Dr. Itay Wiser logo: Itay Wiser Plastic Surgeon. MD. PHD.

Breast Lift

Your breasts' shape and appearance change as you age. Weight loss, pregnancy, breastfeeding and gravity's pull are among the contributing factors that cause the tissues of your breasts to stretch and lose their elasticity. Eventually, these changes may result in a droopy, sagging appearance can be damaging to your self-confidence and strain your neck, shoulders and back. It's no wonder that a breast lift is one of the most popular surgical procedures for the breasts.

A breast lift is a procedure designed to elevate and reshape the breasts, creating a more symmetrical and contoured image and helping many women regain their confidence. Under the expert guidance of Dr. Itay Wiser of WiserMD in New York, NY, your breast lift procedure will be entirely customized to suit your specific desires and ensure your breasts are fitting to your figure. With years of experience in reconstructive breast surgery, Dr. Wiser will make sure you receive optimal care.

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What Is a Breast Lift?

A breast lift, known as mastopexy, restores a more youthful breast image by removing excess skin and fatty tissues and repositioning the remaining tissues into a more attractive shape. The surgical procedure can lift your breasts into a perkier and more symmetrical profile. A breast lift can produce beautiful results as a standalone procedure but can be combined with other procedures to further your results. The procedure is often combined with breast augmentation, either with implants or fat grafting, or with a breast reduction, depending on a patient's goals. The procedure can be performed with a variety of surgical techniques, each with its own particular benefits.

Breast lift surgery involves making an incision through which excess skin and fat deposits are removed. Your remaining breast tissues are then adjusted to improve the shape and definition of your breasts. Surrounding tissues are tightened to make your breasts beautifully contoured to your chest wall. Your nipples and areolas may also be repositioned, so they're balanced with your breasts' new shape.


During an initial consultation with Dr. Wiser, you will discuss your aesthetic goals for your breasts. He will devise a specialized treatment plan based on your needs and discuss which surgical technique should be used and recommend any additional procedures he believes would be beneficial.

Woman's breast with a black bra on black background
Who Is a Good Candidate for a Breast Lift?

Several factors will be considered to determine if a breast lift is right for you. These factors may include your health and weight. It's best to have a breast lift performed if you are at a steady, comfortable weight that you can maintain. Because weight fluctuations can affect your breasts, losing a significant amount of weight or gaining weight and losing it after your breast lift can lead to sagging breast tissue again, affecting your results. Similarly, the procedure is best postponed if you are considering having children again or plan to breastfeed.

Mastopexy may be perfect for you if you believe your breasts have lost volume, changed shape or sagged over the years. Certain asymmetries, such as one breast hanging lower than the other or one breast that is smaller than the other, may also make you an excellent candidate. A significant sign that you should consider having a breast lift is if your nipples point downward. A breast lift can be incredibly beneficial if your nipples and areolas sit below your breast crease.

What Are the Different Breast Lift Techniques?

There are different breast lift surgical techniques, each of which addresses different degrees of sagging and volume loss. Certain techniques are also more suitable for nipple and areola placement. These surgical techniques include:


Crescent Lift: The crescent lift may be suitable if your breasts have minor sagging or if asymmetry is present in your areolas. This technique may also be ideal if you desire a breast lift in conjunction with breast augmentation. During this lift, a crescent-shaped incision is made around the top of your areola, through which sagging tissues are lifted. The scar this lift causes is minimal and usually goes unnoticed because it blends in with the darker skin at the edge of the areola.


Donut Lift: The donut lift, also called the periareolar lift, is a bit more extensive than a crescent lift and is used to correct moderate sagging. It is also often performed in conjunction with breast augmentation, without the need for additional incisions. The technique involves creating an incision along the outside edge of your entire areola. This approach allows for a more significant lift and, because it involves making an incision around your entire areola, your areola's shape and size can be altered.


Lollipop Lift: The lollipop lift involves making an incision around the areola and an incision from the bottom of your areola that comes down vertically to your breast crease. When the incisions are closed, they form what looks like a lollipop, hence the name 'lollipop lift.' This surgical technique is ideal if a more significant amount of breast tissue must be removed and recontoured. During this procedure, the areolas can be raised and reduced in size while enhancing the shape. A breast augmentation can be performed with this surgical technique without the need for additional incisions.


Inverted-T (Anchor) Lift: The inverted-T (anchor) lift is best performed on patients with severe sagging. If you have breasts that hang down loosely and with excessive skin and breast tissue, this surgical technique may be perfect for you. This technique requires the same incisions as a lollipop lift with one additional incision that is made horizontally along your breast crease. The scars left behind from an inverted-T lift are more noticeable. However, they are still relatively hidden because incisions are made along the areola and within your natural breast crease. The surgical technique creates dramatic results and can be combined with a breast augmentation.


Dr. Wiser will thoroughly review each of these techniques with you during your initial breast lift consultation.

The Breast Lift Procedure

Your breast lift procedure will be performed on an outpatient basis and performed under either general or local anesthesia. During the procedure, Dr. Wiser will make incisions utilizing the surgical techniques best suited to your concerns. He will remove excess skin tissue and fat deposits if necessary, lift your remaining skin and contour your breasts into a more flattering shape while improving their firmness. If needed, your nipples and areolas will be repositioned so that they are balanced with your breasts' new shape. The incisions are then closed.


