Mastopexy | Breast Lift

What is a Mastopexy | Breast Lift?

Mastopexy, commonly known as breast lift, lifts the breasts by removing excess skin and tightening the surrounding tissue to reshape and support the new breast contour.

Many women consider breast lift surgery when their breasts become pendulous, lose firmness or have nipples and areolas that point below the breast crease. Your breast will have a more youthful and uplifted profile.

What is the Surgical Approach?

There are multiple surgical approaches for breast lift. Let’s discuss the most commonly performed surgical procedures.

  • Circumareolar mastopexy involves making an incision around the nipple-areolar complex (NAC). This technique is usually for patients who have only small amount of ptosis (droop) or who wish to reduce size of the areola.
  • Severely ptotic (drooping) breast the Wise-Pattern mastopexy is the most commonly performed technique. It involves use of an incision that resembles an “anchor” once closure is completed. The Wise Pattern technique has major advantages, which are the ability to excise excess fat and/or skin and the potential to see the final shape of the breast. Scars are permanent; however, they do in most cases fade and significantly improve in appearance over time.

Breast lift surgery is done under general anesthesia in the outpatient department of the hospital or in a certified surgery center.

Implant Types

  • Filling type: Saline, Silicone Gel, or Highly Cohesive Silicone “Gummy Bear” Implants. Neither is “best,” but there are some differences in cost, feel, and incision requirements that you need to consider. Your cosmetic surgeon will help you find the right implant type for you.
  • Shape: Saline & Silicone Gel implants are typically round, while gummy bear implants come in shaped and round options. Round implants will typically achieve a fuller upper pole (the top portion of your breast), while shaped implants lend a gently sloping look to your breast profile. Both can look very natural with a skilled cosmetic surgeon’s help.
  • Profile: Your cosmetic surgeon will help you choose this based on your existing proportions and your goals. Generally, patients with a more petite frame will require a higher profile implant to achieve the desired size increase while ensuring the implants are not too wide at the base.
  • Size: Breast implants range in size from about 150cc to 800cc or larger. Many patients require a different sized breast implant for each breast; this helps to achieve the best possible symmetry. The size you choose depends on your existing breast size, your personal goals, and your cosmetic surgeon’s recommendations.