See Our Patient Results

Breast Lift

  • 2-2.5 Hour Surgery
  • Back to Work: 3-5 Days

In Denver, Colorado, breast lift surgery is chosen by women from Colorado Springs, Fort Collins, and the Denver area to elevate and reshape sagging breasts and to give a perkier, more youthful appearance. Sometimes, breast implants are placed during the same surgery to create more fullness than would result from a lift alone.

The need for a breast lift is usually the result of an inflation and deflation of breast volume due to pregnancy or significant weight loss. Sometimes, merely gravity and time can cause the need for a mastopexy. And in some cases, women develop with lower, relaxed breasts and can benefit from a lifting procedure.

Breast Lift
 Before & After Photos

WARNING:

This feature contains nudity. Please click OK to confirm you are at least 18 years of age and are not offended by such material.

OK

Breast Lift
 Before & After Photos

Keep in mind that each patient is unique and your results may vary.

Case: 1 of 56
Previous
Case: 1 of 56
Next
Breast Lift Case 868 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 1 of 55

Case #868

39 year-old female who wished to undergo a minor breast reduction but mostly a lift for her D-cup bra size. This mastopexy indeed was performed as a 3 hour drain-free outpatient procedure under light general anesthesia, which she tolerated well. She is shown here approximately 1 month post-op with some swelling remaining, but good early healing apparent.... Read More
Surgeon: Paul Steinwald
Breast Lift Case 596 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 2 of 55

Case #596

\tThis 39-year old woman wished to have her severe nipple-drooping and moderate asymmetry addressed, following 2 kids and breast-feeding.  She was in a D-cup range and wished to be in a balanced, full-C cup range.  She underwent a Denver mastopexy procedure as an outpatient, doing very well with photos here at approximately 6 months post-op. Read More
Surgeon: Paul Steinwald
Breast Lift Case 34 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 3 of 55

Case #34

This is a 44 year old, 5’5”, 165 pound female who underwent a breast lift and augmentation. She had 475 cc silicone gel implants placed under the muscle. Additionally, she underwent an abdominoplasty. Post-operative pictures are from 3 months after surgery. Read More
Surgeon: Steven Vath
Breast Lift Case 889 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 4 of 55

Case #889

Surgeon: Paul Steinwald
Breast Lift Case 544 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 5 of 55

Case #544

\tThis 27 year-old African-American female (no kids) wished to be only slightly smaller, with better positioned and proprotioned nipples. It was recommended that she undergo a formal mastopexy or breast lift, to downsize, elevate and centralize the nipples, and take her from a D to full C-cup bra size.  Approximately 300 gm of... Read More
Surgeon: Paul Steinwald
Breast Lift Case 214 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 6 of 55

Case #214

This is a 36-year-old, 5'7", 130 pound woman who complained of sagging breast after having children.  She underwent a mastopexy (breast lift) with a small right-sided reduction in order to achieve perkier, more symmetric breasts.  Postoperative pictures were taken one year after surgery. Read More
Surgeon: Andrew Wolfe
Breast Lift Case 690 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 7 of 55

Case #690

\tThis 42 year-old woman actually underwent a concomitant mastopexy during a right upper pole lumpectomy; the same can be done secondarily for post-op defects - even after radiation - in appropriate candidates. 
Surgeon: Paul Steinwald
Breast Lift Case 94 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 8 of 55

Case #94

Women around the country and in Denver seek breast lift when their breasts sag due to the inevitable effects of time, age and gravity. Childbirth, with its natural processes of expanding and shrinking the breasts, also adds to the problem for many women. The 53 year old woman shown here is one of the many patients who are best helped with... Read More
Surgeon: Steven Vath
Breast Lift Case 390 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 9 of 55

Case #390

This is a 41 year old, 5'4", 118 lb. woman who was unsatisfied with her sagging breasts after having children. She underwent a Colorado breast lift (mastopexy) without breast implants. Her post-operative pictures are from 2.5 years after surgery. Notice that a breast lift operation creates a round lower breast contour which is the key factor... Read More
Surgeon: Steven Vath
Breast Lift Case 597 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 10 of 55

