Breast Lift (Mastopexy): Complete Guide to Lifting

Discover what a breast lift (mastopexy) can do to lift and reshape sagging breasts. This comprehensive guide explains who benefits most, the common surgical techniques, expected recovery, costs, and potential risks. Learn how mastopexy restores a firmer, more youthful breast contour after aging, pregnancy, weight loss, or genetics.

Breast Lift (Mastopexy): Complete Guide to Lifting

A breast lift, clinically called mastopexy, reshapes and elevates breasts that have lost firmness or sit lower on the chest. Rather than focusing on size, this cosmetic operation tightens tissue and removes excess skin to recover a more youthful silhouette. Women pursue mastopexy for many reasons: hormonal changes, pregnancy and breastfeeding, significant weight shifts, aging, or hereditary traits that affect breast position and shape.

Who makes a good candidate for a breast lift?

The best candidates are individuals in generally good health who have realistic expectations about outcomes. Key considerations include:

  • Stable body weight: Fluctuations after surgery can alter results, so long-term weight stability is preferable.
  • Family planning: Many surgeons recommend waiting until childbearing is complete, because pregnancy and breastfeeding may change breast appearance again.
  • Non-smokers: Smoking impairs healing and raises complication risk; quitting is often required before and after surgery.
  • Medically fit: A full assessment of medical history and any medications helps ensure safety. Conditions such as uncontrolled diabetes or blood clotting disorders may disqualify someone or require special management.
  • Realistic goals: Mastopexy improves shape and position but may not perfectly match every aesthetic ideal. A consultation will clarify likely results and limitations.

During your consultation a board-certified plastic surgeon will evaluate breast size, skin quality, nipple position, and overall chest anatomy to recommend the most suitable approach.

Techniques: choosing the right incision pattern

There are several mastopexy techniques tailored to the degree of sagging and desired outcome:

  • Crescent lift: A limited incision along the top edge of the areola. Best for very mild droop when only a subtle lift is needed.
  • Periareolar (donut) lift: A circular incision around the areola. Useful for modest lifting with minimal scarring; often used when only the areola needs adjustment.
  • Vertical (lollipop) lift: An incision around the areola and vertically down to the crease beneath the breast. Common for moderate sagging and offers a balance between lift and scar length.
  • Anchor (inverted-T) lift: Incisions around the areola, vertically down, and along the breast crease. This is the most extensive option and is chosen for significant sagging or when substantial skin removal is necessary.

Surgeons may combine a lift with breast augmentation (implants) or reduction, depending on whether the patient desires more fullness or smaller size. Each technique has trade-offs in terms of scarring, lift capability, and recovery.

What to expect during recovery

Recovery varies with the extent of surgery and individual healing, but typical milestones include:

  • Immediate post-op: Expect bandaging and a supportive surgical bra. Some soreness, swelling, and bruising are normal and are managed with prescribed pain medication.
  • First 1-2 weeks: Many patients take this time off work to rest and limit activity. Light walking is encouraged to reduce clot risk, but lifting and strenuous movement should be avoided.
  • 2-6 weeks: Swelling continues to decrease. Most can return to desk work within 1-2 weeks, but more active exercise usually resumes after 4-6 weeks with surgeon approval.
  • Several months: Tissues settle into their final position and scars begin to mature and fade. Scar care and follow-up visits are important to monitor healing.

Adhering to post-operative instructions, sleeping slightly elevated, and wearing recommended support garments help achieve smoother recovery.


Procedure Type Average Cost Range Recovery Time
Crescent Lift $4,500 - $6,000 1-2 weeks
Periareolar Lift $6,000 - $8,000 2-3 weeks
Vertical Lift $7,000 - $9,000 2-3 weeks
Anchor Lift $8,000 - $12,000 3-4 weeks

Prices, rates, or cost estimates mentioned in this article are based on the latest available information but may change over time. Independent research is advised before making financial decisions.


Risks and important considerations

As with any surgery, mastopexy carries potential complications. Common concerns include:

  • Scarring: Incision lines are permanent but typically fade over time. Choosing the appropriate technique can minimize visible scarring.
  • Sensation changes: Temporary or sometimes permanent alterations in nipple or breast sensation can occur.
  • Asymmetry: Natural differences between breasts may persist or become more noticeable; minor asymmetry is common.
  • Infection and wound-healing problems: Proper wound care and avoiding smoking reduce these risks.
  • Poor cosmetic result or need for revision: In some cases a secondary procedure may be recommended to refine shape or address complications.

Risk can be reduced by selecting a qualified, board-certified plastic surgeon, disclosing full medical history, and following pre- and post-operative instructions closely.

Making an informed decision

Choosing mastopexy is a personal decision that benefits from careful planning. During consultations, ask to see before-and-after photos, inquire about the surgeon’s experience with the chosen technique, and discuss expectations, recovery logistics, and cost breakdowns. Consider how future life events such as pregnancy or significant weight change might affect long-term results.

This article is for informational purposes only and should not be considered medical advice. Please consult a qualified healthcare professional for personalized guidance and treatment.