Mastopexy (breast lift) is a surgical procedure for lifting and reshaping sagging breasts. Aging, pregnancy, weight loss and gravity can all cause breasts to sag. By trimming excess skin and tightening supporting tissue, breasts can be made to sit higher on the chest and be firmer to the touch. In addition, the nipple and areola can be repositioned or resized to further enhance breast appearance. Because mastopexy does not change breast size, it is often combined with breast augmentation or reduction.
Candidates for Mastopexy
- Sagging breasts
- Breasts that have lost shape or volume
- Breasts that are flat or elongated
- Nipples or areolas pointing downward
- One breast lower than the other
The Mastopexy Procedure
- Two rings, one larger than the other, around the areola
- A keyhole shape, around the areola and down to the breast crease
- An anchor shape, beginning in the breast crease, and extending up to and around the areola
Recovery from Mastopexy
For a few days following mastopexy, patients are likely to have bruising, soreness and swelling. Breasts are usually wrapped in an elastic bandage or a surgical bra for about a week; a support bra is then worn continuously for a month. Stitches are removed after 1 to 2 weeks. Most patients return to work within a week; exercise and other strenuous activity should be avoided for about a month.
Results of Mastopexy
Risks of Mastopexy
In addition to the usual risks associated with surgery and anesthesia, risks specific to mastopexy include the following:
- Temporary or permanent change in nipple/breast sensation
- Irregularities in breast contour/shape
- Asymmetry
- Partial or total loss of nipple/areola
Depending on the incision type used, mastopexy can produce visible scars. Although some incisions can be concealed in the natural breast contours, others cannot. In most cases, however, scars fade over time, becoming much less apparent.