As gravity takes over, the breasts begin to sag. Add in skin changes, weight-gain or -loss and pregnancy, and it’s no surprise that your once-perky breasts are now in need of a little help. A breast lift, also known as a mastoplexy, is the only way to reposition the breast back to where it belongs. The goal of a breast lift is to restore the breasts to a higher, more youthful position. Most sagging results from overstretched skin and breast lift surgery removes the excess skin and tightens underlying breast tissue so the breast is supported in a higher position.
Think of the breasts as balloons during pregnancy—while you’re carrying, they grow to make room for the expanding milk ducts; then, the glands shrink and the breasts lose fullness and volume. “If the nipples point upward or forward, you probably don’t need a lift but maybe just some volume restoration. If they point downward, then you probably need a breast lift,” says New York plastic surgeon Dr. Alan Matarasso. If you want a long-lasting solution, you may want to consider a breast lift. But just lifting the breasts won’t solve the problem in everyone. “If there is a loss of volume and sagging skin then you probably need a lift and implant to recapture the shape,” says New York plastic surgeon Elie Levine, MD.
“A breast lift leaves behind more scarring than an augmentation does. For those that are opposed to the idea of having large scars on their breasts, and are good candidates, going with an implant that may be a bit larger will give some lift and produce far smaller scars,” says Dr. Alan Matarasso. An incision is made at or around the areola, vertically down the areola and down the breast crease or horizontally at the breast crease. The incision your doctor chooses to use is based on the size and shape or your breasts and the size and shape of the nipple area.