A mastopexy is the perfect option for a woman with breasts that have begun to sag or deflate due to weight loss or pregnancy. Breast reductions and mastopexy use similar incisions. Both procedures can elevate the position of the nipple and areola, however, a breast reduction also removes a significant amount of breast tissue to decrease the size of the breasts. Instead of removing excess breast tissue, a mastopexy can be designed to include an auto-augmentation, where breast tissue is rearranged to enhance projection. Techniques and incision types are tailored to each patient based on the amount of excess skin and nipple position, to maximize outcomes.

Types of procedures

  • Circumvertical mastopexy: This approach is performed through a lollipop-shaped incision
  • Wise pattern mastopexy: This technique is performed through an anchor-shaped incision
  • Mastopexy with auto-augmentation: Redundant breast tissue is rearranged into a position behind the nipple and areola to provide additional projection and upper breast volume.
  • Augmentation mastopexy: A mastopexy is combined with either an implant augmentation or fat grafting augmentation. The augmentation increases the breast volume while the mastopexy removes excess skin and centers the nipple position on the augmented breast.

Procedure details

  • Markings, including the new nipple position, excess skin to be removed, and auto-augmentation if appropriate, are performed in a standing position
  • Skin incisions are made
  • The size of the areola is reduced if needed, then the nipple and areola are elevated into a higher, more youthful position
  • The skin excision is performed
  • Breast tissue and skin closure is performed with dissolvable sutures

Risks & Benefits

Concerns following a mastopexy can include loss of or decreased sensation to the nipple and asymmetries in breast size or shape.

A mastopexy, whether performed alone or in combination with other breast procedures, can provide an immediate and dramatic improvement to a patient’s breast shape.

Frequently Asked Questions

Will I be able to breastfeed after a mastopexy?

You may be able to breastfeed, but it is not guaranteed. The milk ducts which lead to the nipple may be affected during the rearrangement and elevation of your breast tissue, which could prevent you from adequately breastfeeding.

How do I choose which mastopexy technique is best for me?
During your consultation our surgeons will take measurements of the excess skin on your breast and your nipple position during a thorough examination. The goal is always to limit incisions and hide them in less noticeable areas, however, a slightly longer incision is always preferred to ensure the breast is adequately re-shaped to provide an optimal immediate outcome with better long term stability.