Breast Lift (Mastopexy)

Breast Lift (Mastopexy) – San Diego

Many women are comfortable with the size of their breasts, but are unhappy with sagging or pendulous breasts. For these women, breast lift surgery, also called mastopexy,  will raise and reshape the breasts.  Many women seek mastopexy because pregnancy and nursing have left them with stretched skin and less volume in their breasts. If considering future pregnancies, it is best to postpone a breast lift.

This procedure can also reduce the size of the areola, the darker skin surrounding the nipple. If your breasts are small or have lost volume after pregnancy, breast implants inserted in conjunction with mastopexy can increase the firmness, size, and volume of the breasts. A breast lift is frequently a part of a Mommy Makeover.

A consultation with a Changes surgeon will determine if your desired outcome can be achieved with a breast lift or if augmentation with breast implants would give you a better result. He will examine and measure your breasts and discuss with you both options. He will also discuss the variables that may affect the procedure such as your age, the size and shape of your breasts, and the condition of your skin. You will be shown where the nipple and areola will be positioned because they will be moved higher during the procedure to be approximately even with the crease beneath your breast.
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Procedure Description

Breast lifts are usually performed under general anesthesia, which means you will be asleep through the operation.

Some patients, especially those with relatively small breasts and minimal sagging, may be candidates for modified procedures requiring less extensive incisions. One such procedure is the “doughnut (or concentric) mastopexy,” in which circular incisions are made around the areola, and a doughnut-shaped area of skin is removed. A crescent mastopexy lifts the nipple position with an incision around the upper half of the areola. If your breast tissue has been compromised through multiple procedures or simple aging, your surgeon may recommend the insertion of a surgical mesh. Surgical mesh acts as an internal bra to provide support and improve the longevity of results.

Mastopexy usually takes three hours, depending on the patient. The excess skin is removed and the nipple and areola are moved to a higher position. The skin surrounding the areola is then brought down and together to reshape the breast. Techniques vary, but the most common two procedures involve either a vertical “lolly pop scar” or an anchor-shaped incision following the natural contour of the breast. Stitches are usually located around the areola, in a vertical line extending downwards from the nipple area, and along the lower crease of the breast.


After surgery, you will wear an elastic bandage or a surgical bra over gauze dressings. The breasts will be bruised, slightly swollen, and uncomfortable for a day or two, but the pain shouldn’t be severe.   There may be slight loss of feeling in your nipples and breast skin due to swelling after surgery. This numbness usually fades as the swelling subsides over the next six weeks or so.

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The Breast Lift Procedure Described


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Breast Lift FAQs

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  • A breast lift is a surgical procedure for women who are happy with the size of their breasts, but who would like to alter pendulous or sagging breasts, or to reduce the size of the areola, the darker skin surrounding the nipple. Breast lift surgery, also known as mastopexy, reshapes and raises the breasts, and can shrink the areolae. Women often seek out a breast lift because the breasts have dropped lower on the chest, whether from childbirth and breast feeding, or just from the passage of time.

  • Women often consider a breast lift because breastfeeding and pregnancy have stretched the skin of their breasts and left them with less volume in their breasts or a saggier lack of firmness all around. Breastfeeding and pregnancy can also change the shape and size of the areolae. However, this also means that if you are thinking about future pregnancies, it may be best to put off a breast lift until you’re sure you’re done.

  • In order to see whether or not you are a good candidate for a breast lift in San Diego, you should schedule a consultation with a Changes surgeon. Talking honestly together with your surgeon, together you will determine whether a breast lift or augmentation with breast implants can get you closest to your ideal result. As part of this process, your Changes surgeon will measure and examine your breasts, and discuss with you the many variables that can affect your breast lift, including your age, the starting point with your breasts, and your skin’s condition.

  • Breast lift procedures are typically performed with the patient totally asleep throughout the process, under general anesthesia. Certain patients, those with minimal sagging and fairly small breasts in particular, might be candidates for less extensive incisions as part of modified procedures like the concentric or doughnut breast lift procedure. Other patients may benefit from a crescent breast lift, which causes the nipple position to be lifted after the surgeon makes an incision around just the upper portion of the areola. And for patients with highly compromised breast tissue—whether from age or multiple procedures—the surgeon may use surgical mesh to make the results last longer.

  • Although this all depends on the patient, a breast lift procedure usually takes about three hours. First, the excess skin is removed. Next, the areola and nipple are moved to a higher position. After that, the skin around the areola is brought together and down and used to reshape the breast.

  • Immediately after your breast lift surgery, you will wear either a surgical bra or an elastic bandage over gauze dressings. Expect slight swelling, bruising, and discomfort in your breasts for a day or two, but your pain shouldn’t be severe. You may experience a slight loss of feeling in the skin of your breasts and your nipples after the surgery; this is caused by swelling and typically fades over the coming six weeks or so.

  • Yes. During a scarless breast lift, Dr. Lee uses the Inmode Radio Frequency Assisted Lipolysis (RFAL) system which achieves advanced skin tightening through a tiny cannula that uses electrodes and heat. This tightens the breast tissue, raises the breasts, and improves their firmness. Because there are no incisions it requires only local anesthetic and patients can resume normal activities immediately.

  • The breast list costs in San Diego run from a starting price of $9,758 for the scarless breast lift to $10,400 to $11,000 for a traditional breast lift. For breast augmentation with a breast lift, the cost starts at $11,800 for saline implants and $12,000 for silicone implants.

  • There is financing available for breast lifts. One option is through Care Credit. Another option is through Alpheon Credit, and this financing option is exclusively offered to patients of board-certified plastic surgeons, dermatologists, and ophthalmologists.