Breast lift surgery (also known as mastopexy, or breast reconstruction) helps to restore the elasticity of the female breast tissue, typically after weight loss, pregnancy and childbirth, breastfeeding or ageing. The improvement in self-esteem and confidence can be remarkable, making a breast lift a worthwhile procedure for those who are feeling insecure or unhappy with their shape.

This procedure is designed to lift breasts that hang abnormally low over the chest, with the majority of volume at their base. It can be an effective way to enhance the breasts, without drastically changing their size. 

Some of our surgeons can use virtual imaging software to help you visualise potential outcomes in your individual case. The advanced Crisalix application uses photographs of you to simulate different sized implants and help you make a more informed decision on potential options.

During the procedure, one of our highly qualified surgeons will lift and reshape your breasts, giving them a firmer and more youthful appearance. To ensure the best possible results, your surgeon may also recommend a breast enlargement or reduction, to be performed alongside your breast lift. This will be discussed at your initial consultation.

Whatever your personal reasons, opting to have bresat lift surgery at the Cadogan Clinic means access to leading UK consultants, techniques and facilities. Our expert team undertand how the appearance of your body can affect your confidence and everyday happiness, and as such we handle each case with sensitivity and discretion. You can rest assured that your breast lift performed and at our purpose-built, central London clinic,will deliver results you are happy with.

 

4D Augmented Reality Imaging

Augmented or adjusted breast size and shape in real time, observing movement and anatomical suitability.

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Frequently Asked Questions

A Breast lift is a procedure that typically involves the remoulding of the breast tissue and removal of excess skin in order to reshape the breast and give it a firm curvy appearance. Although it can be used in youth to improve or match shape, mostly it’s used to correct the effects of pregnancy and ageing.

The breast is also lifted by inserting implants, particularly those of a specific conical shape. This, of course, restores lost volume.

Fat grafting or lipofilling can fill out certain areas in preference to others. This is used a lot for the empty upper breast and cleavage.

Everyone is different, and your Cadogan Clinic surgeon will advise you which technique or combination of techniques will be most suitable for you. Sometimes he will combine all 3 techniques-mastopexy, fat grafting and implants.

Let’s look at what particular problems are addressed by the lift:

  • Primarily breast lift surgery helps to restore the firmness of the female breast tissue which has been overstretched, most often through factors such as weight loss, pregnancy and childbirth, breastfeeding or ageing.
  • Nipples that are too low or pointing downwards are properly positioned.
  • The darker coloured skin circling the nipple (the areola) is often unpleasantly stretched and will be reduced by the mastopexy.
  • Sad droopy breasts can be a thing of the past.
  • Asymmetry and odd shaped breasts are reformed.

At the end of the day, a breast lift procedure will boost your confidence and make you look like a younger version of yourself. Book in for a consultation at the Cadogan Clinic today to meet with a surgeon and see which procedures will best suit your desired outcome. 

Yes. There are several options.

 A breast lift without implants (mastopexy) will give you a natural and more youthful breast shape by raising the position of the nipple and removing excess skin. This procedure elevates your nipple-areolar complex and reforms the natural breast tissues restoring your breasts to their youthful perky position. A mastopexy provides an opportunity to improve shape and symmetry. The correction of droopiness is a considerable confidence boost.

Most women, who want to regain their youthful appearance and correct the effects of ageing and pregnancy, prefer this procedure. The breasts will look smaller but that is just an illusion as only a small amount of skin tissue is removed. A mastopexy results in minimal changes in breast volume.

Lipofilling or fat grafting to the breast will lift the breasts in a similar way to using implants but has the added advantage that the shape can be adjusted by the placement of the fat. This is particularly good for filling the upper breast recreating that fullness of youth and defined cleavage.

To ensure that you decide on the best procedure for your desired results, be sure to book a consultation with our surgeons at the Cadogan Clinic. 

Breasts may develop with low nipples and sometimes with tubular breast shape. A breast lift or mastopexy can be the answer. Much more commonly the breasts sag with age and particularly after pregnancy. There is a wicked combination of loss of volume and stretched skin.

