Breast Lift (Mastopexy)

A breast lift, or mastopexy, is a surgical procedure designed to address breast ptosis (sagging) by removing excess skin and tightening the surrounding tissue to change breast shape and position the nipple–areola complex higher on the breast mound. Any surgical or invasive procedure, including mastopexy, carries risks, and individual results vary.

What Is a Breast Lift (Mastopexy)?

Mastopexy is a surgical intervention that addresses changes in breast shape that may be associated with factors such as pregnancy, breastfeeding, significant weight changes and the natural loss of skin elasticity over time. Unlike breast augmentation, a standard breast lift is not primarily intended to significantly change breast volume; it focuses mainly on internal structural support and the external skin envelope.

In cases of more significant breast ptosis, the procedure may involve one or more of the following steps, depending on individual clinical assessment and goals discussed with the surgeon:

Skin redraping: Removing stretched skin from selected areas of the breast to help tighten the breast envelope.
Areola reshaping: Modifying the size or shape of the areola where clinically appropriate.
Nipple repositioning: Moving the nipple to a higher position that is more proportional to the breast fold and breast mound.
Internal reshaping: Adjusting or reshaping the underlying breast tissue to alter breast projection and contour.

The exact surgical approach, scar pattern and changes to breast shape or position are individual and will be discussed during your consultation, including the potential risks, limitations and alternatives.

What Can Be Addressed?

The goals of a mastopexy are focused on modifying breast shape and position in a way that is clinically appropriate for the individual patient.

Addressing breast ptosis (sagging), including situations where the nipple sits at or below the inframammary fold.
Modifying the diameter and appearance of the areola where this is a concern for the patient.
Addressing breast asymmetry (differences in shape or height between the two breasts) where possible within anatomical limits.
Altering the breast contour to help improve fullness in the upper part of the breast where feasible.

It is important to understand that there are limitations to what any cosmetic surgery can achieve, and symmetry or contour cannot be guaranteed; these considerations, along with risks and possible need for revision, will be discussed as part of the informed consent process.

Why people consider a breast lift

People consider a breast lift for a range of personal reasons. These should be self-motivated and not driven by pressure from others or the belief that surgery is the only option.

Pregnancy and breastfeeding: Stretched skin and ligaments, changes in volume and a downward shift in breast tissue.
Weight change: Significant weight loss or gain can leave excess skin and change breast shape and position.
Age-related changes: Skin and supporting tissues lose elasticity over time, which may lead to sagging and less upper breast fullness.
Nipple and areola position or shape: Downward-pointing nipples, enlarged areolas or differences between sides.
Asymmetry: Natural differences between the breasts, or asymmetry after previous surgery.
Bra fit and physical comfort: Difficulty finding supportive bras, or discomfort during some physical activities.

A breast lift is one option for these concerns, not the only one. Suitability is assessed individually at consultation.

Ideal Candidate Profile

A suitable candidate for a breast lift is generally an adult with stable health who has realistic expectations and understands the potential benefits and risks of surgery, as well as the possibility of further procedures. This procedure is commonly considered by individuals who are comfortable with their current approximate breast volume but wish to address skin laxity or breast position.

Good Candidate Checklist

Has reached physical maturity with stable breast development.
Maintains a relatively stable weight, noting that significant weight fluctuations after surgery can change the surgical outcome.
Does not currently smoke or is willing to cease smoking as recommended before and after surgery to support wound healing.
Has nipples that point downward or sit at or below the breast crease and is concerned about this appearance.
Understands that visible and permanent surgical scars are an inevitable part of mastopexy and accepts this as part of the trade‑off for changing breast position and shape.

Who May Not Be a Suitable Candidate

Individuals with uncontrolled medical conditions that may impair healing or increase surgical risk (for example, poorly managed diabetes or significant cardiovascular disease).
Individuals who are currently pregnant or breastfeeding.
Individuals planning pregnancy or breastfeeding in the near future, as these may change breast shape and affect the longevity of results.
Those with expectations that all scarring can be eliminated or that results will be identical to specific images or other individuals.
Individuals seeking a substantial increase in breast size alone; this may require discussion of combined breast augmentation–mastopexy or other options.

All patients considering cosmetic breast surgery must undergo an appropriate assessment, including screening for psychological conditions such as body dysmorphic disorder, and may be referred for further evaluation if indicated, in line with current cosmetic surgery guidelines in Australia.

How to prepare for your breast lift consultation

Preparing ahead helps you have a thorough, informed discussion about whether a breast lift is suitable for you. The consultation is also a chance to explore non-surgical options.

