real sense. The breast is held up by the skin and by its internal support structures, and it contains no muscle; no treatment applied from outside repositions a nipple that has descended below the inframammary fold.

Do thread lifts really work on the breast?

We do not know: there is no published medical literature on absorbable threads for lifting the breast — no series with follow-up, no complication rates, no durability data. That does not prove they do not work, but it does mean nobody has demonstrated that they do.

How long do thread lifts last compared with surgery?

There is no published figure answering that for the breast. The specific question worth asking anyone offering them is what the thread is hanging from and how long that traction holds.

And radiofrequency?

Two things have to be distinguished. Aesthetic radiofrequency on the skin aims at skin quality and retraction, with no published measurable elevation. Radiofrequency-assisted mastopexy is surgery, and in a review of 11 studies and 1,517 patients it achieved a mean nipple elevation of 1.2 cm.

Do firming creams work?

A cream acts on the skin. It can moisturise it and improve how it looks, but it does not reach the internal structures that have given way and there is no mechanism by which it could reposition the nipple.

Can I lift my breasts with exercise?

The pectoral muscle is behind the breast, not inside it. Training it can change how the décolletage projects and improve posture, but it does not raise a nipple that has descended.

So what can I do without surgery?

A well-chosen bra — the only thing that really changes how a dropped breast looks, immediately and reversibly — keeping your weight stable, looking after your skin and not smoking.

Sources

  • Stack ER, et al. Lifting the Standards: A Systematic Review of Aesthetic Scarless Breast Surgery. Cureus. 2026;18:e109131. Systematic review of 11 studies with 1,517 patients who had “scarless” aesthetic breast procedures — radiofrequency-assisted mastopexy, transaxillary and transumbilical augmentation and liposuction-based reductions; the mean age was 34; radiofrequency-assisted mastopexy reported a mean nipple elevation of 1.2 cm, while the “Compass Rose” suture technique achieved a mean reduction in areolar width of 11 mm; transaxillary and transumbilical augmentations reached satisfaction rates of 90% or higher; the complications reported were generally low; the authors conclude that future research should focus on standardised reporting and on long-term outcomes. https://pubmed.ncbi.nlm.nih.gov/42317893/
  • Martinez AA, Chung S. Breast Ptosis. StatPearls, NCBI Bookshelf, updated November 2023. Regnault classification according to the position of the nipple relative to the inframammary fold: grade 1, the nipple at the level of the fold; grade 2, below the fold but not the lowest part; grade 3, below the fold and the lowest part. It defines pseudoptosis and notes that ptosis is commonly associated with ageing, macromastia, weight loss, pregnancy and hormonal changes. https://www.ncbi.nlm.nih.gov/books/NBK567792/
  • Toomey AE, Cape JD. Mastopexy (Breast Lift). StatPearls, NCBI Bookshelf, updated December 2024. Mastopexy repositions the nipple-areola complex while preserving breast volume; a list of the described complications of the procedure. https://www.ncbi.nlm.nih.gov/books/NBK610682/
  • Scurr J, et al. The Influence of the Breast on Sport and Exercise Participation in School Girls in the United Kingdom. J Adolesc Health. 2016;58:167-173. Survey of 2,089 British schoolgirls aged 11 to 18; more than 50% stated that they never wore a sports bra during sport; 73% reported at least one specific breast-related concern in sport, the most prevalent being breast bounce (38%). https://pubmed.ncbi.nlm.nih.gov/26802991/
  • Rizzone KH, et al. Sports Bra Preferences by Age and Impact of Breast Size on Physical Activity among American Females. Int J Environ Res Public Health. 2021;18:12732. Multicentre cross-sectional study with 438 responses from women aged 11 to 64; more than a quarter (27.4%) reported that lack of breast support had stopped them being active or exercising, with a significant association with breast size (p < 0.0001). https://pubmed.ncbi.nlm.nih.gov/34886465/

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If you are looking for an alternative to surgery, this page is not trying to push you into theatre: it is trying to stop you spending money on something that cannot work. Try the cheap, reversible option first — well-chosen support — and check where your nipple sits relative to the fold under your breast.

If it is above, you have margin. If it is already below, no external treatment is going to raise it, and the honest thing is to tell you so.

Clinical confirmation by the surgeon

Portrait of Enrique Salmerón González

Dr Enrique Salmerón González

Specialist in Plastic, Aesthetic and Reconstructive Surgery
Registration no. 46/4624077
Portrait of Elena García Vilariño

Dr Elena García Vilariño

Specialist in Plastic, Aesthetic and Reconstructive Surgery
Registration no. 46/4624503

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