Case #597

\tThis 41 year-old woman with moderate ptosis simply wished to have her nipples elevated, with better breast shape and symmetry overall, as well as a "natural" look.   She underwent an outpatient mastopexy (breast lift) with minimal excision of tissue, and a much-improved breast appearance overall.  If you are interested... Read More
Surgeon: Paul Steinwald
Breast Lift Case 595 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 11 of 55

Case #595

This 45 year-old woman, after having breast fed 2 of 3 children,  was interested in a breast lift and in addressing her asymmetry characterized by a somewhat larger and lower-positioned right breast. I suggested she undergo a formal mastopexy (as part of a "Mommy Makeover") to remove a moderate amount of skin but a small amount of... Read More
Surgeon: Paul Steinwald
Breast Lift Case 541 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 12 of 55

Case #541

\tThis is a 48 year-old woman who had previously undergone an abdominoplasty through our office, who was now interested in addressing the ptosis (or drooping) of her breasts.  These had gradually enlarged from a B-cup to a larger C-cup during adult life, especially after having delivered and breast fed two children, and she was particularly... Read More
Surgeon: Paul Steinwald
Breast Lift Case 714 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 13 of 55

Case #714

\tThis is a 32 year old, 5'7", 145 pound woman who complained of deflated breasts after pregnancy. She underwent a breast augmentation with mastopexy (breast lift). She chose low profile, 210 cc smooth, round silicone gel implants placed beneath the pectoralis muscles. The mastopexy is used to create the improved contour with attractive... Read More
Surgeon: Steven Vath
Breast Lift Case 664 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 14 of 55

Case #664

42 year-old female who had lost over 100lb (naturally), was left with significant abdominal tissue skin and soft tissue excess, as well as fairly ptotic breasts.  She therefore came to me seeking post-weight loss cosmetic surgery here in Denver, Colorado, and I advised her she was an excellent candidate for a fleur-de-lis or extended abdominoplasty,... Read More
Surgeon: Paul Steinwald
Breast Lift Case 587 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 15 of 55

Case #587

Surgeon: Paul Steinwald
Breast Lift Case 890 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 16 of 55

Case #890

62 year-old woman who wore a D cup but felt she was deflated in general, and especially wished to restore upper pole fullness. I advised her to place a smaller silicone gel implant under the muscle and perform a proper breast lift. She indeed had 235 low-profile gel implants placed submuscularly, and is shown here doing well at approximately 1 month... Read More
Surgeon: Paul Steinwald
Breast Lift Case 102 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 17 of 55

Case #102

This is a 59 year old, 5"6", 139 pound female who underwent a circumareolar mastopexy (breast lift) with breast implant placement. 300 cc smooth round gel implants were placed into a subpectoral position. Post-operative pictures were taken 5 months after surgery. Read More
Surgeon: Steven Vath
Breast Lift Case 482 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 18 of 55

Case #482

This 40-year-old woman lost a significant amount of weight and presented with relaxed, empty breasts. She was wearing a 38D, but wanted to be a full, perky D.  She underwent a breast augmentation with 445 cc low-profile saline implants and a fairly aggressive breast lift.  She also had excess skin removed from her lateral chest and underwent... Read More
Surgeon: Andrew Wolfe
Breast Lift Case 433 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 19 of 55

Case #433

This is a 50-year-old woman who wanted to improve the appearance of her breasts. She wanted fuller, more youthful breasts, so elected to undergo an augmentation with a mastopexy. Her implants are 420cc low profile silicone. She is 5'2" and 183 lb, and went from a 38D to a 38DD. Photos were taken 3 months after her surgery. Read More
Surgeon: Andrew Wolfe
Breast Lift Case 787 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 20 of 55

Case #787

This 30 year old, 5'4", 138 pound mother of 3 came to the Center for Cosmetic Surgery looking to regain her pre-baby body. Her breasts were drooping and deflated, so she underwent a breast lift (mastopexy) with an augmentation using 300cc smooth round breast implants. She also underwent a tummy tuck at the same time. She is shown... Read More
Surgeon: Paul Steinwald
Breast Lift Case 588 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 21 of 55