A breast lift takes approximately two to three hours. It can take longer if it is performed in conjunction with other procedures. You will be able to return home several hours after your procedure once it is determined that you are ready to leave.

Breast Lift Recovery and Results

Most breast lift patients take approximately two weeks to recover. During the recovery process, you will need to wear a support garment to support your breasts as they heal. The surgical garment should be worn for three weeks before transitioning to a sports bra, which should be worn for three months. Your breasts will also be wrapped in gauze immediately after the procedure, and you may have small surgical drains in place that will prevent fluids from building up.


Bruising and swelling are common side effects that last for the first few weeks post-surgery. Usually, swelling reaches a peak by day three. Dr. Wiser will provide you with aftercare instructions to ensure you have a healthy recovery. These instructions may include how often you should change your bandages and how to clean your incisions to prevent infection. A follow-up appointment will be scheduled to remove any stitches and drains if they were used.


Once bruising and swelling have subsided, you will begin to notice your breast lift results. Your breasts will have a more perky, youthful profile, giving you a more flattering figure and boosting your confidence. The effects of a breast lift last for many years. In many cases, women who undergo a breast lift only need to have it performed once to maintain their desired look. Maintaining a healthy weight and having no future pregnancies will prolong your results. Some sagging can reoccur due to the natural aging process, but it will likely be minor and not lead to the excessive sagging that once defined your breasts.

Combining Your Breast Lift with Breast Augmentation

A breast lift is often combined with breast augmentation to enhance results and address volume loss, creating a curvier and more proportionate figure. Women whose breasts have developed a “deflated” look often find having their breast lift combined with breast augmentation to be particularly beneficial. Breast augmentation involves utilizing implants to give more shape to your breasts.


Breast implants are very customizable. Implants vary in their size, texture and the substance they are filled with. Patients usually choose between two different implant types: saline and silicone. Silicone implants are very popular. They are round or teardrop shaped and feature a thick silicone gel that gives them a natural feel. Saline implants are also a popular choice because they result in less scarring, as the implant is filled with sterile salt water inside the silicone shell after it is placed in the breast pocket.


Dr. Wiser can discuss with you in great detail the advantages of both options. The incisions for most surgical techniques of a breast lift allow for implants to be put into your breasts easily and in one procedure. If you are interested in addressing sagging and volume loss simultaneously, combining a breast lift with breast augmentation is an excellent idea.

Is It Possible to Combine a Breast Lift with Breast Augmentation Without Implants?

In recent years, it's become increasingly common for women who have a breast lift to desire more fullness in their breasts but to not want a large size increase or implants. An excellent alternative if you desire fuller breasts without implants is an auto augmentation breast lift. Auto augmentation breast lift is a unique augmentation technique that adds volume to the top half of the breast without a synthetic implant.


The procedure involves taking breast tissue from the bottom of the breast, usually discarded during a breast lift, and tucking it carefully into the upper pole of the breast. The tissue is rearranged and sutured into place to make the breasts fuller and increase projection from the chest wall. The procedure is often performed with the inverted-T (anchor) lift surgical technique.


Auto augmentation breast lift creates long-lasting results when performed under the guidance of an expert. Dr. Wiser is adept at performing auto augmentation breast lifts and is an expert in this unique surgical procedure. He will thoroughly discuss the process of auto augmentation breast lift with you during an initial consultation and may recommend it if you seem like an ideal candidate.

What's the Difference Between a Breast Lift and Breast Reduction?

While a breast lift and breast reduction may appear to be the same procedure, they are not. A breast lift is an ideal procedure if you seek to correct a sagging, droopy appearance. This issue can affect any woman, regardless of breast size. Small and large breasts can both begin to droop and sag as time goes on, so a breast lift is suitable for most women.


A breast reduction may be the best procedure if your primary concern is that your breasts are too large. For many women, large breasts can result in aches and pains in the back, shoulders and neck, making them a medical concern. A breast reduction involves removing a significant amount of excess breast tissue and fat to reduce the breasts' size, making them more comfortable and reducing their negative health impacts. A breast lift also involves removing excess breast tissue and fat if necessary, but to a lesser degree than a breast reduction.


Both of these procedures have their unique benefits. Dr. Wiser can review the two procedures to help you determine which one will benefit you the most. In some cases, he may recommend a breast lift combined with a breast reduction so that a patient can attain the best results possible, reducing the size of their breasts while also giving them a more perky appearance.

Dr. Wiser with a dark suit looking at the camera on a black and white photo
Schedule Your Breast Lift Consultation at WiserMD

A breast lift is a very popular procedure that has helped many women worldwide regain their confidence. The procedure is often performed in conjunction with other procedures, such as breast augmentation and a breast reduction, making it customizable to a patient's unique desires and goals. Dr. Wiser is well-versed in cosmetic and reconstructive breast surgery, making him a master in surgical procedures that enhance the beauty of the breasts.


If you are interested in scheduling a complimentary consultation with Dr. Wiser, please contact us at 347-947-5734 or visit our contact page. He can review your surgical options and develop a customized treatment plan that will help your breasts reach their true potential.