Mastopexy (Breast Lift) in Chicago — Michael E. Nissan, M.D.

Overview

Mastopexy, commonly known as breast lift, is a surgical procedure that addresses breast laxity by reshaping the breast, tightening the skin, and repositioning the nipple-areola complex higher on the chest. It is often the right operation for patients whose breasts have descended after pregnancy, breastfeeding, weight loss, or aging.

The goals of mastopexy are restored breast position, an elevated and better-positioned nipple, and a shape that reflects a more youthful anatomy. Mastopexy is often the operation that patients seek when they feel the size of their breasts is acceptable, but the shape and position are not.

Mastopexy can be performed alone or in combination with breast augmentation (augmentation-mastopexy) when a patient desires both improved position and volume.

Who is a Candidate

The best candidates for mastopexy are patients in good health who are bothered by the laxity or shape of their breasts. Common motivations include descent of the breast after pregnancy or breastfeeding, loss of shape after weight change, or naturally low-positioned breasts and nipples.

Candidates should be at a stable weight.

What to Expect

Every case begins with an unhurried consultation. Dr. Nissan will examine the breasts and chest wall, discuss what you notice and what you hope to change, and offer a candid opinion on whether mastopexy alone, or mastopexy combined with augmentation, would best serve your goals.

Surgery is performed under general anesthesia. Discomfort typically is manageable with non-narcotic pain medications. Most patients are comfortable returning to desk work within one to two weeks and full activity within six to eight weeks. Final refinement of shape and position continues over three to six months.

Frequently Asked

What is the difference between mastopexy and breast augmentation?

Mastopexy addresses shape and position — where the breast sits on the chest and how it looks. Breast augmentation addresses volume — the size of the breast. Some patients need one, some need the other, and some need both. Dr. Nissan will help you determine which is right for you.

Where will the scars be?

Mastopexy scars vary by technique. The most common patterns include a scar around the areola only, or an inverted-T pattern involving the areola, a vertical line down the breast, and the crease under the breast. The scar pattern depends on how much lift is needed. Dr. Nissan will discuss the trade-offs during consultation.

Can I still breastfeed after mastopexy?

Mastopexy can affect the ability to breastfeed, though many patients breastfeed successfully afterward. If future breastfeeding is a priority, this should be discussed thoroughly during consultation.

Can mastopexy be combined with breast augmentation?

Yes. Augmentation-mastopexy is a common operation for patients who desire both improved position and additional volume.

How long does mastopexy last?

The lift produced by mastopexy is durable, but the breasts continue to age. Gravity, weight change, and pregnancy can affect the result over time. Patients who maintain a stable weight and avoid future pregnancy tend to see the longest-lasting results.

Is mastopexy painful?

Most patients describe the recovery as uncomfortable rather than painful. Discomfort is typically managed with non-narcotic pain medications.

What happens at the consultation?

The consultation is a conversation as much as an examination. We will take your photos, and Dr. Nissan will examine the breasts and chest wall. He will discuss the underlying anatomy driving your observations and recommend the treatment strategy that best serves your goals.