Non-surgical breast lifts using lasers, radiofrequency, ultrasound and thread lifts are only suitable for minor problems and have little application.

Fat grafting (lipofilling, fat transfer) is perfect for filling hollows, rejuvenating the upper breast after pregnancy.

Breast lifts (mastopexy) will remove surplus skin and lift the nipples to a proper level and reducing the surrounding areola, if necessary. Breast implants alone will replace volume and if shaped appropriately lift the nipples. This will mean that the implants need to be larger enough to take up the surplus skin. Putting in implants too small creates the peculiar double bubble deformity. A combination of implant and mastopexy skin reduction is often an appropriate option.

The actual breast lift mastopexy takes various forms and does not create volume. You will need implants for this.

If there is only a little skin to remove, the Periareolar (round block) technique is adequate and confines the scar to encircle the areola around the nipple.  The Le Jour technique involves a vertical scar extending from the circular periareolar scar down not the crease below the breast.

The next stage up is to include a horizontal scar beneath the breast. We like to keep this as short as possible to make it less visible.

The skin is sutured tightly, and it takes a few months to achieve the best, more natural, result as the skin relaxes. Any pre-existing asymmetries of the breast or nipple height will be addressed by the mastopexy. The breast will be restored to a proper level on the chest wall and nipples properly placed on the breast.

Following traditional techniques, you should expect a small degree of scarring. There are of course different techniques for a breast uplift procedure and the scars created will depend on the technique employed as well as the patient, lifestyle and the level of ptosis (droop) of the breasts to begin with. Most commonly you should expect scarring around the nipple, across the natural fold underneath the breast and a vertical scar linking the nipple scar to the breast fold scar.

+ SURGERY TIME: 2 hours
+ HOSPITAL STAY: Day case
+ SLEEPING POSITION: Sleeping on back recommended for 1-2 weeks.
+ REASONABLY MOBILE: 1 day
+ WASHING: Shower after 1 week
+ DRIVING: 2 weeks
+ EXERCISE INCLUDING GYM: 6 weeks
+ SEXUAL ACTIVITY: Restricted activity after 4 weeks
+ FULL RECOVERY: 6-8 weeks
+ TIME OFF WORK: 1-2 weeks
+ BRAS & GARMENTS: Sports bra worn for 8 weeks
+ RESTING: 2-3 days
+ MEDICATIONS: Pain relief
+ PROCEDURE: Administration of anaesthetic medicine, incision and stitching
+ STRENUOS ACTIVITY: 1 month
+ EXPOSURE TO SUNLIGHT: Restricted for one year
+ REMOVAL OF STITCHES: After 1-2 weeks
+ SWELLING AND EDEMA: Several days
+ DISCOMFORT: Few weeks
+ BREAST IMPLANT MASSAGE: 5 times per day

The cost of breast uplift surgery very often varies depending on your individual needs, but prices typically start from £8000.

The volume of the breast is not reduced significantly in a breast uplift surgery (mastopexy) procedure, so it’s more a case of re-shaping the volume you already have. Breast lift without implants generally results in minimal changes in breast size and volume because only a small amount of skin tissue is removed.

The usual outcome of the mastopexy procedure is a perky and curved breast with improved symmetry that will give you a youthful appearance. If the uplift is combined with a breast augmentation, then the cup size will obviously increase in proportion to the size of the implant; your surgeon will guide you in this regard.

Breast uplift surgery with implants results in a significant increase in breast size and volume. This gives you a better cleavage as compared to mastopexy alone. Mastopexy is the best option for you if you are craving for perky round breasts.

We use a variant of the general anaesthesia technique called TIVA (Total Intravenous Anaesthesia) that is delivered by our team of top anaesthetists. Intravenous delivery enables our anaesthetist team to monitor anaesthetic depth more closely via specialised computers to maintain an optimal level of anaesthesia. This means you will wake up feeling much better than with traditional alternatives and ready to go home shortly after.

Different techniques may be required for different patients. This is often due to the age of the patient, the size of the breast, the amount of breast tissue to be removed and also depending on the end result the patient is looking for.

