Women tend to lose support of the breast tissue due to age, childbirth, changes in weight or other issues. These changes can cause a once perky, healthy appearing breast to become deflated and saggy. A breast lift is performed to correct these changes and restore and enhance the breast back to a youthful appearance. The procedure is designed to lift the breast tissue and reposition the nipple in a more aesthetically pleasing position by removing excess skin and tightening the remaining tissue. There are several different types of breast lifts. A mini-lift or periareolar breast lift may be appropriate for a woman with a small amount of breast sagging. Other women with more significant sagging may require a full lift. During your consultation with one of our Sarasota plastic surgeons, a treatment plan will be tailored to meet your aesthetic goals. In some cases, implants may also be incorporated to add additional volume.
During a breast lift surgery, incisions will be made around the skin-color line of the areola. It may extend vertically, down to the crease of the breast, or extend further to a horizontal incision following the breast crease direction. How extensive the incision will be depends on how much skin must be removed. The excess skin will be trimmed away and the underlying tissues tightened. The remaining skin will be stretched up and closed with sutures. An implant placed underneath the chest muscle may also supplement the lift as it can provide additional support in keeping the improved projection in place.
Women who contemplate undergoing breast lift surgery often wonder what the incisions will look like and how bad the scarring will be after the procedure. The incisions vary depending on how severe the breast sagging is and how much tissue volume is present. The most common incisions are noted below.
- Incision made along the line surrounding the areola;
- Incision made along the line surrounding the areola, plus a vertical incision down to the natural crease below the breast;
- Incision made along the line surrounding the areola, plus a vertical incision down to the natural crease below the breast, and another horizontal line following the direction of the breast fold.
Breast Lift Reviews
"34DDD with a Bad Shape-lift, removal of tissue, then implants - I've been to three other surgeons over the years for consults and felt the most comfortable with Dr. Mobley and his staff. Every single member of the staff in this practice is amazing, which to me is huge. I went to a surgeon right before Dr. Mobley who was recommended to me by two friends. I liked the surgeon but didn't go with him because of his staff and the office experience. Completely the opposite at Sarasota Plastic Surgery. Dr. Mobley is incredibly talented and takes pride in his work. He has a reassuring and confident manner, which is what I needed, especially being scared to death of my first surgery. Here's something that may sound odd but that was a huge deciding factor for me: Dr. Mobley, unlike every other surgeon I had consults with, meets with you when you're fully clothed first before you get almost naked in the paper robe. I just thought that was so cool, because I get major anxiety being naked in front of a stranger, doctor or not! I felt like this gave him the chance to see me as I look every day so he could tell what kind of look to give me with my boobs. Some people may not care, but it just made me feel so much more at ease to talk to him when I was dressed. He takes all the time you need to answer questions and educate you without making you feel rushed. I'm very happy with the results of my breast lift with implants aside from an unavoidable areola size issue, but I wanted to get lipo anyway so I can get it fixed then. I wouldn't hesitate to recommend Dr. Mobley to anyone. - - I'm 36 years old, I have one daughter who's 10. I nursed her for 14 months but my boobs have always been big and kinda low. I got married a year ago (we've been together for 7.5 years) and I guess we're not having any more kids. We talk about it every once in a while but we agree the time isn't right. Well, I'm not gettin any younger so the cutoff time is quickly approaching! Obviously I know people have babies all the time in their late 30's, early 40's-I just personally don't want to do that, especially with a daughter who's so much older. Anyway, the point is that I'm ready to get a breast lift, I've wanted to do it for years. I first had a consultation in 2008 and didn't have the $ and didn't want to go into debt for it. I've had two consultations this year and definitely preferred one surgeon over the other-the staff and the whole office experience. I know surgeon # 1 is good, I have 2 friends who have had beautiful BA's with him, but the office experience was not good which was a big deal to me. So now I'm scheduled with Surgeon #2 for 5/22. We discussed a slight reduction with a lift and implants. I love the shape of adding implants although I'm really nervous about adding something foreign to my body. We also discussed Lipo of the abdomen. I've gained about 12 lbs since I got married last year but it's stress and diet. I go to crossfit 4-5 times a week, I just can't get my eating in check. Anyway, I'm hoping to lose the weight before surgery and NOT get the Lipo. My weight fluctuates about 10-15 lbs and I'm so sick of it. I'm only 5'2 so it makes a huge difference!! I had smart Lipo in 2010 on my flanks and arms and really regretted it. I can't tell any difference on my arms at all, they've always been heavy. My flanks are ok but with my stupid weight fluctuations, the lbs I put on all went to my front stomach. When I did the smart Lipo, I wanted to get my front tummy done but they said I had an umbilical hernia (must've been born with it) and they couldn't do it. This surgeon said that's not a problem, they just avoid the hernia area. I have so many thoughts running through my mind about the whole procedure, and I'm grateful for this site. My husband says every night when I'm on my ipad, "you lookin at boobies again?", haha. I'm just learning so much from you ladies and I'm the type to want to be completely armed with knowledge!!"- R. / RealSelf / Apr 04, 2014