Case #588

\tThis 29 year-old woman who had a signficant amount of downward-pointing (Grade III) nipple ptosis or drooping wished to have this addressed, as well as to decrease her 36C/D cup bra size by 1-2 cup sizes.  She underwent an outpatient breast reduction/mastopexy, with removal of 200-300 gm of tissue, and significant improvements to her nipple... Read More
Surgeon: Paul Steinwald
Breast Lift Case 525 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 22 of 55

Case #525

\t37 year-old female (5'7", 150') with moderate breast hypertrophy (36D cup range) and fairly significant asymmetry wished to have a mild reduction/lift and correction of her asymmetry (as well as smaller nipples overall). She underwent bilateral reduction-mastopexy via Wise-pattern (anchor-scar) incisions, leaving her in a C-cup bra... Read More
Surgeon: Paul Steinwald
Breast Lift Case 797 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 23 of 55

Case #797

This 45 year old mother of 2 is 4'11" and 119 pounds. She had breast implants placed elsewhere a number of years ago that she felt were too big for her frame, and she also wanted to address the post-baby sagging of her breasts. She underwent an explant of her implants and a breast lift to restore her breasts to a more perky position... Read More
Surgeon: Paul Steinwald
Breast Lift Case 21 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 24 of 55

Case #21

This is a 34 year old, 5'2", 120 pound female who underwent a mastopexy with augmentation. She received 320 cc silicone gel implants placed under the muscle. Post-operative pictures are from 4.5 months after surgery. The scars will lighten and fade significantly over the next several months. Read More
Surgeon: Steven Vath
Breast Lift Case 623 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 25 of 55

Case #623

39 year-old woman (after breast-feeding 2 children) who wanted a relatively minor lift, but to stay in the same bra size range. Markings are shown here for a limited Wise-pattern (anchor scar) mastopexy, which she tolerated very nicely as part of a "Mommy Makeover" (with an abdominoplasty) as an overnight procedure (post-op photos from... Read More
Surgeon: Paul Steinwald
Breast Lift Case 832 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 26 of 55

Case #832

29 year-old who had breast-fed 2 children and lost significant weight (65lb),and wished to address her lack of upper-pole breast fullness. It was advised she would need a conservative breast lift with relatively modest augmentation; she indeed underwent a limited anchor-scar mastopexy with placement of 300cc smooth, round silicone gel implants into... Read More
Surgeon: Paul Steinwald
Breast Lift Case 375 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 27 of 55

Case #375

For many women, asymmetry of the breasts is a very difficult issue to handle. Although not uncommon, the differences in breast size can make the simple task of fitting and buying bras a very stressful experience. When this 44 year old, 5'6", 158 pound woman came in for her consultation with Dr. Vath, she expressed her frustration of having... Read More
Surgeon: Steven Vath
Breast Lift Case 640 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 28 of 55

Case #640

Surgeon: Paul Steinwald
Breast Lift Case 141 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 29 of 55

Case #141

This is a 44 year old, 5' 9", 148 pound Colorado woman who lost 70 pounds prior to surgery.  She decided that she wanted a breast lift (mastopexy) without breast implants, understanding that this would create the sense of having slightly smaller breasts after the skin was tightened.  She also underwent an abdominoplasty... Read More
Surgeon: Steven Vath
Breast Lift Case 48 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 30 of 55

Case #48

This is a 42-year-old, 5'5", 145 pound female who underwent a mastopexy (breast lift). Post-operative pictures are from 5 months after surgery.
Surgeon: Andrew Wolfe
Breast Lift Case 37 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 31 of 55

Case #37

Though all women’s breasts sag over time, it’s generally true, unfortunately, that larger breasts sag earlier. Your skin is just not able to counteract the force of gravity even when it’s young. That’s why it’s not only older, post-childbearing women who seek breast lift in Denver and around the country. Younger... Read More
Surgeon: Andrew Wolfe
Breast Lift Case 781 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 32 of 55

