ABPSLogoRealself Top 100

Call for consultation

Community Bank Plaza
4690 Sweetwater Blvd. #140
Sugar Land, TX 77479

EnglishEnglish EspañolEspañol

  • Breast Lift

  • Do I Need a Breast Lift?

    Most women are perfectly aware of changes in their breasts, from subtle modifications due to fluctuating hormones or weight gain, to the larger changes that come with pregnancy or age. Some of them are temporary and not terribly concerning, but when the changes are extreme, uncomfortable, or unattractive, and that’s when women begin to consider their surgical options.


    Breast augmentation is the procedure more people are familiar with, but women who have experienced or are experiencing breast ptosis/sagging may benefit instead from a mastopexy or breast lift. Determining if a patient needs a breast lift is not complicated and can be done with a few simple measurements as well as some visual observations, even via a virtual consultation. Essentially it requires determining whether the skin has been stretched out or breast sagging has occurred. The surgeon will take the structure of the patient’s breast into account, specifically whether most of the breast tissue is at the top of the breast or the bottom. Other considerations are the patient's expectations and the degree of difference between the breasts.

    If you are wondering whether you may need a breast lift, ask yourself these questions:

    • Do your breasts have significant skin laxity - perhaps the result of weight loss or changes due to pregnancy and breastfeeding?

    • Where are your nipples located? Are they at or below the level of your breast fold? Do they point down?

    • Are your breasts different in size or shape from one side to the other?
    • Do you prefer a more natural look or do you want them higher or "perkier"?

    Breast implants alone simply add volume to your breasts. They do not lift or shape them, and even with a large implant they may temporarily provide superior fullness, but this is not a durable long-term solution.

    Many women become dissatisfied with their breasts after childbearing and breastfeeding. If the skin there is loose, that can only be corrected with a breast lift. Having the excess or pulled skin removed will reshape the breasts, returning them to a more youthful look.

    Nipple location is another important indicator. If the nipple and areola are in the middle of each breast, and there is no visible sagging, a breast lift may not be necessary. However, if the nipple is at the level of the imframammary fold, or the place where the breast and the chest meet, sagging has occurred. The lower the nipple is, the more sagging there is. Additionally, if the nipple/areola areas point down or if the majority of the patient’s breast tissue is at the bottom of the breast, that also indicates sagging, and a breast lift is needed to achieve the beautiful, younger look many women seek.

    Bancroft Feldman specializes in helping women achieve their personal appearance goals through breast augmentation and breast lift (mastopexy) surgery. We can help you determine which procedures would best help you to do that - whether that’s a breast lift, a breast augmentation or a combination of procedures via a virtual consultation. Contact us today to start work on becoming the more beautiful person you dream of being.

  • What’s the difference between a breast lift and breast augmentation?

    Breast augmentation only make your breasts bigger. It does not move your breast higher on your chest, make them more perky, move nipples up, make them more even or symmetric or remove loose skin. A breast lift is used to shape and move your breasts/nipples, with or without implants to also change the size of your breasts. There is a significant price difference between the two procedures.

     This is probably the most common question asked by my cosmetic breast patients with any droopiness or ptosis of their breasts. Which procedure is “best” depends on the patient's expectations and desires. Just remember the implant needs to be centered directly behind the nipple, so wherever your breasts/nipple sit currently this is approximately where you can expect the implant to be positioned/settle. Breast implants alone simply make your breasts larger. They do not lift or shape your breasts. If you are happy with the look and position of your breasts and just want them to be a bit fuller (larger) then a breast augmentation alone may work.

    In my practice, my patient's generally expect a youthful, perky breast appearance “pop at the top” or “red carpet cleavage” without wearing a push-up bra. Most of these patients are initially hesitant about the scarring, when in fact they should be more concerned about breast shape, contour and nipple position. I educated them that scars mature and fade over 6-12 months, when breast shape, contour and nipple position generally don't improve and, may in fact, worsen over time.

    If you place an implant in a low, droopy, deflated breast you will ALWAYS end up with a "natural" or "matronly" result low on the chest. Some women may be perfectly happy and satisfied with that result. However, other patients who decline a lift, then will come back with a horizontal tan line across their chests (above the top of their implants) from a sundress or tube top, asking why when they wear a sundress or top without a bra, their breasts sit low, or do not have superior fullness. I re-explain that the implant must be centered behind their nipple and that generating this superior fullness would require a larger implant combined with a lift. Some elect to have the lift, and others chose to push their breasts up in a bra to generate superior fullness and cleavage.

    Finally, attempting to avoid a lift by using an extremely large, high or extra high profile implant is a nothing more than a short term Band-Aid, and does not address the root cause/problem (i.e. stretched/lax and excess skin/tissue). This does nothing but postpones the lift for a short period of time and will only lead to further tissue stretch and thinning requiring an even larger lift to fix. Ultimately, this approach generates a much more complex (and expensive) surgical problem just months to a few short years down the road, so I never encourage patients to go with this approach. 

    Some of you may then ask why some surgeons you've seen offer this approach to droopy breasts, typically without discussing the other abovementioned options and each options pros and cons. The truth is that it's far easier and quicker for a surgeon to place a large implant without regard for the durability, or lack thereof, than perform a more technically challenging, and longer, lift procedure.


Help Desk Software
Request a Quote
  1. Full Name*
    Please type your full name.
  2. Phone Number*
    Please enter a valid phone number.
  3. E-mail*
    Invalid email address.
  4. Interested Procedure
    Please select a procedure.
  5. Leave a Message
    Invalid Input
  6. Invalid Input
Go to top