As we get older, our bodies undergo numerous changes – it’s an inevitability that we cannot prevent or avoid. One of the many changes that will occur is the sagging of breasts. This condition, medically referred to as ptosis, is a natural consequence of aging.

The rate at which ptosis occurs can vary from woman to woman depending on multiple factors. Some of these factors include smoking, pregnancy, gravity, large bra cup size, weight gain, weight loss, and a high body-mass index. Reduced skin elasticity ties into many of these factors and is one of the main reasons for sagging.

The sagging of the breasts is unavoidable for most women. However, there is good news: Drooping breasts can be fixed thanks to a procedure known as a mastopexy.

What Is a Mastopexy?

A mastopexy, or breast lift, is a medical procedure wherein sagging breasts are surgically raised to create a firmer and younger appearance. This is done by removing excess skin and tightening the tissues. This way, the breasts are reshaped and the new contours are supported. In the end, patients have breasts that look much more youthful and firm.

A mastopexy can also be used to adjust the size and position of areolae, creating overall better proportions.

According to the American Society of Plastic Surgeons, the number of mastopexy procedures being carried out across the U.S. has grown drastically. In fact, the procedure currently outranks breast augmentation, which was the number-one cosmetic procedure not long ago.

The Procedure

The first step of the mastopexy procedure involves administering anesthesia. This can be either general anesthesia or local anesthesia with intravenous sedation. The choice will be made by you and Dr. Wallace during your consultation and will be based on a number of factors.

Once the anesthesia is administered and has taken effect, Dr. Wallace will make the necessary incisions. There are generally three types of incisions used in mastopexy:

• Around the areola (periareolar)
• Around the areola and downwards to meet the breast crease (lollipop)
• Around the areola, downwards to meet the breast crease, and horizontally along the crease (anchor)

You and Dr. Wallace will decide which type of incision is ideal for your exact needs. After the incisions are made, Dr. Wallace will begin the mastopexy process.

This includes lifting the underlying breast tissue and reshaping it for improved firmness. Dr. Wallace will reposition the nipple-areolar complex to an appropriate height and will resize them as needed, creating the appearance of younger breasts. Excess skin will be removed to restore elasticity. The last step involves closing the incisions with the help of surgical sutures.


A mastopexy is an outpatient procedure, which means the patient isn’t required to stay over at the hospital. A compression bra will be provided to help reduce the minor swelling that occurs after the procedure. It should be worn during the healing period as recommended.

Patients can return to their daily routine after a few days but will have to avoid vigorous activities for a few weeks. After this time, they will be able to return to exercise, sports, and other activities.

Make an Appointment for a Consultation

When you visit Dr. Charles Wallace, an experienced board-certified plastic surgeon, Dr. Wallace will discuss the mastopexy procedure with you in great detail. You will be able to look at before-and-after photos and can ask any questions that you may have. Contact us today to schedule your consultation.