Case #781

This 37 year-old patient wanted to to address the sagging and loss of volume in her breasts after having 2 children. She opted to undergo a breast lift which restored her breasts to a perky position on her chest, as well as a breast augmentation using 320cc smooth, round implants to give her increased fullness.She is shown before and 6 weeks... Read More
Surgeon: Paul Steinwald
Breast Lift Case 356 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 33 of 55

Case #356

This is a 35-year-old woman who wanted to improve the shape of her breasts.  She was pleased with her volume, and so didn't require an implant, only a mastopexy.  She is shown before and 5 months after a short-scar, vertical mastopexy.  She is 5'5" and 120 lbs. Read More
Surgeon: Andrew Wolfe
Breast Lift Case 543 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 34 of 55

Case #543

Surgeon: Paul Steinwald
Breast Lift Case 238 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 35 of 55

Case #238

This is a 29-year-old woman who wished to improve the shape of her breasts.  She was a D cup, and wanted a perkier C cup. In addition, her right breast was larger and lower than her left.  She underwent a mastopexy, or breast lift, which gave her a more youthful, perky shape, and helped even out her preexisting asymmetry.  Photos were... Read More
Surgeon: Andrew Wolfe
Breast Lift Case 593 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 36 of 55

Case #593

Surgeon: Paul Steinwald
Breast Lift Case 44 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 37 of 55

Case #44

This is a 60 year old, 5'2", 128 pound female who underwent a mastopexy. Post-operative pictures are from 1.5 months after surgery.
Surgeon: Andrew Wolfe
Breast Lift Case 721 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 38 of 55

Case #721

\tThis is a 44 year old, 5'4", 112 lb. woman who complained of deflated breasts. She underwent a breast lift (mastopexy) with breast augmentation. She chose 375cc silicone gel implants placed beneath the pectoralis muscles. Post-operative pictures are from 1 year after surgery. Read More
Surgeon: Steven Vath
Breast Lift Case 542 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 39 of 55

Case #542

\tThis 54 year-old woman had breastfed 4 children and experienced further deflation and ptosis with age. She was in approximately a 40 D cup bra size, but didn't necessarily want to lose volume, only be lifted.  It was recommended she undergo a Denver mastopexy procedure, elevating the nipples and excising skin in all directions to markedly... Read More
Surgeon: Paul Steinwald
Breast Lift Case 534 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 40 of 55

Case #534

Surgeon: Paul Steinwald
Breast Lift Case 107 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 41 of 55

Case #107

This is a 52 year old, 5'5", 200 pound Denver woman who underwent a mastopexy. Post-operative pictures are from 4 months after surgery.
Surgeon: Steven Vath
Breast Lift Case 504 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 42 of 55

Case #504

\tThis 36 year old female came to our office concerned about her severe breast drooping and loss of superior pole volume/fullness following breast feeding of her two children.  She had started at a 36C/D cup, but currently was strugging to fit into a C cup, with excess skin spilling over.  This condition also inhibited exercise and... Read More
Surgeon: Paul Steinwald
Breast Lift Case 637 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 43 of 55

Case #637

44 year-old woman who presented with gradual enlargement and ptosis (drooping) of her breasts following delivery of her only child 16 years prior (before which she was a C-cup, currently wearing a 36DD bra size).  She wished to have better balance and more upper breast fullness, but also to remain relatively large, however (in the... Read More
Surgeon: Paul Steinwald
Breast Lift Case 181 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 44 of 55

Case #181

This 30-year-old woman came to us for correction of her significant breast asymmetry, which had been a concern of hers since puberty.  She was an A cup on the right, and a relaxed B on the the left.  She chose saline implants, and Dr. Wolfe corrected her asymmetry with a vertical mastopexy on the left and a circumareolar mastopexy... Read More
Surgeon: Andrew Wolfe
Breast Lift Case 591 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 45 of 55

