Considering a breast lift? Here’s what you need to know

A breast lift, or mastopexy, is a surgical procedure designed to reshape and lift sagging breasts, giving them a more youthful appearance. Many women consider this option for various reasons, including pregnancy, breastfeeding, ageing, or weight fluctuations. If you're contemplating a breast lift, you likely have several questions. We speak to a leading plastic surgeon who  addresses common concerns and provide information to help you make an informed decision.

What is a breast lift?

A breast lift, medically termed a mastopexy, is a cosmetic surgery that raises and reshapes the breasts. Over time, the skin and supporting tissues in the breast can lose elasticity, resulting in drooping or sagging (ptosis). During a breast lift, excess skin is removed, and the remaining skin is tightened to create a lifted and firmer breast shape. Unlike a breast augmentation, which uses implants to increase size, a breast lift focuses solely on reshaping and lifting, though it can be combined with augmentation if desired.

Who is a good candidate for a breast lift?

A breast lift may be suitable for women who are generally healthy, do not smoke, and have realistic expectations about the results. If you experience significant sagging, asymmetry (uneven breasts), or downward-pointing nipples, you may be a good candidate. Ideal candidates have stable body weight, as major weight fluctuations post-surgery can affect the results.

Additionally, if you are planning to become pregnant, it may be best to delay the procedure until after you have completed your family, as pregnancy and breastfeeding can alter the breasts’ shape and volume.

What does the procedure involve?

A breast lift is typically performed under general anaesthesia, meaning you will be asleep during the procedure. The surgery generally takes between two to three hours. There are several types of incision techniques, and the best approach depends on your specific needs and desired outcomes.

Anchor or inverted-T incision: This technique involves three incisions: around the areola, vertically down from the areola to the breast crease, and along the breast crease. This method is effective for those with significant sagging.

Lollipop or vertical incision: This approach includes an incision around the areola and another running vertically down to the breast crease. It works well for moderate sagging.

Donut or peri-areolar incision: This technique involves a single circular incision around the areola and is used for patients with mild sagging.

During the procedure, excess skin is removed, and the breast tissue is reshaped. The nipple is also repositioned to a higher, more youthful position, which can help enhance the overall appearance.

What can you expect during recovery?

Recovery from a breast lift varies for each individual, but there are general guidelines you can follow. Immediately after surgery, your breasts will likely be swollen and bruised, and you may experience discomfort for the first few days. Most patients can manage pain with prescribed medications, and many return to light activities within a week. However, heavy lifting and strenuous activities should be avoided for at least four to six weeks.

You will likely need to wear a surgical support bra initially, followed by a soft support bra for several weeks. It is important to follow your surgeon’s post-operative instructions closely, including attending follow-up appointments to ensure proper healing.

Are there risks involved?

As with any surgical procedure, there are potential risks to consider. These may include infection, bleeding, scarring, and changes in nipple or breast sensation. While uncommon, some individuals may experience asymmetry, which could require further surgery. Choosing a qualified and experienced plastic surgeon can help minimise these risks, and it’s crucial to discuss all potential concerns with your surgeon before the procedure.

Will a breast lift leave visible scars?

A common concern is scarring. Scars are an inevitable part of any surgical procedure, including a breast lift. However, surgeons aim to make incisions as discreet as possible. Scars are usually hidden in natural breast contours and often fade significantly over time. The degree of scarring can also depend on the incision technique chosen. Most patients find that their scars fade within six to twelve months, especially if they follow proper scar care practices recommended by their surgeon.

How long do the results last?

A breast lift can provide long-lasting results, but it’s essential to understand that the natural ageing process will continue. Factors like gravity, ageing, and lifestyle choices can still affect the breasts’ shape over time. Maintaining a stable weight, avoiding smoking, and following a healthy lifestyle can help you enjoy the benefits of your breast lift for many years.

This guide aims to provide an overview of what to expect from a breast lift. Consulting with a qualified plastic surgeon will give you a clearer understanding of whether the procedure is the right choice for your individual needs.