Procedures - Cosmetic Breast Surgery


Diagram 1: at the start of surgery, the nipple’s new position is marked as well as the skin which will be removed.

A mastopexy, or “breast lift” is a surgical procedure to raise and reshape sagging breasts.  Factors such as pregnancy, nursing and the force of gravity take their toll on a woman’s breasts. As the skin loses its elasticity, the breasts will often lose their shape and firmness and begin to sag.


A mastopexy leaves scars, though they can be covered by your bra or bathing suit. Breast lifts are performed under general anesthesia and the surgery takes 2-4 hours.Dr. Niessen uses an anchor shaped incision following the natural contour of the breast. Sutures are located around the areola, in a vertical line extending downwards from the areola and along the lower crease of the breast.
Post operatively, you will wear an elastic bandage or surgical bra over the gauze dressings. Your breasts will be bruised, swollen and uncomfortable for a day or two.  You will be given a prescription for pain medication. Within 10 days, the bandage or surgical bra will be replaced by a soft support bra. You can expect some loss of feeling in your nipples and breast
skin after surgery. The numbness sometimes fades. In some patients it may last a year or more, and occasionally it may be permanent.Diagram 2: skin is brought down and together.
Diagram 3: after surgery, the breasts are firmer and sit higher on the chest wall. Sutures are located around the areola, below it and in the crease under the breast.

Although you may be active in a day or two, you may be off work for a week, depending on how you feel. Avoid lifting anything over your head for three to four weeks and strenuous sports for about a month. After that, you may resume your activities.

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