Case #591

Surgeon: Paul Steinwald
Breast Lift Case 45 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 46 of 55

Case #45

This is a 51 year old, 5'6", 135 pound female who underwent a mastopexy (breast lift). Post-operative pictures are from 4 months after surgery.
Surgeon: Andrew Wolfe
Breast Lift Case 648 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 47 of 55

Case #648

\tThis 44 year-old woman (who had had 3 kids) presented with a 38 DD-cup bra size range, and ultimately wished to be tightened, but remaining in a C/D cup range. It was recommended that she undergo a formal (Wise/anchor-pattern) reduction-mastopexy, with the removal of approximately 300-350 gm each side, leaving her in a fuller C-cup bra size range;... Read More
Surgeon: Paul Steinwald
Breast Lift Case 438 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 48 of 55

Case #438

This is a 29 year old, 5'5", 126 pound woman who desired larger breasts and an areolar reduction. She underwent a breast augmentation with circumareolar mastopexy in order to fill out her breasts and tighten her areolae. She chose 339 cc silicone gel implants placed into a subpectoral position. Post-operative pictures are from 16 months... Read More
Surgeon: Steven Vath
Breast Lift Case 808 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 49 of 55

Case #808

This 5'2", 126 pound mother of 5 was dissatisfied with the appearance of her breasts after pregnancy and breast feeding. She was happy with her volume and just wanted to restore her breasts to a perky, youthful position on her chest. She underwent a mastopexy, or breast lift, which removed the extra skin on her breasts. While no implant... Read More
Surgeon: Paul Steinwald
Breast Lift Case 23 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 50 of 55

Case #23

This 38 year old Denver woman is shown before and 4 months after breast lifting and augmentation surgery. She is 5’6" and 185 pounds who underwent mastopexy (breast lift) and for her breast enlargement surgery she received 240 cc silicone gel implants placed under the muscle. Read More
Surgeon: Steven Vath
Breast Lift Case 545 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 51 of 55

Case #545

Surgeon: Paul Steinwald
Breast Lift Case 540 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 52 of 55

Case #540

\tThis 25 year-old woman was interested in addressing and correcting the fullness and drooping that had developed in her breasts following her pregnancy. She was 5'7", weighed approximately 125 pounds, and wore a 36 D/E bra size. She wished to remain at least a C cup. I advised the patient that she undergo a "reduction mastopexy",... Read More
Surgeon: Paul Steinwald
Breast Lift Case 221 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 53 of 55

Case #221

This is a 38 year old, 5 foot, 130 pound woman who disliked her breast contour.  After having children, she felt that her breasts lost their shape and were sagging.  She wanted perkier, lifted breasts so she chose to undergo a Denver mastopexy (breast lift).  Post-operative pictures are from 6 months after surgery.  Her scars... Read More
Surgeon: Steven Vath
Breast Lift Case 500 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 54 of 55

Case #500

This 40 year old woman sought plastic surgery for large, somewhat asymmetric breasts, with associated symptoms such as chronic lower back pain, and should discomfort with bra strap indentations.  She wore a 36DDD bra size, which had increased with each of her 3 children, as well as with mild weight gain (20 pounds) with age. I advised... Read More
Surgeon: Paul Steinwald
Breast Lift Case 598 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before & After
Case: 55 of 55

Case #598

42 year-old woman who wished to have her implants (in the 300cc range, placed elsewhere several years prior) removed, and she wished to be smaller overall.  For her breast surgery revision, I suggested a formal mastopexy following explantation and capsule excision as necessary.She indeed underwent this procedure (which required drains... Read More
Surgeon: Paul Steinwald

Keep in mind that each patient is unique and your results may vary.

A breast lift entails removal of the extra skin that is allowing the breasts to drop to a less attractive position. The breast tissue (parenchyma) with the arealae and nipples attached, are moved upward, and the lower pole tissues are tightened to hold the breasts up. Underlying breast parenchyma is sewn together in the lower pole to reinforce the lift prior to closure of the skin. Occasionally, women are candidates for the areolar lift that does not require the vertical scar down the front of the breasts. Ultimately, the best shape must be achieved using the minimal scarring to do so. Most women feel the scar is a small price to pay for a perkier breast position.

