A breast lift is a surgical procedure performed by a plastic surgeon to change the shape of the breasts. During a breast lift, a plastic surgeon removes excess skin and reshapes breast tissue to raise the breasts. A breast lift is also known as mastopexy.
You might choose to have a breast lift if your breasts sag or your nipples point downward. A breast lift might also boost your self-image and self-confidence.
A breast lift won't change the size of your breasts. However, a breast lift can be done with breast augmentation or breast reduction.
Breasts change with age. They often lose firmness. And they become less elastic, which means the skin doesn't snap back into place after being stretched. There are many causes for these kinds of breast changes, including:
A breast lift can reduce sagging and raise the position of the nipples. The surgery can also lift the darker areas surrounding the nipples (areolae). The size of the areolae may be made smaller to keep them in proportion to the newly shaped breasts.
You might consider a breast lift if:
A breast lift isn't for everyone. If you plan to become pregnant in the future, you might delay getting a breast lift. Your breasts could stretch during pregnancy and offset the results of the breast lift.
Breastfeeding may be another reason to delay a breast lift. Although breastfeeding is usually possible after the procedure, it may be harder to produce enough milk.
While a breast lift can be done on breasts of any size, those with smaller breasts will likely have longer lasting results. Larger breasts are heavier, which makes them more likely to sag again.
A breast lift poses various risks, including:
Like any major surgery, a breast lift poses a risk of bleeding, infection and an adverse reaction to anesthesia. It's also possible to have an allergic reaction to the surgical tape or other materials used during or after the procedure.
At first, you'll talk to a plastic surgeon about a breast lift. During your first visit, your plastic surgeon will likely:
Review your medical history. Be prepared to answer questions about current and past medical conditions. That includes whether you have a family history of breast cancer.
Share the results of any mammograms or breast biopsies. Talk about any medications you're taking or have taken recently, as well as any surgeries you've had.
Do a physical exam. To determine your treatment options, the surgeon will examine your breasts — including the position of your nipples and areolae.
The surgeon will also consider the quality of your skin tone. Breast skin that has good tone will hold the breasts in a better position after a breast lift. The surgeon may take pictures of your breasts for your medical record.
Before a breast lift you might also need to:
A breast lift can be done in a hospital or an outpatient surgical facility. Sometimes the procedure is done with sedation and local anesthesia, which numbs only part of your body. In other cases, general anesthesia is recommended. You won't be awake if you're given general anesthesia.
Techniques used to remove breast skin and reshape breast tissue vary. The specific technique your plastic surgeon chooses will determine the location of the cuts (incisions) and the resulting scars.
Your surgeon might make incisions:
The surgeon might place stitches deep within the breasts to reshape the breast tissue. Stitches may also be used to reduce the size of the areolae. They remove excess breast skin and shift the nipples to higher positions. Then the surgeon brings together the breast skin . They close the incisions with stitches, surgical tape or skin adhesives.
The procedure typically takes 2 to 3 hours. You can go home on the same day.
After a breast lift, your breasts will likely be covered with gauze and a surgical support bra. Small tubes might be placed at the incision sites in your breasts to drain any excess blood or fluid.
Your breasts will be swollen and bruised for about two weeks. You'll likely feel pain and soreness around the incisions, which will be red or pink for a few months. Numbness in your nipples, areolae and breast skin might last for about six weeks.
In the first few days after a breast lift, take pain medication as recommended by your health care provider. Avoid straining, bending and lifting. Sleep on your back or your side to keep pressure off your breasts.
Avoid sexual activity for at least 1 to 2 weeks after the breast lift. Ask your health care provider when it's OK to resume daily activities, such as washing your hair, showering or bathing.
Drainage tubes may be placed near your incisions and are typically removed within a few days. When your health care provider removes the tubes, they will also probably change or remove your bandages.
Talk to your provider about when — or if — your stitches will be removed. Some stitches dissolve on their own. Your provider must remove some types of stitches, often 1 to 2 weeks after the procedure.
Keep wearing the surgical support bra round-the-clock for 3 to 4 days. Then you'll wear a soft support bra for 3 to 4 weeks. Your health care provider might suggest using silicone tape or gel on your incisions to promote healing.
While you're healing, keep your breasts out of the sun. Afterward, protect your incisions during sun exposure.
You'll notice a change in the appearance of your breasts right away. Their shape will continue to change and settle over the next few months.
Initially, scars will appear red and lumpy. While scars are permanent, they'll soften and become thin within 1 to 2 years. Scars from a breast lift can usually be hidden by bras and bathing suits.
You might notice that your bra size is a little smaller after a breast lift. That may happen even if you haven't had a breast reduction in combination with the procedure. This is simply a result of your breasts becoming firmer and rounder.
Breast lift results might not be permanent. As you age, your skin will naturally become less elastic. Some sagging might occur, especially if you have larger, heavier breasts. Keeping a stable, healthy weight can help you retain your results.