Medical information: Past surgeries and procedures, chronic conditions, allergies, any family history of breast cancer, previous breast surgery or treatment, and all medications, including supplements and vitamins.
Photographs: Photos of your breasts before major changes such as pregnancy or weight loss can help the discussion. Example images are a communication tool, not a prediction of your result.
Questions: Write down what you want to ask, such as which techniques may suit you, how long the operation takes, the type of anaesthesia, time away from work, post-operative care, pain management, common and serious risks, how complications are managed, and whether further procedures may be needed later.
Physical examination: Wear clothing that is easy to remove. Measurements and clinical photographs may be taken for your medical record, with your consent.
Your goals and circumstances: Consider how surgery and recovery may affect your work, exercise and caregiving, and how you feel about permanent scars.
Costs: Be ready to discuss surgeon, anaesthetist and hospital fees and post-operative garments, and check with your health fund about any rebates or exclusions.
Support: You are welcome to bring a trusted adult and to take notes.

Surgical Techniques and Areola Reshaping

The incision pattern and technical approach used in mastopexy depend on factors such as the degree of breast sagging, skin quality and breast tissue characteristics, as assessed at consultation. Different techniques leave different scar patterns, which will be discussed with you, including their location and likely appearance over time.

Crescent lift: A small incision along the upper edge of the areola, generally considered only for minimal sagging.
Periareolar (donut) lift: A circular incision around the areola, generally considered for mild ptosis and for areola reshaping in selected patients.
Vertical (lollipop) lift: Incisions around the areola and vertically down toward the breast crease, commonly used for moderate sagging.
Inverted‑T (anchor) lift: Incisions around the areola, vertically down and along the inframammary fold, usually reserved for more significant ptosis and skin redundancy.

All of these approaches result in permanent scars, which vary between individuals; scar maturation typically occurs over many months, and scar management strategies can be discussed as part of postoperative care.

What happens during the operation

The steps depend on the technique chosen and whether other procedures are performed at the same time. In general:

Anaesthesia is given after assessment by the anaesthetist.
Incision sites are marked for the selected technique.
Breast tissue is reshaped and repositioned to change contour and position.
The nipple–areola complex is moved higher where appropriate, and the areola may be reduced in size if this is part of the agreed plan.
Excess skin is removed to tighten the breast envelope.
Incisions are closed with sutures and/or surgical tapes or adhesives.

Many breast lift procedures take several hours. The expected duration of your procedure will be discussed at consultation.

Anaesthesia Information

Mastopexy is performed under general anaesthesia in an accredited hospital setting to support patient safety and comfort throughout the procedure. During the operation, a qualified specialist anaesthetist monitors your vital signs and manages your anaesthesia and pain control.

Anaesthesia itself carries specific risks, which will be explained by the anaesthetist before surgery, and you will have the opportunity to ask questions about the process, monitoring and recovery from anaesthesia.

Pricing and Cost Information

The cost of a breast lift varies for each person and depends on factors such as the complexity of the procedure, the technique used, anaesthesia requirements, the hospital or day‑surgery facility and whether the mastopexy is combined with other procedures.

Initial long consultation (1 hour): $400.
Surgical quotes: After your consultation with Dr. Mohammad Hassan Mohaghegh (MD, MPhil, FRACS Plast, AHPRA MED0001627149), you will receive a personalised written quote outlining estimated fees, including the surgeon’s fee, hospital or facility fees and anaesthetist’s fees.

Cosmetic mastopexy is generally not covered by Medicare or private health insurance unless strict reconstructive criteria are met (for example, following mastectomy or certain congenital deformities); eligibility and any applicable item numbers will be assessed and discussed on an individual basis according to current Medicare rules.

Other costs to plan for may include post-operative garments or support bras, prescribed medications and dressings, and care for any complications if they occur.

Recovery Timeline and Milestones

Recovery experiences and timelines vary between individuals, and return to usual activities depends on factors such as the exact procedure performed, your general health and the nature of your work and lifestyle. The following is a general outline only and does not replace personalised medical advice.

Days 1–3: You can expect discomfort, swelling and bruising; oral pain relief is usually prescribed. A surgical support bra is typically worn continuously, as advised by your surgeon.
Week 1: Many patients feel able to return to light, sedentary work, but this depends on individual recovery and the type of work. Driving is usually restricted until you can comfortably and safely control a vehicle and are no longer taking sedating pain medications.
Weeks 2–6: Light walking is generally encouraged to support circulation, but heavy lifting, strenuous exercise and activities that strain the chest or arms are usually avoided until medically cleared.
Months 3–6: Swelling typically continues to settle, and the breast shape gradually changes as tissues soften and drop into a more settled position.
Around 1 year: Scars often fade and flatten over time, but remain permanent; their final appearance varies from person to person. Scar management (such as silicone gel or tape) may be recommended during the maturation phase as part of your post‑operative plan.

You will receive specific postoperative instructions, including wound care, activity restrictions, follow‑up schedule and signs of potential complications that require prompt review.

Safety, Risks and Credentials

Who Performs the Surgery?

