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Breast Lift Mastopexy

Breast lift, medically referred to as mastopexy, is a surgical procedure that reshapes and raises sagging breasts. While the surgery can be performed on its own, it can also be combined with breast augmentation or reduction to achieve a desired size or shape.

1. Why Consider a Breast Lift?

Aging and Life Changes: Over time, factors such as aging, weight fluctuations, pregnancy, breastfeeding, and gravity can cause the breasts to lose their elasticity and firmness. This can result in sagging or drooping.

Desire for a Youthful Appearance: Some women choose to undergo mastopexy to restore a more youthful and perky appearance to their breasts.

Post-Pregnancy/Breastfeeding Changes: Many women experience changes in their breasts after pregnancy and breastfeeding, and a breast lift can help restore pre-pregnancy shape and position.

2. The Procedure

Consultation: A pre-surgery consultation is crucial. The surgeon evaluates the patient’s health, discusses expectations, and determines the most appropriate technique.

Techniques: There are several breast lift techniques, and the right one depends on breast size, shape, extent of sagging, and patient-surgeon preference. Common incisions include:

  • Crescent Lift: Minimal scarring; involves a small crescent-shaped incision on the top half of the areola.
  • Peri-Areolar or “Donut” Lift: A circular incision around the areola.
  • Vertical or “Lollipop” Lift: Incisions around the areola and vertically down from the areola to the breast crease.
  • Inverted T or “Anchor” Lift: This combines the vertical lift with a horizontal incision along the breast crease. Suitable for women with significant sagging.

Procedure Steps:

  1. Administer anesthesia.
  2. Make the incision.
  3. Reshape and lift the breast tissue to improve contour and firmness.
  4. Reposition the areola and nipple to a more youthful height.
  5. If necessary, reduce enlarged areolas by excising skin at the perimeter.
  6. Remove excess breast skin to compensate for loss of elasticity.
  7. Close the incisions.

3. Recovery

Post-operative recovery typically involves:

  • Bandages applied to the incisions.
  • Drains (temporary tubes) to remove any excess blood or fluid.
  • Supportive bra to minimize swelling and support the reshaped breasts.

Patients may experience swelling, bruising, and discomfort, which can be managed with prescribed pain medications. Most people can return to work within a week, although strenuous activities should be avoided for at least a month.

4. Potential Risks

As with any surgical procedure, there are potential risks, including:

  • Scarring
  • Infection
  • Bleeding or hematoma formation
  • Changes in breast or nipple sensation
  • Anesthesia risks
  • Irregularities in breast contour or shape
  • Partial or total loss of the nipple

5. Benefits

  • Restores a youthful contour and elevation to sagging breasts.
  • Increases self-confidence and body image.
  • Allows clothes to fit better.
  • Results are relatively long-lasting, although significant weight changes, further pregnancies, or aging can alter outcomes.


A breast lift can be a transformative procedure for many women. However, it’s essential to consult with a board-certified plastic surgeon, understand the risks and benefits, and set realistic expectations for the outcome. Regular follow-ups post-surgery are crucial to monitor healing and ensure optimal results.