There are four main types of breast lift surgery technique:

Crescent Lift – involves a crescent of skin removed at the top of the nipple to improve nipple position. This is the least invasive breast lift.

Benelli Lift – Otherwise known as a Circumareolar Lift. This is best used for slight nipple asymmetry or a mild lift. A doughnut-shaped incision is made around the areola to remove tissue and the skin is then ‘purse-stringed’ to tighten the breast skin. It is less invasive than full mastopexy. A flattening effect on the breasts may occur.

Lollipop Lift – Or Vertical Scar Mastopexy. A lollipop-shaped incision is made from the crease of the breast vertically and surrounds the nipple. This is a very effective lift for many women with low hanging breasts.

Anchor Lift – For significant breast droop. This is when the incision is made similar to the lollipop, but also travels along the breast crease, forming an anchor shape. This is the most invasive breast lift procedure, but very effective for women with a long inframammary fold (distance from breast crease to nipple).

It is a truism that no woman has perfectly symmetrical breasts. However, there is a point where the difference in size and shape becomes, first noticeable to the patient, and then to others, causing distress. The asymmetry may also involve the chest wall (pectus excavatum and pectus carinatum).

The exact procedure will need to be customized to the patient and may involve augmentation, reduction and very likely an uplift or mastopexy on one or both sides.

The patient is quite likely to have a preference for one breast over the other and want to match the other one to it.  A common abnormality is the tubular breast or conical breast where there are varying degrees of large nipple mound and constricted base to the breast.

Surgery offers a good solution to the problem of uneven breasts and understanding surgeons at the Cadogan Clinic will need to discuss your precise requirements.

There is no durable way to lift and reshape sagging breasts without some type of surgical intervention. There are certain lasers, radiofrequency and ultrasound machines that can tighten the skin, however, if you require a significant lift this will not be sufficient. However, there are some natural methods you may attempt prior to seeking surgery if that is your desire. Keep in mind that for 99% of cases, surgical intervention is the only way to see viable results.

Here are some natural suggestions sometimes advised.

Firstly, exercise or working out is the first way. Pectoral muscles can be trained and toned to have a natural lift. Examples of the exercises include pushups, weighted chest presses, weighted chest fly’s, and the elbow squeeze.

Secondly, diet also could help in lifting the breast. Avoid excessive fatty proteins food like red meat and fried foods. You have to focus on vitamins, minerals and calcium by eating cruciferous vegetables like broccoli and cabbage.

Thirdly, do some massage to your breast as massage supplies your exercise program. With massage, you can use specific kinds of oils that help in preventing wrinkled skin and stimulate blood flow.

Fourthly, sleeping on the back is very beneficial to not cause sagging breast.

Fifthly, swimming for half an hour in the pool on a daily basis can greatly tighten up the muscles of the breast so this will cause great results to your breasts.

Finally and most importantly stop smoking is a very important way to have lift breast as smoking is one of the main reasons behind sagging breast. 

There is no durable way to lift and reshape sagging breasts without some type of surgical intervention. There are certain lasers that can tighten the skin, however, if you require a significant lift this will not be sufficient.

The breasts are supported by ligaments forming an internal skeleton to the glandular tissue (ligaments of Astley Cooper) and the elasticity of the skin. Basically breasts sag after weight loss because these ligaments and skin only have a limited ability to retract as the fatty element of the breast lose volume. The skin envelope is relatively larger and the internal ligaments overstretched.

There are however numerous factors which compound the problem, some, but not all, are avoidable.

There is genetic variance in the ability of an individual’s skin to retract. At the extreme there are diseases of collagen, eg Ehlos Danlos syndrome, there is no retraction, just constant stretching. Surgery works, but the process is not arrested.

Patients, who naturally have large breasts, will always suffer more than those with a flat chest. There is a greater weight and more to sag. Weight gain before weight loss has the same effect. As indeed does pregnancy. Pregnancy has the extra issue of high circulating hormones also relaxing tissues. The skin may stretch to the point where it gives way developing Striae or stretch marks. These are also a problem for bodybuilders taking anabolic steroids or patients suffering from an increased production of steroids eg Cushing’s disease or simply being treated with steroids for a variety of mostly an autoimmune disease.