Breast Lift Options

Wise pattern (anchor) mastopexy

Wise pattern (anchor) mastopexyThe amount of skin removal and resulting scar is precisely determined based upon the needs of each breast. The wise pattern skin excision that results in an “anchor” scar is necessary in many breast lift cases due to the large amount of extra skin that needs removal in order to create the best breast shape. There is no magic here. The wise pattern is 2 intersecting ellipses with an area above for areoalar elevation and in-setting. These two elliptical excisions reduce the vertical and horizontal dimensions of the breast skin to achieve a tight, round lower pole–the hallmark of an attractive, perky breast. The breast tissue (parenchyma) is tightened beneath the skin to support the breast and keep tension off of the skin. The final scars are surprisingly inconspicuous. The scar around the areola is hidden between the darker and lighter skin tones. The horizontal scar is hidden in the breast crease and the vertical scar fades and flattens most nicely to become barely perceptible over time.


Vertical (lollipop) mastopexy

Vertical (lollipop) mastopexyThe vertical mastopexy is the same operation as the Wise pattern except the horizontal ellipse of skin and resulting scar in the breast crease is omitted. This is feasible for smaller breast sizes, especially when breast implants are added to restore some volume. Again, there is no magic to these procedures. The breasts are supported from within by suturing the breast tissue together in the lower pole beneath the skin. The skin is “tailor tacked” with surgical clips while the patient is in the upright position during surgery. This method delineates the precise amount of skin removal necessary to achieve the best breast shape. This step determines if the horizontal elliptical excision can be avoided resulting in the “lollipop” scar. At the Center for Cosmetic Surgery, Dr. Vath, Dr. Wolfe, and Dr. Steinwald often perform a modified vertical mastopexy where most of the excision is performed with the vertical ellipse and only a small, additional horizontal elliptical excision is added, rather than the full length “anchor.” This small, additional horizontal scar is usually of no concern to patients because of its inconspicuous nature in the breast crease; however, it can be a critical element in completing the perfect, uncompromised breast shape.


Circumareolar or Bennelli (doughnut) mastopexy

Bennelli (doughnut) mastopexyThe circumareolar lift is primarily an areolar lift rather than a true breast lift. Although it does slightly tighten the skin envelope of the breast, this procedure does not elevate breasts that sag below the breast creases. Primarily, a circumareolar mastopexy is for patients that have low areolar positioning on the breast, but not true sagging below the crease. Generally, good candidates for this procedure have tight lower pole breast skin with a short distance between their areolae and breast creases. This procedure is often used to even out asymmetrical areolar position or to achieve areolar reduction. This operation absolutely does NOT replace a vertical or wise pattern mastopexy, and when used in the wrong situations, leaves patients with a deformed, unattractive breast shape. Misuse of this operation is one of the most common mistakes made in cosmetic breast surgery and a frequent reason for breast revision surgery. This common problem is somewhat attributable to patient demand for avoidance of the vertical scar.

Even though the circumareolar procedure avoids vertical scars, the disadvantages can be significant:

  • No appreciable lifting of a sagging breast
  • Slightly flattens the forward projection of the breast
  • Scar puckering and irregularity

The following pictures are examples of patients at the Center for Cosmetic Surgery who were good candidates for the circumareolar or “doughnut” breast procedure.

Patients before and after a breast lift

Breast Lift Scarring

A beautiful breast shape with a faded scar is still attractive and even sexy. But an unattractive breast shape without scars is still unattractive. Achieving a beautiful breast contour is the primary objective of a breast lift, followed closely by limiting scarring to achieve the goals.

