Breast Lift (Mastopexy)

During a breast lift, a plastic surgeon removes excess skin and reshapes breast tissue to raise the breasts and nipples on the chest. Incisions can be made around the darker areas surrounding the nipples (areolae), downward to the breast creases, and horizontally along the creases.

A breast lift is also known as mastopexy. It reshapes the breasts without changing their size. However, a breast lift can be combined with breast augmentation or breast reduction.

Why It's Done

Breasts change with age, losing firmness and elasticity. The causes include:

  • Pregnancy: During pregnancy, the breast ligaments stretch, which may cause sagging after pregnancy.
  • Weight Changes: Fluctuations in weight can stretch breast skin and reduce elasticity.
  • Gravity: Over time, gravity causes ligaments in the breasts to stretch and sag.

A breast lift can reduce sagging, raise the position of the nipples, and reduce the size of the areolae.

Consider a breast lift if:

  • Your breasts sag or have lost shape and volume
  • Your nipples fall below your breast creases
  • Your nipples and areolae point downward
  • Your areolae have stretched out of proportion to your breasts
  • One breast falls lower than the other

Risks

A breast lift poses several risks, including:

  • Scarring: Scars are permanent but typically soften and fade within 1 to 2 years. Scars are usually hidden by bras and bathing suits.
  • Changes in sensation: Sensation typically returns within several weeks, but permanent loss of feeling is possible.
  • Uneven shape or size: Healing may result in uneven breasts, and surgery doesn't correct pre-existing size differences.
  • Partial or total loss of the nipples or areolae: In rare cases, the blood supply to the nipple or areola may stop, leading to loss.
  • Breastfeeding difficulties: While possible, some may struggle with milk production after a breast lift.

Like any major surgery, risks include bleeding, infection, and an adverse reaction to anesthesia. There is also the possibility of an allergic reaction to surgical materials.

Breast Lift (Mastopexy)

During a breast lift, a plastic surgeon removes excess skin and reshapes breast tissue to raise the breasts and nipples on the chest. Incisions can be made around the darker areas surrounding the nipples (areolae), downward to the breast creases, and horizontally along the creases.

A breast lift is also known as mastopexy. It reshapes the breasts without changing their size. However, a breast lift can be combined with breast augmentation or breast reduction.

Why It's Done

Breasts change with age, losing firmness and elasticity. The causes include:

  • Pregnancy: During pregnancy, the breast ligaments stretch, which may cause sagging after pregnancy.
  • Weight Changes: Fluctuations in weight can stretch breast skin and reduce elasticity.
  • Gravity: Over time, gravity causes ligaments in the breasts to stretch and sag.

A breast lift can reduce sagging, raise the position of the nipples, and reduce the size of the areolae.

Consider a breast lift if:

  • Your breasts sag or have lost shape and volume
  • Your nipples fall below your breast creases
  • Your nipples and areolae point downward
  • Your areolae have stretched out of proportion to your breasts
  • One breast falls lower than the other

Risks

A breast lift poses several risks, including:

  • Scarring: Scars are permanent but typically soften and fade within 1 to 2 years. Scars are usually hidden by bras and bathing suits.
  • Changes in sensation: Sensation typically returns within several weeks, but permanent loss of feeling is possible.
  • Uneven shape or size: Healing may result in uneven breasts, and surgery doesn't correct pre-existing size differences.
  • Partial or total loss of the nipples or areolae: In rare cases, the blood supply to the nipple or areola may stop, leading to loss.
  • Breastfeeding difficulties: While possible, some may struggle with milk production after a breast lift.

Like any major surgery, risks include bleeding, infection, and an adverse reaction to anesthesia. There is also the possibility of an allergic reaction to surgical materials.

Breast Lift Surgery (Mastopexy)

Cosmetic breast surgery can be done at an outpatient surgery clinic or in a hospital. You will likely receive general anesthesia, or medicine to help you relax and local anesthesia to numb the area around the breasts. The surgeon will make 1 to 3 surgical cuts (incisions) and remove extra skin. Your nipple and areola may be moved.

Some women also have breast augmentation (with implants) during a breast lift.