The end result is too much skin and loss of volume.

The solution is to reduce the skin by breast lift (mastopexy) or increase the volume or both. One has to bear in mind that there is now more skin and an increase in volume (breast augmentation) to restore shape will need to leave bigger breasts than you started with. In addition, the added weight may contribute to further stretching.

Here are a numerous ways to lift the breast and breasts can be enlarged with implants or your own transferred fat with and without enhancement with stem cells.

It is usually recommended that patients should be 18 years old before undergoing cosmetic breast surgery. The argument is that the breasts may still be developing and, if surgery is too early, this development may continue requiring more surgery later. It is also felt that psychologically development is also incomplete.

However, there are good reasons why early surgery might be sensible. The breasts may be deformed, unequal in size and or very large, all causing psychological harm, which could be averted by surgery. The common deformity is tubular or conical breasts. On these occasions, the surgeon is likely to ask for confirmation from the parent, GP, and psychologist.

“How long does a breast lift last?” is one of the most common questions a woman asks when she plans a breast lift. Well, it is possible to obtain long-lasting results from a breast lift. However, the truth is there is no single answer. Once a lift is performed your breasts will have a better shape, lifted and fuller, but your breasts are constantly ageing along with the rest of your body.   It takes time for the breasts to sag again and be reassured that most patients find that the one lift or mastopexy is adequate.

A true answer would be that it depends on the age, pregnancy, health, skin tone, weight of breasts, body weight and lifestyle of the woman.

You should not forget that the technique employed in the mastopexy is all important in determining not only the shape , but also the longevity of the result.

 

A breast lift (mastopexy), like any surgery, requires a skin incision and will leave a scar. Scarring fades nicely with time, but the final outcome is not something any surgeon can promise. A patient's propensity for good healing is genetic as well as technique dependent. In addition, scars near the middle of the chest have a greater tendency to keloid and those to the outer side of the chest may stretch. This is why we try to keep cars short and towards the middle of the breast.

But there are some ways that can minimize scars. Our surgeons advise patients to apply silicone gel or sheeting to the young scars until they are mature. This period can be 3 months or up to a year.

At Cadogan Clinic we offer the Cadogan Clinic Scar Program that will ensure your scars heal nicely. Feel free to contact us for a consultation to go over the scar after-care program with one of our doctors. We use a variety of treatments including specialized lasers.

Our expertise means that we see patients from elsewhere who have problems of shape and size in addition to poor scars and these patients may need surgery.

Breast lift surgery, also known as Mastopexy, is an operation which lifts and reshapes the breasts using various techniques to rejuvenate the look of low-hanging, ‘empty’ breasts. Lifting the breasts also lifts self-confidence.

Women consider their breasts to be a major part of their identity. The development of limp, sagging breasts is a loss of femininity. A surgical uplift (mastopexy), sometimes combined with a restoration of volume with implants or fat grafting (lipofilling) provides an immediate solution to restoring youthful firm breasts.

Here are the things to keep in mind to make sure that you a good candidate:

+ You should be in good enough overall health to undergo a surgical procedure. Diabetes and obesity, for example, may delay healing.
+ You must acknowledge the risks and side effects that might happen after the procedure as for instance slow healing and scars that take time to settle.
+ Have logical and reasonable expectations for the results of the surgery.
+ Be ready and able to follow all post-surgical instructions provided by your surgeon.
+ You should be in good mental health to enable you to make up a decision on whether you are able to do the surgery or not.
+ Smoking is is a considerable risk of healing.

To find out if a breast lift is right for you, please contact us at the Cadogan Clinic today to book a consultation with one of our surgeons.  

This is completely normal and your surgeon will be able to assess how best to correct these variances during your procedure.

The nipple may be numb or hypersensitive immediately after the operation and it may then take some time (commonly up to a year) to fully recover and regain full sensation

Surgeons do have different preferences and to some extend depend on the type of implant used.

Basically, you will need to wear a sports bra for some weeks. This is often quite sufficient immediately after surgery and can be applied over dressings. Some surgeons also like surgical lycra garments and even a strap across the top of the breast to hold the implant down.