All too often, however, Dr. Vath, Dr. Wolfe, and Dr. Steinwald meet patients with sagging breasts who hope to avoid the vertical lift scar and still achieve a beautiful shape. Even though this is understandable, it usually is not possible. Once a breast truly sags below the breast crease, removal of lower pole skin is unavoidable. But all hope should not be lost. When the proper techniques are used to tighten the lower pole breast tissue to keep tension off of the skin, scars usually stay thin and fade wonderfully over time.

mastopexy before and afterThis is a 40-year-old, 5’9″ woman who previously underwent a breast augmentation at another center with 390cc saline breast implants in Denver. She did not undergo a breast lifting procedure at that time. She presented complaining of an unattractive breast shape. Dr. Vath performed an implant exchange placing 350 cc silicone gel implants and then a breast lift. Postoperative pictures were taken 2 months, 1 year, and 3 years after surgery. Notice the appreciable fading of the scars by 3 years from surgery. A beautiful breast shape with a faded scar is much more attractive than the alternative without the scar.

How to Choose a Surgeon

For optimal safety and results, it’s important to choose your surgeon carefully. Important considerations include:

  • Review many impressive before-and-after photos.
  • Find a surgeon who specializes in cosmetic plastic surgery.
  • Seek a surgeon who upholds the proper credentials.
  • Make sure the surgeon uses only an accredited, state-of-the-art surgical facility.
  • Decide, if upon meeting the surgeon, you make a connection.

Fact & Fiction About Your Breast Lift

A breast lift does not require the placement of breast implants. A breast lift serves the purpose of improving the shape of sagging breasts. Implants do not lift breasts nor do they help “hold up” breasts undergoing a lifting procedure. Implants will create larger breasts and fill deflated upper poles. Many women choose implants with their lift in order to gain these features, but it is certainly not required.

Breast implants can be safely placed at the same time as a breast lift. At the Center for Cosmetic Surgery, our plastic surgeons routinely perform breast augmentation and lift at the same time. This can be accomplished safely, yielding the finest cosmetic result, and allowing for one recovery.

The areolae and nipples are NOT removed and sewn back on. Because a breast lift leaves behind a scar around the areolae, people often assume that the areolae and nipples are removed and sewn back on. This is not the case. Skin above the areolae is removed and the areolae are elevated with the breasts to their new, centralized positions. Usually, sensation is preserved and the areolae can also be reduced to a more proportionate, attractive size during the operation.

Breast implants do NOT lift breasts or assist in lifting breasts. Commonly, it is assumed that implants alone, without a lift, will raise breasts and achieve a more youthful appearing shape. Many women hope for this implant-alone option to avoid the scars incurred with a lift. But implants do not restore an attractive shape to sagging breasts: only a breast lift can do that. Implants alone will successfully fill out deflated breasts that do not drop below the breast creases. Deflated A-cup breasts after pregnancy often fit this scenario for an implant-only solution. Otherwise, when breasts truly sag, implants can be added to a lift procedure to boost upper fullness and overall size.

A beautiful breast has a round LOWER pole. The hallmark of a beautiful, youthful, perky breast is a round LOWER contour, not necessarily upper fullness. From A cups to DD cups, if the bottom portion of the breast is round, rather than pointy, boxy, or oval in shape, it appears attractive. Once breasts have dropped after pregnancy or weight loss, a breast lift can restore the lower roundedness of youthful breasts. You can see this in before-and-after pictures of women having undergone a lift alone where the breasts are transformed in contour without the use of breast implants. When desired, implants can also be placed to increase upper fullness but do not assist in improving breast shape or the lift.

The circumareolar breast lift only minimally tightens the lower pole and is not a short scar alternative to a breast lift for most people. The circumareolar lift (donut lift) is primarily an areolar lift rather than a true breast lift. Although it does slightly tighten the skin envelope of the breast, this procedure does not elevate breasts that sag below the breast creases.

Patients often feel their breasts are slightly smaller after a breast lift. Depending upon the discrepancy between skin volume and breast volume, women sense a variable degree in size reduction after a mastopexy. Only skin and a small amount of subcutaneous fat are excised during a lift; however, breasts feel and look somewhat smaller to women after the procedure. This is because they are more tightly packaged in a perkier shape that looks smaller because they’re not as long and feels smaller because the weight no longer hangs. The more deflation and sagging that exist, the greater the sense of size reduction after lifting is accomplished. Some women choose to have breast implants placed at the same time as their lift to avoid this size reduction.

