Breast Lift (Mastopexy)

You may be a candidate for breast lift surgery if you have sagging breasts due to past pregnancies, genetics, or aging. You may also desire a breast lift if breast sagging is too great to be treated with an implant alone, or if your nipple-areolar complexes (pigmented areas around nipples) are enlarged.

Breast lift (mastopexy) surgery is intended to give the patient an elevated, more youthful breast contour, as well as nipple-areolar complexes of the desired size and at the correct height. A breast lift is usually done on an outpatient basis under general anesthesia.

The design of the incisions can vary based on the amount of lift that is required. The nipple-areolar complex is repositioned higher, the excess skin is removed, and the breast is reshaped in a pleasing contour and elevated to a more normal position. The insertion of an implant may also be performed. The patient goes home in a support bra with only light dressings over the incision lines. Sutures are placed under the skin and do not need to be removed. Initial discomfort is easily controlled with oral pain medication. Light activities may be started in 7-10 days.

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Breast lift surgery restores a younger and “perkier” appearance to the breasts, by removing excess skin and tightening the surrounding tissue to support and reshape the new higher position of the breasts. To further enhance the overall appearance of the breasts, this procedure can be performed in combination with a breast augmentation.

Who is a good candidate for breast lift surgery?

A breast lift can correct a number of conditions, including:

• Sagging breasts
• Breasts lacking in firmness
• Nipples pointing down

The above conditions tend to develop naturally over time due to aging and gravity, especially after childbirth, during which the weight of larger breasts may stretch the skin. A breast lift can also help alleviate certain asymmetry problems, such as breasts that have positioned themselves at different levels. A breast lift is better suited for those with small to medium breasts, as the weight of larger breasts may work against the surgery post-recovery.

Where are the incisions made for breast lift surgery?

Depending on the amount of lift a woman needs, several different incisions can be utilized: one around the areola, one vertical incision from the bottom edge of the areola to the crease under the breast, and one incision horizontally beneath the breast in the crease, following its natural curve. This is commonly referred to as the “anchor” incision. Newer techniques are used to remove the lower horizontal portion, giving a “lollipop-shaped” incision.

These incisions allow Dr. Robinson access beneath the breast to remove excess skin and tissue, raise the breasts, and, if necessary, adjust the position of the areola and nipple. Because excess skin is removed, there may be a minor reduction in breast size traded for superior positioning and firmness. If you desire larger or smaller breasts in addition to a lift, a breast augmentation or reduction can be preformed at the same time as a breast lift.

Can I have a breast lift before having children?

If you’re intending to have children, you may wish to postpone a breast lift until after you are finished having children. A breast lift may interfere with breastfeeding and pregnancy’s effect on increased breast size can work against the breast lift.

As with all cosmetic surgery, be sure to undergo a thorough consultation. It is important to be honest in your goals with Dr. Robinson, as well as to be realistic about potential limitations.

What is the recovery like following breast lift surgery?

Immediately after breast lift surgery, you will probably experience swelling and some discomfort. Dr. Robinson will prescribe pain medication to alleviate any pain or discomfort you may experience following your surgery. He recommends you wear a bra for a few weeks following surgery to give you support.

Depending on the extent of the lift, you should be able to go back to work in as little as five days. It is important to remember that the full results may not be evident for several months as your body adjusts and heals.