It is recommended that you take 2 to 3 weeks off from work however if you have a sedentary job one week is adequate. If you have an active hobby or leisure interest, please seek advice from your surgeon as to when you will be able to return to it following surgery.

If possible, avoid flying for the first six weeks. Do not sit out in strong sun for the first 2 weeks after surgery. 

Theoretically, you should be able to breastfeed so long as the milk ducts (channels from the gland to the nipple) are not cut during surgery.

In breast augmentation, the implant is placed behind the breast tissue. When incisions are made under the breast or in the armpit, the gland and ducts are not disturbed. A cosmetic incision around the areola extends directly through the breast and although a few ducts may be cut this does not matter in practice and most ducts remain intact.

With a breast lift or mastopexy, the gland and ducts are not disturbed.

In a breast reduction, part of the gland is removed, but it is already too large and theoretically, this should not matter as long as ducts still connect and drain the remaining breast. Older techniques would have cut many ducts, but newer techniques leave many ducts intact. This is a point to discuss carefully with your surgeon.

A point to remember is that many patients, particularly those with very large breasts are unable to breastfeed anyway and it is difficult to know after surgery whether you might be one of these and the inability to breast feed is nothing to do with surgery.

Grafted fat is mostly placed around the edge of the glandular tissue and would not affect feeding. When fat is placed into glandular tissue, there maybe pressure on the gland and ducts, but one would not expect this to be a long term issue. You will not be pregnant at the time of surgery and there will be plenty of time to settle in.

Occasionally patients with extremely large breasts are treated with a method which involves temporarily removing the nipple and areola completely, thus dividing all the ducts for certain. At the end of the procedure, the nipple is grafted back. All patients are told that they will never breastfeed. However, there are occasionally cases where patients were able to breastfeed after this. There must be a mechanism by which cut ducts search for the free end to reconstitute the means of milk reaching the nipple. Nature is on your side.

Remember, there are a number of factors you should consider when determining which procedure is right for you. Each type of breast surgery will give you a different end look and may come with different concerns. It is important for you to keep that in mind when weighing other factors such as breast feeding in the future.

Be open and honest about your plans, goals, and concerns with your surgeon during your consultation and rest assured that you’re in the best of care at the Cadogan Clinic.

Here is some standard advice for patients post breast surgery. You are looking for comfortable options. It is highly unlikely that you will damage the result of your surgery by squashing on your breasts by lying on them. I have never seen this in 30 years. We do advise wearing a sports bra or equivalent over whatever dressing (it may be minimal) your surgeon prefers. This will adequately maintain the implant position. Pain is an indication that you should stop whatever you are doing to cause it.

If you are a natural stomach sleeper you may have difficulty finding a comfortable sleeping position after your breast surgery. You will want to avoid lying on your stomach for at least a few weeks post-operation, as pressure on the surgical area is uncomfortable. Sleep slightly elevated on your back during the first 2 weeks following your surgery to help to reduce swelling.

You may find it useful to keep a pillow against one or both of your sides to tuck you into place. The pillows will help keep you from rolling in your sleep and unintentionally causing yourself more discomfort.

You should avoid exercise and sensibly you will be able to gauge when you are stressing the breasts. After a few days, you should be able to travel without impediment.

Now, this is important. Do not cuddle a hot water bottle as comfort against the breasts. The newly stretched skin is numb and it is easy to burn the skin. You do not want a skin graft marring an otherwise beautiful result.

Massaging is a very important part of the healing process and helps to soften your skin, adjacent tissue, and help the area to adjust to its new contour.

After a breast lift surgery procedure, the breasts will be supported in the bra; they will be swollen, firm and lumpy in the first few postoperative weeks. The breasts start to soften after around 6 weeks, and by 3 months the swelling should have gone down, leaving you with your new shape.

Massage/moisturize – Treat the whole breast, including scar. Use the palm of your hand in a gentle circular motion, using a moisturising cream for dry skin, e.g. E45. This helps to soften your skin, adjacent tissue, and adjust to its new contour. Experience how your breasts feel before letting anyone else touch them.