Identifying Good Breast Lift Results

The lower pole is tightened just enough without over tightening. The essential characteristic of an attractive breast shape is a round lower pole. Whether a breast is an A cup or a DD, this feature is consistently present in good-looking breasts. All people are hard-wired to appreciate this, although society and marketing attempt to convince us that upper fullness is the most important ingredient to a youthful, attractive breast contour. As a breast drops and requires lifting, modification of the lower breast pole is needed to transform a less attractive, pointy, boxy, or oval shape to a rounder shape. This is commonly referred to as “perky.” If upper fullness was the key, implants alone would create a better looking breast. But this is not true. Implants placed in a sagging breast create upper fullness while leaving the non-round lower pole hanging and unattractive. When the lift is accomplished, it must be performed in such a way as too create a round lower pole that no longer hangs on the tummy. However, over-tightening must be avoided. This causes a flattening of the lower pole and distortion of the breast contour. Over-tightening is not the answer to achieving more upper fullness when undergoing a breast lift: an implant is. By utilizing the “tailor tacking” technique to remove precisely the right amount of skin, the ideal lower breast pole contour can be ensured.

Areolae are reduced, if desired, to a more attractive, proportionate size. During a breast lift, although the areolae are not removed from the breast, the skin around the areolae is excised allowing a resizing of the areolae. Areolae stretch out during weight gain and pregnancy so a reduction in their size during a mastopexy is usually a welcome improvement.

Any inframammary scar, if needed, is well hidden in the breast crease. If inframammary scars are needed to achieve the best breast shape, they need to be placed precisely in the breast creases so they remain hidden. This is ensured by “tailor tacking” while the patient is sitting up to minimize the scar length and place the resulting scars in the creases.

Scars are thin and fade with time. A beautiful breast shape with a faded scar is still attractive and even sexy. But an unattractive breast shape without scars is still unattractive. Achieving a beautiful breast contour is the primary objective of breast surgery followed closely by limiting scarring to achieve the goals.

If implants are placed, the breasts are lifted properly to avoid sagging off of the implants. Commonly, implants are placed behind sagging breasts with the hope that they will eliminate or reduce the need for a lift and the resulting scars. One of the most common reasons for breast revision surgery that Dr. Vath, Dr. Wolfe, and Dr. Steinwald see is breast augmentation with inadequate lifting. It is critically important that the proper lifting procedure is performed with or without an implant. There are a few breast lift options to ensure a great shaped result, but an implant is not one of them.

Lift vs. Implant or Both? How Can You Tell?

How can you determine at home if you need a breast lift? Often, the answers to two questions can help. First, have you had children and/or significant weight loss? Second, what cup size are you now? If the first answer is yes and the second is larger than a small B cup, usually a lift is necessary, but this is not a reliable way to know for sure.

If your breasts hang below your creases, you need a lift. But often women aren’t sure. Deflation with collapsed or empty upper breasts does not require a lift and can be managed with implant placement alone. The most reliable means to determine if you need a lift is to look at your breasts in the mirror with your body angled at 45 degrees so you get an oblique view of yourself. Then look at the breast that is farther away and see if it hangs over the crease. Alternatively, you can take a picture of your breasts on a 45 degree angle (oblique view) and evaluate the picture for the same overhang. You can also take this picture, sit in front of the computer and peruse the web to identify the procedure of choice for women with a similar breast position.

If the lower poles of your breasts are no longer round, but rather oval, pointy, or boxy shaped, then a lift is essential. A lift serves the purpose of improving lower pole contour- the hallmark of attractive, youthful breasts. An implant does not improve shape but serves two other purposes: to fill out the upper breasts and to increase overall size. If your breasts sag, the lift is critical while the implant is optional depending upon your goals. If there is no sagging but merely deflation, an implant alone will do the trick.

Back to Top