A breast lift, or mastopexy, is a surgical procedure designed to address breast ptosis (sagging) by removing excess skin and tightening the surrounding tissue. This procedure modifies the breast contour and repositions the nipple-areola complex to a higher anatomical position on the breast mound.

What is a Breast Lift (Mastopexy)?

Mastopexy is a surgical intervention that addresses changes in breast shape caused by factors such as pregnancy, breastfeeding, significant weight fluctuations, and the natural loss of skin elasticity over time. Unlike breast augmentation, a standard breast lift does not significantly change the size of the breasts; rather, it focuses on the internal structural support and external skin envelope.

In cases of significant ptosis, the procedure may involve:

  • Skin Redraping: Removing stretched skin from the lower portion of the breast.

  • Areola Reshaping: Modifying the size of the areola if it has expanded over time.

  • Nipple Repositioning: Elevating the nipple to a more proportional position relative to the breast fold.

  • Internal Reshaping: Adjusting the underlying breast tissue to modify the breast’s projection.

What Can Be Addressed?

The goals of a mastopexy are focused on anatomical modification:

  • Addressing breast ptosis (sagging) where the nipple sits below the inframammary fold.

  • Modifying the diameter and appearance of the areola.

  • Addressing breast asymmetry (differences in shape or height between the two breasts).

  • Modifying the breast contour to address volume loss in the upper pole (upper part of the breast).

Ideal Candidate Profile

A suitable candidate for a breast lift typically presents with stable health and realistic expectations regarding surgical outcomes. This procedure is often considered by individuals who are satisfied with their current breast volume but wish to address skin laxity.

Good Candidate Checklist

  • Has reached physical maturity with stable breast development.

  • Maintains a stable weight (significant fluctuations post-surgery can alter results).

  • Does not currently smoke or is willing to cease smoking for the recommended period.

  • Has nipples that point downward or sit below the breast crease.

  • Understands that surgical scars are a necessary trade-off for breast elevation.

Not a Good Candidate

  • Individuals with uncontrolled medical conditions that impair healing (e.g., poorly managed diabetes).

  • Individuals currently pregnant or planning to breastfeed in the near future.

  • Those with unrealistic expectations regarding the elimination of all scarring.

  • Individuals seeking a significant increase in cup size (this may require a combined Breast Augmentation-Mastopexy).

Surgical Techniques & Areola Reshaping

Dr. Mohaghegh utilizes different incision patterns depending on the degree of sagging:

  1. Periareolar (Donut) Lift: A circular incision around the areola, suitable for mild ptosis and areola reshaping.

  2. Vertical (Lollipop) Lift: Incisions around the areola and down to the breast crease, addressing moderate sagging.

  3. Inverted-T (Anchor) Lift: The most comprehensive approach, involving three incisions to address severe ptosis and skin redundancy.

Anesthesia Information

Mastopexy is performed under General Anaesthesia in an accredited hospital setting. This ensures patient comfort and safety throughout the duration of the surgery. A qualified Specialist Anaesthetist will monitor your vitals and manage pain levels during the procedure.

Pricing and Cost Transparency

The cost of a breast lift varies based on the complexity of the technique used and whether it is combined with other procedures.

  • Initial Long Consultation (1 hour): $400.

  • Surgical Quotes: Following your consultation with Dr. John Mohaghegh (MBBS, FRACS, AHPRA #MED0001627149), you will receive a detailed quote. This includes the surgeon’s fee, hospital fees, and anaesthetist fees.

  • Note: Cosmetic mastopexy is generally not covered by Medicare unless it meets specific reconstructive criteria (e.g., following a mastectomy or significant congenital deformity).

Recovery Timeline & Milestones

  • Days 1–3: Initial discomfort and swelling. A surgical support bra must be worn 24/7.

  • Week 1: Most patients can return to sedentary work. Driving is typically restricted.

  • Weeks 2–6: Light walking is encouraged, but heavy lifting and strenuous exercise must be avoided.

  • Months 3–6: Swelling continues to subside, and breast tissue begins to settle into its final position.

  • 1 Year: Scars typically transition from red to a faded, flatter appearance. Scar management (silicone gel/tape) is mandatory during this phase.

FAQ Section: Safety & Credentials

Who performs the surgery? All procedures are performed by Dr. Mohaghegh, a Specialist Plastic Surgeon with over 20 years of experience. He is a Fellow of the Royal Australasian College of Surgeons (FRACS) and is registered with AHPRA (MED0001627149).

What are the risks? Any surgical or invasive procedure carries risks. These may include infection, delayed wound healing, changes in nipple sensation, or breast asymmetry. A full list of potential complications will be discussed during your consultation.

Related Articles & Content

How to approach series;

What to expect from your surgery series;

  • Breast Augmentation
  • Breast Lift (Mastopexy)
  • Breast Lift With Implant
  • Breast Lift and Autoaugmentation
  • Breast Implant Removal / Fibrous Cap Removal
  • Breast Implant Replacement
  • Breast Reduction
  • Male Breast Reduction (Gynaecomastia)

What techniques are used series

  • Breast Surgery

Related procedures

What can be achieved?

  • Remove excess / stretched tissue from the bottom of the breast.
  • Elevate the nipple and reshape the areola.
  • Improve breast symmetry.
  • Improve breast firmness.
  • Restore breasts to a more youthful shape