After the first 2 weeks, start returning to your normal activities of living. Be sensitive to your body and try not to do too much too soon. Therefore, if you experience any pain, stop and try again another day. You can drive and start lifting light objects if you feel comfortable. Gym activities, aerobics or sports that involve using your arms should be avoided for 6 weeks. You may start lower leg exercise after 4 weeks. You can start lifting your elbows above your shoulders, washing your hair, getting the washing off the line, etc.

Breast lift surgery or mastopexy is performed under general anaesthesia as a day case procedure. At the Cadogan Clinic we use TIVA (Total IntraVenous Anaesthesia), so you wake up quickly and do not feel sick. You are ready to go home. Pain is minimal, but you will be given simple analgesia as a stand-by.

There are various methods of breast uplift, but essentially the breast tissue is repositioned higher as a firm mound, the nipples put at the appropriate level with matching areolas and excess skin removed.

This will always necessitate a scar around the areola, the darker skin around the nipple. This may be adequate for a small breast lift, but usually more skin has to be removed leaving a vertical scar below the nipple and frequently another horizontal one in the fold beneath the breast. These scars are on the underside of the breast and therefore less obvious. Inevitably they will be red to begin with, but with The Cadogan Clinic scar treatment will eventually become inconspicuous.

The specific mastopexy used by your surgeon will depend on the size and shape of your breasts, skin elasticity, the size of your areolas, and the expected extent of the lift. Immediately before surgery your surgeon will mark the breast lift on the skin in a standing position, establishing the position of the nipple on the lifted breast.

We rarely use drains and the sutures are dissolving to avoid stitch marks and their removal.

Light dressings cover the wound and a sports bra or equivalent takes the weight of the breast.

You will need to maintain this support day and night for 4 weeks and during the day for 3 months. Dressings will be changed at a week and you can probably shower between dressings or when they are finally removed. Our wound care nurses will give detailed advice.

You can work from home in couple of days, but a week away from the office would be common.

Light exercise with bra support is permissible after a couple of weeks but serious training should wait another 2 weeks.

The volume of the breast in not reduced significantly in a breast uplift surgery procedure, so it’s more a case of re-shaping the volume you already have. If the uplift is combined with a breast augmentation, then the cup size will obviously increase in proportion to the size of the implant; your surgeon will guide you in this regard.

Breast Lift / Reconstruction Results

Click here to view our gallery of before and after and Breast Lift / Reconstruction

What to expect

Free Consultation with a Patient Advisor

We offer a free, no-obligation 30-60 minute consultation with one of our Patient Advisors, including a virtual reality consultation to demonstrate the potential outcomes in your individual case. They will work with you to understand your objectives and the results you want to achieve, talk you through the procedure and answer any questions you may have. If you decide that you would like to proceed to the next step and see a surgeon, your Patient Advisor will be happy to arrange this for you. At this point, you will be required to pay a consultation fee. 

Surgical Consultation

The next step is for you to meet your chosen surgeon at the Cadogan Clinic. Your surgeon will use this time to make a comprehensive medical assessment of you, your condition, and your expectations before making a recommendation and personalised treatment plan for you. You will then discuss the outcomes you can expect to see and ask any questions.

The Procedure

On the day of your procedure you will be welcomed at the Cadogan Clinic by your Patient Advisor and dedicated nursing staff. Following a brief medical check, you will meet with both your surgeon and anaesthetist to run through the details of your procedure one final time and answer any last questions you may have. 

Recovery

After the procedure, you will recover in the capable hands of our aftercare team. As we are a day-case facility you can expect your recovery to be complete within 2 to 3 hours. If your surgeon is happy with your results, you will be able to be discharged from the Clinic the very same day. In some cases patients may wish to stay locally in our exclusive partner hotel the day before or after your procedure in order to be close to their surgeon. Talk to us about these options if this is for you. 

After Care & Support

Our care and support continues in the days and weeks following your procedure with our complimentary aftercare programme. This comprised of a series of appointments made with your surgeon and nursing team to monitor your progress and recovery. They will also introduce you to several scar minimization techniques and bespoke products to aid your progress. Our team are also on call to answer any questions you have around your surgery at any time you are concerned.

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