Why the Procedure is Performed

Breast surgery is a cosmetic choice, usually for lifting sagging, loose breasts. Pregnancy, breastfeeding, and normal aging can cause stretched skin and smaller breasts. You should wait to have a breast lift if you are:

  • Planning to lose weight
  • Pregnant or nursing a child
  • Planning to have more children

Risks

The risks of surgery include:

  • Reactions to medicines
  • Breathing problems
  • Bleeding, blood clots, or infection
  • Inability to nurse
  • Large scars
  • Loss of sensation around the nipples
  • Breast asymmetry

Before the Procedure

Discuss with your surgeon if you need a mammogram before surgery. Tell your doctor:

  • If you are or could be pregnant
  • All the medicines you are taking

Before surgery:

  • Stop taking blood-thinning medicines
  • If you smoke, try to quit
  • Follow instructions on eating and drinking

After the Procedure

After surgery, you will likely go home the same day. Wear a supportive bra as instructed. Pain should decrease in a few weeks, and you may take pain relief medication. Follow-up visits will check your healing, and you may need to wear a special bra for a few months.

Outlook (Prognosis)

You are likely to have a good outcome from breast surgery, but scars will remain visible for a while. Breast sagging may occur again with normal aging, pregnancy, or weight changes.

What Is Breast Lift Surgery?

A breast lift (mastopexy) is a surgery to elevate and reshape the breasts. Factors like pregnancy, gravity, and weight changes can cause breasts to sag. Surgeons remove excess skin, reposition the breast tissue, and improve the nipple position. Breast augmentation is often combined for longer-lasting results.

What Can Breast Lift Surgery Do?

  • Eliminate excess breast skin to resolve drooping
  • Elevate breast tissue to a more youthful position
  • Reshape breast tissue for improved contour and symmetry
  • Resize and reposition the nipple-areolar complexes
  • Rejuvenate the overall appearance of the breasts

However, breast lift surgery does not restore lost volume or increase breast size. For that, breast augmentation is typically performed alongside mastopexy.

Determining Candidacy for Breast Lift Surgery

To determine if you are a good candidate for breast lift surgery, Covai Cosmetic Surgery surgeon DR. S.SIVAKUMAR MBBS, DLO., MS – General Surgery, MCh – Plastic Surgery. D.N.B (PLASTIC) will review your health history and perform an examination during your consultation. You may also need a mammogram, depending on your age. During the consultation, we will discuss your goals and review available options. Once a plan is agreed upon, the surgery date can be scheduled.

The Breast Lift Procedure

Breast lift surgery is typically performed as an outpatient procedure under general anesthesia. The invasiveness of the procedure depends on the extent of changes. There are different techniques:

  • Concentric ring (doughnut) mastopexy: Circular incisions around the areola to remove excess skin and elevate the nipple.
  • Circumvertical (lollipop) mastopexy: Adds a vertical incision from the areola to reposition more tissue.
  • Anchor mastopexy: The most invasive, involving incisions around the areola, vertically down, and horizontally in the breast crease. Only skin is removed and the breast is dramatically repositioned.

All of these techniques can include breast augmentation, either simultaneously or later.

Recovery from Breast Lift Surgery

After breast lift surgery, you may experience swelling or bruising, but these symptoms should diminish over time. Most discomfort can be managed with medication. Patients are advised to wear surgical or sports bras during recovery and avoid upper body activity for several weeks. Once narcotic pain medication is stopped, normal activities such as driving and non-strenuous work can be resumed.

Breast Lift Cost

The average cost of breast lift surgery in India is approximately Rs.______* (excluding operating facility and anesthesia fees). The cost depends on factors such as:

  • Expertise and experience of the plastic surgeon
  • Complexity of the procedure
  • Whether breast implants are placed
  • Medications needed before/after surgery
  • Region/city of the practice

For affordability, we partner with CareCredit® for payment plans. A customized estimate will be provided during your consultation.

*Based on 2017 statistics by ISAPS.

Breast Lift FAQs

Will I have visible breast lift scars?

Scarring is inevitable, but our surgeons employ meticulous techniques to minimize scarring. Proper care during recovery can help scars fade over time. Scars are typically hidden by bikinis or underwear.

Can I get a breast lift without surgery?

Non-surgical techniques cannot effectively correct moderate to severe breast sagging, as excess skin can only be removed through surgery.

Do I need a breast lift with implants?

Patients may need a breast lift with implants if they wish to:

  • Restore lost volume from pregnancy, weight loss, or aging
  • Achieve a larger breast size

A breast lift can improve breast shape but does not increase size without implants.