Breast Lift Surgery (Mastopexy)

What is Mastopexy (Breast Lift) Surgery?

Mastopexy, commonly referred to as breast lift surgery, is a procedure that may reposition and reshape the breasts by removing excess skin and adjusting the underlying tissue. In some cases, breast tissue may also be reduced or reshaped depending on individual anatomy and surgical goals.

Changes in breast position can occur over time due to factors such as pregnancy, breastfeeding, weight changes, ageing, and skin elasticity. Mastopexy may be considered for patients with breast ptosis (sagging) who are seeking information on surgical options.

In some cases, mastopexy may be combined with breast augmentation or breast reduction, depending on volume, shape, and overall suitability.

Dr Rohit Kumar is a Specialist Plastic Surgeon offering mastopexy consultations in Sydney, Penrith, and Orange. Your suitability, surgical plan, and potential risks and limitations are discussed during consultation.

Are there different types of breast ptosis?

Before considering the types of mastopexy options available, it is useful to understand the conditions that require a breast lift (mastopexy):

Ptosis

This is the medical term for breasts descend far enough that the nipple and areola are out of position relative to your breast crease.

Volume Loss

This refers to a breast that has lost fullness due to age, genetics, breastfeeding, etc. The nipple and areola have not fallen in relation to your breast crease.

Pseudoptosis

Like breast volume loss, Pseudoptosis is a condition where your breasts lack fullness. In
this case, your breasts may appear full below the nipple but lack fullness above the nipple.

There are several degrees of ptosis related to the crease beneath your breast tissue, e.g. along the rib cage under your breast (the inframammary crease or fold – IMF).

Am I Suitable for a Breast Lift (Mastopexy)?

Suitability for mastopexy varies and is assessed during consultation. You may wish to discuss breast lift surgery with Dr Kumar if you are experiencing one or more of the following:

• Concerns about breast position, shape, or symmetry
• Nipples sitting below the breast crease or pointing downward (breast ptosis)
• Changes in breast shape, including flattening or elongation over time
• One breast sitting lower than the other (breast asymmetry)
• Stretched breast tissue or changes to the areolae
• Changes following pregnancy, breastfeeding, or weight loss that affect breast position or volume
• Skin irritation or discomfort beneath the breasts, including rashes in the breast crease

Risks and complications

All surgical procedures carry risks. A breast lift (mastopexy) is no exception, and individual outcomes can vary.

Possible risks and complications may include:

• Bleeding or haematoma
• Infection
• Delayed wound healing or wound separation
• Scarring, including thickened or widened scars
• Changes in nipple or breast sensation, which may be temporary or permanent
• Asymmetry or contour irregularities
• Seroma (fluid accumulation)Fat necrosis
• Partial or complete loss of nipple or areola tissue (rare)
• Inability to breastfeed
• Risks associated with general anaesthesia
• Blood clots, including deep vein thrombosis or pulmonary embolism

A thorough consultation is required to discuss individual risk factors, recovery expectations, and whether breast lift surgery is appropriate for you. All potential risks and complications will be explained as part of the informed consent process.

Recovery After Breast Lift Surgery

Recovery after mastopexy varies depending on the individual, the extent of surgery, and the technique used. Your surgeon will provide personalised advice based on your surgical plan and medical history.

• In the early post-operative period, discomfort can vary and is managed with medications prescribed by your treating team. Some patients may have drains placed temporarily, depending on the surgical approach. Sutures are often dissolvable, however this can differ between patients and techniques.
• You may be advised to wear a supportive post-operative garment for a period recommended by your surgeon. Your return to activities such as driving, work, lifting, and exercise should follow specific guidance provided during your post-operative appointments.
• Scars are expected after surgery and will change over time as healing progresses. The rate and appearance of scar maturation vary between individuals and may take many months.
• Ongoing follow-up appointments are an important part of post-operative care, allowing your recovery to be monitored and your questions to be addressed throughout the healing process.

Factors That May Influence Long-Term Outcomes

Long-term outcomes following mastopexy can vary between individuals. Changes in weight, skin quality, and the natural ageing process may influence breast shape and position over time. Pregnancy and breastfeeding may also affect breast tissue and may alter outcomes after surgery.

Following your post-operative instructions and attending scheduled follow-up appointments helps support safe recovery and allows your treating team to monitor healing and provide guidance throughout the process.

Breast Lift Surgery Cost

After your consultation with Dr Kumar, you will receive a detailed, itemised quotation. This typically includes the surgeon’s fee, anaesthetist fee, surgical assistant fee, and hospital fees. Total costs vary depending on the surgical approach and individual circumstances.

Can Private Health Insurance Be Used?

In some circumstances, private health insurance and Medicare rebates may apply where specific clinical criteria are met. Eligibility depends on your individual presentation, the Medicare requirements, and your level of private health cover.

If relevant, Dr Kumar can discuss whether an item number such as MBS 45558 may apply and what documentation may be required. You can also contact your health fund directly to confirm your cover and any applicable hospital or theatre fees.