A breast lift, also known as a mastopexy, is a procedure to raise and reshape sagging breasts.  As a woman ages, skin loses some elasticity which can cause the breasts to lose their natural shape and firmness.  This procedure is designed to elevate the breasts and give them a more youthful appearance.  A breast lift may also be completed in conjunction with breast enlargement surgery (augmentation).

Reasons for Considering a Breast Lift:

• Elevate the breasts due to sagging caused by the effects of aging and gravity.
• Firm the breasts if they have lost substance due to pregnancy, breast-feeding or weight loss.
• Re-align nipples/areolas if they point down or to the side.

General Procedure

The most common procedure involves an anchor-like incision along the underside of the breast.  When the excess skin has been removed, the nipple and areola are moved into a higher position.  The skin surrounding the areola is brought down and together to reshape the breast.

Some patients, especially those with relatively small breasts and minimal sagging, may be candidates for a modified procedure requiring less extensive incisions called a "doughnut (or concentric) mastopexy."  Circular incisions are made around the areola and a doughnut-shaped area of skin is removed. 

If the patient is having an implant inserted along with the breast lift, the implant will be placed in a pocket directly under the breast tissue or under the muscle of the chest wall.

Recovery Process

Bandages or dressings are applied to the incisions and a support bra is worn around the clock for several weeks.  This helps minimize swelling and support the breasts as they heal.  Discomfort can be controlled with medication.  Most patients return to work and normal activities within one week, although heavy lifting and vigorous exercise should be restricted for several weeks.