Breast Enlargement & Lift

What is a breast lift or enlargement?

A breast lift, also known as mastopexy, is a surgical procedure designed to lift and reshape sagging breasts. Over time, factors such as pregnancy, breastfeeding, ageing, weight changes, and gravity can cause the breasts to lose their shape, firmness, and position.

In some cases, a breast lift may also involve repositioning the nipple and areola to achieve an appearance consistent with the individual’s anatomy.

For individuals who have smaller breasts or have experienced a loss of breast volume, such as after pregnancy or significant weight loss, breast implants may be placed in addition to the lift. This is done to increase the size and firmness of the breasts.

Implants are usually positioned underneath the breast tissue or beneath the chest muscle, depending on the individual’s anatomy and goals.
Your surgical practitioner will discuss the most suitable approach for you during a consultation.

note: The outcome of a breast lift or enlargement will vary for each person. Your practitioner will explain what can realistically be achieved based on your anatomy and health.

How is a breast lift performed?

Breast lift surgery is typically performed under general anaesthesia. The procedure usually takes 1.5 to 3.5 hours, depending on the technique used and whether implants are also placed.

Common surgical techniques:

Anchor-shaped incision (most common method)
- The incision follows the natural contour of the breast.
- Excess skin is removed, and the nipple and areola are moved to a higher position.
- The remaining skin is reshaped, and sutures are placed around the areola, vertically beneath the nipple, and along the breast crease.
Doughnut (concentric) mastopexy – for smaller breasts with minimal sagging
- Circular incisions are made around the areola.
- A ring-shaped section of skin is removed.
- This method typically results in less visible scarring but is not suitable for significant breast sagging.

Your surgical practitioner will recommend the most appropriate technique based on your breast shape, degree of sagging, and your preferences.

What can you expect during recovery?

Healing and recovery times vary between individuals.

Immediately after the surgery:

Your breasts will likely be bruised, swollen, and tender.
Mild discomfort is common and can usually be managed with medications prescribed by your practitioner.
An elastic bandage or surgical bra will be applied to support healing. These are usually replaced with a supportive bra after a few days.

Additional points to note:

Sutures are generally removed within 1–2 weeks.
You may temporarily experience changes in nipple or breast sensation. This typically improves within six weeks or longer, although some changes may be permanent.
Light daily activities may be resumed after 1–2 weeks, but strenuous exercise and heavy lifting should be avoided for at least 4–6 weeks, or as advised by your practitioner.
Final results will become more visible as swelling subsides, which may take several months.

Risks and possible complications

As with all surgical procedures, there are potential risks. Complications can include:

Bleeding or haematoma (collection of blood under the skin)
Infection
Poor wound healing or delayed healing
Scarring, which may vary in appearance depending on individual healing
Changes in nipple or breast sensation (temporary or permanent)
Breast asymmetry or uneven shape
Unsatisfactory cosmetic result, which may require revision surgery
Complications related to anaesthesia

Your practitioner will discuss these risks and provide information specific to your situation during the consultation.

Key considerations

A breast lift or enlargement cannot stop the natural ageing process, and breast shape may continue to change over time.
Future factors such as pregnancy, breastfeeding, weight fluctuations, and lifestyle habits can affect long-term results.
Regular follow-up appointments are important to monitor healing and breast health.
It is essential to have realistic expectations and to make an informed decision after thorough discussion with a qualified, registered health practitioner.