All mastopexy procedures described on this page are performed by Dr. Mohammad Hassan Mohaghegh, MD, MPhil, FRACS (Plast), who is a Specialist Plastic Surgeon with specialist registration in Surgery – Plastic Surgery and is registered with AHPRA (MED0001627149). His training and qualifications, including FRACS (Plast), indicate completion of accredited specialist surgical training in plastic and reconstructive surgery.

What Are the Risks?

Any surgical or invasive procedure carries risks, and these will be discussed in detail during your consultation so that you can make an informed decision. Potential risks and complications of breast lift surgery may include (but are not limited to) bleeding, infection, delayed wound healing, unfavourable or thickened scarring, changes in nipple or breast sensation (which may be temporary or permanent), partial or total loss of nipple or areola tissue, breast asymmetry, contour irregularities, fluid collections, need for revision surgery, anaesthetic complications and dissatisfaction with aesthetic outcome.

There are also general surgical and anaesthetic risks, as well as the possibility that future pregnancy, breastfeeding, weight change or ageing may alter the result over time. A comprehensive, personalised discussion of risks, benefits, alternatives and the required cooling‑off period is part of the mandatory pre‑operative process for cosmetic surgery in Australia.

Breast lift, breast lift with implants or autoaugmentation?

A breast lift on its own reshapes and raises the breast without adding volume. Where volume loss is also a concern, a lift can be combined with an implant or with your own breast tissue.

Procedure	What it involves	May be considered when
Breast lift (mastopexy)	Removes excess skin and reshapes and raises the existing breast tissue and nipple.	Breast size is acceptable, but shape or nipple position is a concern.
Breast lift with implants (augmentation mastopexy)	Lifts and reshapes the breast and adds an implant to change volume and upper-pole fullness.	There is sagging and volume loss, and a wish to restore or increase breast size.
Breast lift with autoaugmentation	Lifts the breast and moves a section of your own lower breast tissue higher to support upper-pole contour, without an implant.	There is sagging and loss of upper fullness, without a wish to increase size with implants.

No option suits everyone. Dr Mohaghegh will discuss which approach, if any, is appropriate for your anatomy and goals, including whether procedures should be staged.

Related Procedures

Depending on your goals and clinical assessment, you may also wish to read about the following procedures:

What May Be Achieved

The aims of a breast lift procedure, where clinically appropriate and within the limits of an individual’s anatomy and healing, may include:

Removing areas of excess or stretched skin from the lower or central portions of the breast.
Elevating the nipple–areola complex and reshaping the areola.
Improving balance between the breasts, acknowledging that perfect symmetry is not achievable.
Enhancing breast firmness and support by reshaping and repositioning breast tissue.
Raising the position of the breast and nipple on the chest.

Results continue to be affected by ageing, gravity, hormonal changes, pregnancy and weight change. Maintaining a stable weight, not smoking and following your surgeon’s advice may help support longer-term results, and some people consider a further procedure if breast shape changes significantly over time.

The specific changes, longevity of results, potential need for further procedures and limitations will be discussed with you individually, and outcomes cannot be guaranteed.

Common questions about breast lift surgery

Will a breast lift affect my ability to breastfeed?

Some patients can breastfeed after a breast lift, while others may have difficulty or be unable to, depending on the technique used and individual anatomy. If you are planning future pregnancies or breastfeeding, discuss this with Dr Mohaghegh, as it may affect the timing of surgery and the surgical approach.

Will I have visible scars?

All breast lift techniques involve incisions and leave permanent scars. Incisions are placed to be as discreet as possible and scars often fade over time, but their final appearance varies between individuals and cannot be fully predicted.

Can a breast lift be combined with other procedures?

A breast lift can sometimes be combined with other procedures, such as breast implants or breast reduction, when this is clinically appropriate and safe. Combining procedures changes the overall risks, operating time and recovery, and these will be discussed with you before any decision is made.

How soon can I return to work and normal activities?

Many patients return to light, desk-based work and daily activities within 1–2 weeks, depending on their work and how they are healing. Strenuous exercise, heavy lifting and contact sports are usually delayed for at least 4–6 weeks, following your surgeon’s advice.

Is a breast lift covered by Medicare or private health insurance?

A breast lift performed for cosmetic reasons is generally not covered by Medicare or private health insurance. In certain reconstructive or medically indicated situations, partial rebates may apply; your circumstances can be discussed with Dr Mohaghegh’s team and your insurer.

How long do breast lift results last?

A breast lift does not stop normal ageing. Gravity, hormonal changes, pregnancy and weight change continue to affect breast shape over time, and some people consider a further procedure in later years.

Important Information

The information on this page is general in nature and is not a substitute for professional medical advice, diagnosis or treatment. It does not constitute a recommendation that any individual should undergo surgery.

A consultation with Dr. Mohaghegh is required to determine suitability for mastopexy or any other cosmetic or reconstructive breast procedure, to discuss risks and benefits and to comply with current Australian regulations for cosmetic surgery, including mandatory consultations, cooling‑off periods and psychological screening where required.