A mastopexy, or breast lift, is a surgical procedure that lifts and reshapes sagging breasts. A mastopexy trims excess skin and tightens supporting tissue. Breasts can be raised higher on the chest and become firmer to the touch. In addition, a mastopexy can reposition or resize the areola to enhance the appearance of the breasts. A mastopexy does not change the size of the breast but it is often combined with a breast augmentation or breast reduction procedure.
Before the procedure, the surgeon will usually order pre-operative tests to confirm the status of the patient’s health. Certain medications may need to be stopped prior to the procedure. The patient may be asked to have a mammogram.
The mastopexy procedure is typically performed on an outpatient basis. The procedure normally takes one to three hours.
The surgical approach will depend on the size and shape of the breasts, as well as the amount of excess skin and sagging.
One of the following incisions is often used:
For smaller breasts, two rings are made around the areola
A keyhole shape around the areola and down to the crease of the breast
For breasts with significant sagging, an anchor shape that begins in the crease of the breast and extends up to and around the areola
After the incision is made, the breast tissue is removed and reshaped so that the contour of the breast is achieved. The nipple and areola are placed. Excess skin is trimmed so that the breast has a tighter and more defined look.