Mastopexy: Is it the right choice for you?

As women age, undergo significant life changes such as pregnancy or weight fluctuations, or simply experience the effects of gravity and genetics, the breasts may lose their youthful shape and firmness. Mastopexy, commonly known as a breast lift, is a surgical procedure designed to address this issue by reshaping and lifting sagging breasts. We speak to a consultant plastic surgeon who helps you better understand mastopexy and its potential impact.

What is mastopexy?

Mastopexy is a surgical procedure aimed at lifting and reshaping the breasts to create a more youthful appearance. Over time, the skin may lose its elasticity, leading to drooping or ptosis of the breasts. During a mastopexy, the surgeon removes excess skin, tightens the surrounding tissue, and repositions the nipple-areola complex (the darker skin around the nipple) to a more aesthetically pleasing position. Unlike breast augmentation, mastopexy does not increase the size of the breasts but focuses on improving their shape and position.

Who might consider a mastopexy?

Women who feel self-conscious about sagging breasts or those who experience physical discomfort due to the drooping may consider a mastopexy. Common reasons include changes in breast shape after pregnancy, breastfeeding, or weight loss, as well as natural ageing. However, the decision to undergo this procedure is highly personal and should be based on your own goals and concerns rather than societal pressures or external opinions.

What does the procedure involve?

A mastopexy typically takes two to three hours and is performed under general anaesthesia. The surgeon will make incisions around the nipple-areola complex and possibly extend them vertically or horizontally, depending on the degree of lifting required. After reshaping the breasts and removing excess skin, the incisions are closed with sutures. Most patients can return home the same day, although an overnight stay may sometimes be recommended. Scarring is an inevitable part of the healing process, but these usually fade significantly over time.

What can you expect during recovery?

Recovery after a mastopexy varies from person to person but generally takes around six weeks. In the first few days, you may experience swelling, bruising, and mild discomfort, which can be managed with prescribed pain relief. A surgical support bra is usually worn for several weeks to promote healing and minimise swelling. It’s important to avoid strenuous activities during the recovery period but maintain gentle movements to improve circulation.

Are there risks involved?

As with any surgery, mastopexy carries potential risks. These include infection, changes in nipple sensation, asymmetry, and issues with wound healing. However, these complications are relatively uncommon, especially when the procedure is performed by an experienced surgeon. Discussing your medical history and concerns with your surgeon can help minimise these risks and ensure realistic expectations.