Breast Lift (Mastopexy)

As women age, the breasts naturally drop. The ligaments which help keep the breasts firm start to stretch and the breast begins to drop with natural aging and gravity. Pregnancy and breast feeding contribute to breast engorgement and although the breast can return to normal position, there is often a drop in breast tissue toward the lower half of the breast and persistent stretching of the skin around the breast.

Fortunately, a breast lift (Mastopexy) can be performed to help improve sagging breasts.

Dr. Mandell-Brown & Dr. Maccarone

Dr. Mark Mandell-Brown and Dr. Gina Maccarone strive to offer Natural Look™ cosmetic surgery results in an educational, supportive environment. Each holds multiple board certifications, so you can rest assured that your surgeon has the credentials and aesthetic eye to precisely tailor your surgical plan for safe, aesthetically sound outcomes.

Portrait of Dr. Mandell-Brown and Dr. Maccarone smiling

How Do You Know If You Need a Breast Lift?

Cosmetic surgeons classify the amount of breast sag or ptosis (pronounced “toe-sis”) into mild (Stage I), moderate (Stage II) or severe (Stage III) based on the position of the breast crease and the nipple.

  • Stage I (mild): For women categorized in stage one, the breasts shape are considered to be in mild decline from their previous appearance. There will be slight drooping occurring, with the position of the nipples no longer pointed forward, but positioned to the level of the breast creases.
  • Stage II (moderate): Patients in stage two are considered to have moderate sagging and drooping within the breasts. At this point, the position of the nipples is now facing in a downward position, below the breast creases.
  • Stage III (severe): The most severe stage of sagging and drooping within the breasts, stage three consists of extremely lower sitting breasts. In this stage, the nipples will be far below the breast creases, and will be completely pointing toward the ground.

To determine the amount of sagging, stand in front of the mirror and place your finger under your breast crease. Note the position of the nipple. Is the nipple above your finger, below the finger, or well below the finger and pointing to the ground?

The “Ideal Triangle”

Another way plastic surgeons determine the need for breast lift or mastopexy is to measure the nipple from the top of the sternum (breast bone). Ideally, the nipple to the sternum should be the same for both breasts and in younger patients is typically 21 centimeters (8.3 inches) The distance between the nipples should be the same distance (21 centimeters or 8.3 inches)

With pregnancies, age, and gravity, the nipples can drop from a more perky or youthful position to 26 or 27 centimeters (10.8 inches) from the sternal or breast bone notch.

Another important measurement when considering breast lift or Mastopexy is the distance from the nipple to the bottom of the breast or inframammary crease. This can be 4 to 10 centimeters and depends on the amount of breast tissue.

Can a Breast Lift Be Combined with Other Procedures?

Often, patients will consult us for a breast augmentation when they really would benefit from a breast lift or mastopexy. For some patients, a mastopexy or breast lift can be combined with a breast augmentation.

Think of the breast augmentation as increasing the size of the breast and the breast lift or mastopexy as improving the breast position.

Recovery After Breast Lift

After your procedure, bandages and/or dressings will be placed over your breasts and you may be asked to wear a surgical bra for some time after your surgery. You will likely experience some swelling, bruising, and soreness during the first few days after your breast lift. Dr. Mandell-Brown may prescribe medication to help you deal with the pain.

It is important to avoid any strenuous activity for a couple weeks after your surgery, including bending, lifting, or exercise. Most women are able to return to work within a couple weeks after their breast lift; however, it is important to remember that every patient will recover at a different rate.

Be sure to follow Dr. Mandell-Brown’s aftercare instructions to ensure a smooth and speedy recovery, and if you have any questions about the recovery process, do not hesitate to ask Dr. Mandell-Brown.

“I believe that the best approach for a successful breast lift surgery is good communication between the plastic surgeon and the patient.”

—Dr. Mark Mandell-Brown

Breast Lift Results

You will see some results from your breast lift immediately; however, you will likely experience some degree of swelling for a few weeks. Typically, most of the swelling will go down after a couple months, and you will be able to see your final results three months or so after surgery.

Cost of the Procedure

The cost of this procedure depends on a few variables, like the technique used during surgery, the length of the procedure, and other various factors. If you have any questions about the price of this procedure, be sure to ask Dr. Mandell-Brown during your consultation.

Set Up A Consultation Today

To determine if you are a good candidate for a breast lift, call our office today to schedule an initial consultation with Dr. Mark Mandell-Brown in Cincinnati, Ohio. During your initial consultation you can discuss what expectations you have and what results a breast lift can provide.

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Medically reviewed by Dr. Mandell-Brown — Updated on Mar 11, 2024