"Breast Implant Revision, Breast Lift - I chose Dr. Scott J. Engel to do my breast lift w/implants because of his caring nature and his extreme attention to detail. He describes himself as a perfectionist, and that is exactly what you get....perfection! I previously had Juvederm and Dysport by Dr. Engel and was very happy with his expertise so, naturally, I sought his opinion for the procedures I was interested in. I had researched breast lifts online and consulted with another physician, but I really respected his honesty and knowledge in giving me the very best result. My husband and I were really impressed with his before and after photos and when I tried to explain exactly why I liked his breast results so much he interjected because they're *up*. That was it! His results were very natural but still so perky and beautiful. I had seen so many photos online where I was wondering why the patient even had the procedure done because the after wasn't much better than the before. The scarring on these women were sometimes horrific and such a trade-off that I had almost talked myself out of it completely. My hopes were to just replace my current implants of 19 years with a possibly larger, newer technology implant that would just give me a lift. He said he could do that, but in less than a year, I'd be back wondering why my breasts were still sagging. He said the most pleasing aesthetic result in my situation (old saline implants that had drifted too far outward and stretched skin with sagging) was a traditional breast lift with incisions around the nipple, vertical to the crease and along the crease. I never felt pressured to do the procedure - he even said if nipple sensitivity was of utmost importance to me (which it is) then maybe I need to really think about it longer. I knew there was always a risk, even with just a simple augmentation, of losing some or part of nipple sensitivity. But, I felt I needed this procedure and I knew he would be as conscientious as humanly possible with the nipple. So after quite a bit of soul searching and discussions with my husband, I scheduled my surgery a few months later. Needless to say, I am literally astounded with the wonderful results I got!! I actually went from about a DD to a big C with the Natrelle Inspira round cohesive gel Gummy Bear implants at his suggestion for more projection and more upper pole fullness - and at almost 6 weeks post-op the scars are beautiful....no puckering...no stapling...just beautiful lines that amaze me every time I see them. And the shape is absolutely amazing! My breasts never were this perky and firm my whole life...and yes...they're up. LOL A good portion of nipple sensitivity has returned in my right nipple...the left is lagging a bit but I have a little more sensation every day (more of a pins and needles sensation at this point.) But I realize this can take quite a bit of time, so I'm very, very pleased at this point.I just can't really put into words how happy I am with my results and with Dr. Engel and the entire staff at Sarasota Plastic Surgery. He is so kind, so “down to Earth,” realistic and skilled. This kind of surgery, or any plastic surgery for that matter, can change your life dramatically – one way or the other. A bad choice can leave lasting scars – physical and emotional – for your entire life. I am so happy to have met Dr. Engel when I did and chose him as my plastic surgeon. He is absolutely the best in every way!"- Anonymous / RealPatientRatings / Sep 03, 2017
"Triplet Mom, 1 Year PP, Breast Lift with Implants, and Liposuction - Dr. Engle is simply the best that I’ve seen in natural-looking results. I’ve worked in plastic surgery in the past and it is common for a doc to agree with any procedure the patient wants. Dr. Engle was very open and honest with me about 1) procedures I wanted that he didn’t think I needed and 2) recommending things that he thought would give me the result I wanted. He was right about everything and it was very refreshing to have a doctor like him helping me make such a huge decision."- M. / RealSelf / Feb 26, 2018
"Breast Lift - The best thing about the whole experience has been the great results!I had a breast lift and augmentation. I was nervous during my initial consultation, but after meeting Dr. Engel I was confident I had found the right surgeon. My results are beautiful! The staff is great as well and I always felt well taken care of during all my post-op visits."- Anonymous / RealPatientRatings / Jun 04, 2018
"Breast Lift - Dr Engel was very attentive and spent a lot of time with me made me feel totally comfortable. All office staff was very responsive to needs. Very plesent experience."- Anonymous / RealPatientRatings / Jun 07, 2018
Breast lift surgery is performed using general anesthesia at a surgery facility. On average, the procedure may last up to 2 hours. The recovery will vary as some patients will have had a breast lift in combination with a reduction surgery, or with augmentation using implants. Regardless, patients will be encouraged to move around within the first 48 hours. Activities such as carrying heavy objects or any activity that puts pressure on the chest must be avoided. Most patients can resume normal activities within a couple of weeks, but exercise should not be attempted for 6-8 weeks. There will be some scarring associated with this procedure, but with extra care they will heal and fade, and many patients feel they become secondary to a more beautiful breast shape.
Breast Lift FAQs
Lift or Augmentation?
It depends on the patient’s aesthetic goals and the current breast form. A breast lift will help correct a sagging, drooping breast. Many times after this surgery, patients are happy with their breast size because the lift alone creates a fuller breast. If the patient wishes to have more volume and increase the breast size, implants will resolve this issue. Before surgery, a thorough consultation and assessment will be provided, and the surgeon will recommend if a lift alone is all that is needed, or if an augmentation and a lift may be done as a combination surgery.
It is common in a breast lift procedure that the nipple is repositioned so that it looks proportional to the newly shaped breast. When excess skin is trimmed away, a portion of an overly stretched areola (the colored skin around the nipple) is simultaneously trimmed away. The goal is for the nipple and areola to be within a normal size and position.
How Bad Is Scarring?
When incisions are made to trim away the skin, scars are an inevitable part of the process. Plastic surgeons are experts when it comes to minimizing scarring with precise techniques when it comes to incisions and suturing. A post-surgery scar care program will be provided, and patients are strongly encouraged to follow the plan so that healing is healthy and quick.
Plan Your Procedure
- Recovery Time
- 2-3 Weeks
- Average Procedure Time
- 3 Hours
- Post-op Follow-up
- Procedure Recovery Location