Breast Lift (Mastopexy)

Breast lift (mastopexy) is a plastic surgery procedure that surgically raises sagging and deflated breasts, removes excess skin, and creates a youthful, firm appearance. If volume loss is present, it can be combined with breast augmentation.

What Is Breast Lift (Mastopexy)?

During pregnancy, breastfeeding, weight fluctuations, and the aging process, sagging (ptosis) can occur as breast tissue loses volume and skin elasticity decreases. Mastopexy removes excess skin, reshapes the breast tissue, and repositions the nipple-areola complex to a higher position, creating a firm, round, and youthful breast appearance.

Mastopexy does not increase volume; it only corrects shape and position. If additional volume is desired, a breast implant can be placed during the same session (augmentation-mastopexy combination).

Who Is a Candidate?

• Those experiencing breast sagging after breastfeeding or weight changes
• Those whose nipples have dropped below the inframammary fold
• Women who have lost breast shape and position and have aesthetic concerns
• Those who also wish to add volume for a fuller appearance
• Individuals aged 18 or older whose general health is suitable for surgery
• Women who have completed their pregnancy and breastfeeding plans

Degrees of Sagging (Ptosis)

• Grade 1 (Mild): The nipple is near the inframammary fold; minimal intervention is sufficient
• Grade 2 (Moderate): The nipple is below the fold; vertical mastopexy is performed
• Grade 3 (Significant): The nipple is significantly below; the anchor technique is required

Mastopexy Techniques

Periareolar (Crescent / Donut) Mastopexy

For mild sagging, minimal lifting is achieved through a circular incision along the areola edge.

Lollipop (Vertical) Mastopexy

Performed with a periareolar + vertical incision for moderate sagging; leaves fewer scars.

Inverted T (Anchor) Mastopexy

Uses a periareolar + vertical + horizontal incision for significant sagging and extensive skin excess; the most comprehensive technique.

Procedure Steps

1. Ptosis Assessment

The degree of breast sagging, skin quality, and nipple position are evaluated; the appropriate technique and incision plan are determined.

2. Anesthesia

General anesthesia is administered. The procedure takes 2–3 hours.

3. Tissue Reshaping

Excess skin is removed; breast tissue is repositioned and lifted, and the nipple is moved to its new position.

4. Closure

Incisions are closed with fine sutures; a sterile dressing and surgical bra are applied.

Advantages of Mastopexy

• Youthful and firm appearance: Sagging is fully corrected
• Natural shape: Breast tissue is repositioned without requiring implants
• Nipple improvement: Areola size can also be reduced
• Long-lasting results: Effective for years if a stable weight is maintained
• Combination option: Volume can also be added with implants in the same session

Recovery Process

• Days 1–3: Tightness and heaviness in the chest; managed with pain medications
• Days 7–10: Sutures are removed or dissolve
• Weeks 2–3: Daily activities can be resumed
• Weeks 4–6: Exercise and sports can be started
• Months 6–12: Scars fade, and the final shape settles

Before and After Surgery

Before

• Blood thinners should be discontinued 10 days prior
• Smoking must be stopped 3 weeks before
• Surgery is recommended after pregnancy plans are completed

After

• A surgical bra should be worn for 6–8 weeks
• Avoid raising arms above the head for the first 2 weeks
• Sun protection and silicone gel application are recommended for scars

Breast Lift at Estetistanbul

At Estetistanbul Medical Center, mastopexy surgeries are performed with personalized surgical planning based on each patient's degree of sagging, skin quality, and aesthetic expectations. Whether through an augmentation-mastopexy combination or mastopexy alone, the most natural and long-lasting results are achieved.