Sagging Breast Surgery: A Comprehensive Guide

Sagging breasts, medically termed ptosis, can be a source of discomfort and self-consciousness for many individuals. Factors such as aging, pregnancy, breastfeeding, weight fluctuations, and genetics can contribute to the loss of breast firmness and elasticity. While sagging breasts are a natural part of aging for many people, there are surgical options available to address this issue and restore confidence and comfort. In this article, we will explore sagging breast surgery, including its types, procedures, benefits, risks, and recovery.

Types of Sagging Breast Surgery:

  1. Breast Lift (Mastopexy): A breast lift is the most common surgical procedure to correct sagging breasts. During this procedure, excess skin is removed, and the breast tissue is reshaped to lift the breasts to a more youthful position. Depending on the degree of sagging, different types of breast lifts may be performed, including:
    • Periareolar Lift: Also known as a donut lift, this technique involves making an incision around the areola to remove excess skin.
    • Vertical Lift: Also called a lollipop lift, this technique involves incisions around the areola and vertically down to the breast crease.
    • Anchor Lift: This technique involves incisions around the areola, vertically down to the breast
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    • crease, and along the breast crease itself, creating an anchor-shaped scar.
  2. Breast Augmentation with Lift: For individuals who desire both lifted and larger breasts, a combination of breast lift and augmentation may be recommended. This procedure involves placing breast implants to add volume and improve breast shape in addition to lifting the breasts.

The Surgical Procedure:

Before the surgery, patients will have a consultation with their plastic surgeon to discuss their goals, medical history, and expectations. During the procedure:

  • Anesthesia: Patients are placed under general anesthesia or intravenous sedation to ensure comfort throughout the surgery.
  • Incisions: The surgeon makes incisions according to the chosen technique, carefully considering factors such as breast size, shape, and degree of sagging.
  • Reshaping and Lifting: Excess skin is removed, and the underlying breast tissue is reshaped and lifted to achieve the desired contour.
  • Closure: The incisions are closed with sutures, and dressings or bandages are applied.

Benefits of Sagging Breast Surgery:

  • Improved Breast Shape and Position: Sagging breast surgery can restore a more youthful and lifted appearance to the breasts.
  • Enhanced Self-Confidence: Many individuals experience increased self-esteem and confidence following sagging breast surgery.
  • Clothing Fit: Clothes may fit more comfortably and attractively after surgery, as breasts are lifted and more proportionate.

Risks and Considerations:

While sagging breast surgery is generally safe, it is important for patients to be aware of potential risks and complications, which may include:

  • Scarring: Although efforts are made to minimize scarring, visible scars may occur following surgery, especially with anchor lift techniques.
  • Changes in Sensation: Some patients may experience temporary or permanent changes in nipple sensation.
  • Infection: As with any surgical procedure, there is a risk of infection, which can usually be managed with antibiotics.
  • Unsatisfactory Results: While most patients are satisfied with the outcome of sagging breast surgery, there is a possibility of asymmetry or other aesthetic concerns.


Following sagging breast surgery, patients will need to follow their surgeon’s post-operative instructions carefully, which may include:

  • Wearing a supportive bra or compression garment to aid in healing and minimize swelling.
  • Avoiding strenuous activities and heavy lifting for several weeks.
  • Attending follow-up appointments to monitor healing and address any concerns.


Sagging breast surgery offers a safe and effective solution for individuals seeking to restore youthful breast contour and confidence. By understanding the types of procedures available, the surgical process, and the associated benefits and risks, patients can make informed decisions about pursuing sagging breast surgery to achieve their aesthetic goals. It is essential to consult with a board-certified plastic surgeon to determine the most suitable approach based on individual anatomy and desired outcomes.