Plastic Surgery
What Is Breast Lift Surgery?
Last reviewed: May 2026 · Haute MD Editorial Team
A breast lift (mastopexy) is a surgical procedure that elevates and reshapes sagging breasts by removing excess skin and repositioning the nipple-areola complex to a more youthful position on the breast mound. It does not significantly change breast size — for patients who desire both a lift and increased volume, breast augmentation with lift is performed simultaneously.
What causes breast sagging (ptosis)?
Breast ptosis (sagging) results from pregnancy and breastfeeding, significant weight loss, aging, gravity, and inadequate support over time. The degree of ptosis is classified based on the position of the nipple relative to the inframammary fold — from grade I (mild) to grade III (severe).
Breast lift techniques
Crescent lift: minimal scar, appropriate only for grade I ptosis. Peri-areolar (donut) lift: scar around the areola; for mild ptosis. Vertical (lollipop) lift: scar around areola and vertically down; for moderate ptosis. Inverted T (anchor) lift: comprehensive scar pattern for significant ptosis. The appropriate technique depends on the degree of ptosis and individual anatomy.
Breast lift with augmentation
Many patients with ptosis also desire increased volume. Combining augmentation with lift addresses both concerns in a single surgery, reducing recovery time compared to staged procedures. This is a more complex operation requiring careful surgical planning.
Frequently Asked Questions
Can I get a breast lift without implants?
Yes. A breast lift alone improves shape and nipple position without changing size. This is appropriate for patients who are satisfied with their volume but wish to address sagging.
How long do breast lift results last?
Breast lift results are long-lasting, though aging, gravity, and weight fluctuations will continue to affect the breasts over time. Maintaining a stable weight and wearing supportive bras helps preserve results.
What scars does a breast lift leave?
All breast lift techniques leave some degree of permanent scarring, though scars typically fade significantly over 12-24 months. Incisions are placed to be hidden by swimwear and bra lines wherever possible.
Will I lose nipple sensation after a breast lift?
Temporary changes in nipple sensation (numbness or hypersensitivity) are common. Permanent significant sensation loss is uncommon with most lift techniques.
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