Breast Lift (Mastopexy)

Breast Lift Surgery (Mastopexy)

Breast lift surgery is an aesthetic surgical procedure performed to reposition the breast tissue and nipple upwards to an anatomically ideal position, remove excess skin, and create a younger, firmer breast form. Pregnancy, breastfeeding, weight changes, and natural tissue loosening over time can lead to breast sagging. Mastopexy corrects these issues in a natural and permanent way.

Who is Suitable for Breast Lift Surgery?

It is the correct treatment option for patients experiencing the following conditions:

• Downward-pointing nipple (ptosis)
• Loss of breast volume after pregnancy and breastfeeding
• Empty breast appearance after weight fluctuations
• Significantly improved breast appearance when lifted with a bra
• Asymmetric breast sagging
• Irritation and indentation under the breasts

Surgical Techniques Used in Breast Lift Surgery

The surgery is planned using different techniques depending on the degree of breast sagging, tissue quality, and breast volume.

Periareolar Technique

• A incision is made around the areola (nipple)
• Preferred for mild sagging
• Provides minimal scarring advantage

Vertical / Lollipop Technique

• One of the most commonly used mastopexy techniques
• Ideal for moderate sagging
• A vertical form is achieved without extending into the breast fold

Inverted T / Anchor Technique

• The most effective approach for severe sagging
• Both excess skin and breast tissue are lifted
• Provides the strongest and longest-lasting results

Breast Lift with Implants (Mastopexy + Augmentation)

In cases where breast volume is insufficient, a silicone breast implant can be added during the same session. This combination provides both a lifted and fuller breast form.

Pre-Surgery Preparation

• Breast ultrasound or MRI for tissue evaluation
• Measurement of nipple position
• Skin elasticity and symmetry analysis
• Smoking cessation at least 2 weeks before surgery
• Adjustment of blood-thinning medications as necessary
• If needed, silicone implant selection

The patient’s expectations are clarified, and realistic surgical goals are set.

Surgical Process

• Performed under general anesthesia
• Average duration: 1.5–3 hours
• Excess skin is removed
• The nipple is repositioned, and breast tissue is reshaped
• A firmer, symmetrical, and aesthetic breast form is achieved
• Special bandages and a supportive medical bra are applied at the end of the surgery

Post-Surgery Recovery

• Mild pain and tightness during the first 2–3 days are normal
• Return to daily activities is possible within one week
• Heavy exercise is not recommended for 4–6 weeks
• Supportive medical bras are worn for 6 weeks
• Swelling may occur in the first weeks; over time, the natural form settles
• Scars will noticeably flatten within 6–12 months

Result: The breast achieves a firmer, younger, and more aesthetic appearance.

Possible Risks and Complications

As with any surgical procedure, there are potential risks in mastopexy:

• Delayed healing
• Asymmetry
• Sensory loss in the nipple
• Circulation issues in the nipple (rare cases of necrosis)
• Fat necrosis
• Infection
• Scarring (depends on individual healing characteristics)

With proper planning and the correct surgical technique, the risk of complications is quite low.

Longevity of Results

Breast lift surgery provides long-lasting results. However, over time, gravity, aging, pregnancy, and weight changes can lead to changes in breast form again. Using the correct bra and maintaining weight stability will help increase the longevity of the results.