Breast Lift Type for Little Upper Breast Volume?

I've recently come across information on 2 breast lift techniques: the pectoral muscle loop lift and the mesh bra lift. It's stated that these techniques aren't for everyone and usually are best for those with smaller breasts.

I wear a 34B but I don't fill it out all the way. Also most of my breast tissue is towards the bottom of my breasts leaving me with little breast tissue on top. Would this be a problem for either technique?

Answers (14)

What type of breast lift to produce upper pole fullness

HiStar24. All the techniques you mentioned are aimed to try and maintain upper pole fullness after the list. The "bug-a-boo" with breast ifts is that it can be difficult to maintain long-term upper pole fullness. There are a variety of techniques which attempt to minimize this. For patients who have most of their breast volume in the bottom of half of the breast, it is imperative that the plastic surgeon perform some technique to lift this tissue and not rely on skin excision alone to accomplish the lift. I prefer a superior pedicle technique with suturing of the breast tisse to the pectoralis major muscle fascia as well as using sutures to shape the breast mound. Each plastic surgeon has their own preferred technique; just make sure they are not perfoming a skin-only procedure. You are probably a candidate for many different techniques. Hope this helps.

Tracy M. Pfeifer, MD, MS

Tracy Pfeifer, MD

Manhattan Plastic Surgeon
31 reviews

Breast lift type

The pectoral muscle loop lift was popularized by a great Brazilian Plastic Surgeon (Curatiba, Brazil) - Dr..Ruth Graf. It was intended to prevent the recurrent breast droopiness seen with lifts and reductions using the old fashioned inferior pedicle techniques with inverted T / Anchor skin pattern of scars.

The mesh bra lift was designed by another Brazilian Plastic surgeon. In his procedure, the breast is literally surrounded by a permanent fish net mesh which is then lifted and bolted to several ribs to keep it from sagging. The mesh he uses was NEVER approved by our FDA. Furthermore, attempts to use permanent meshes available to us were associated with relatively high infection rates and the method of breast anchoring have not been reliable.

In MY opinion BOTH of these breast lift methods have been surpassed by the ease, longevity and simplicity of the Hall Findlay Breast Lift (Mastopexy) which cones the breasts tissue and repositions it higher.

There is NO NEED THESE DAYS for you to have either one of the methods you read about. They are of historical value in my opinion.

Good Luck.

Peter A. Aldea, MD
Memphis Plastic Surgeon

I've got a better idea


If you are not filling a B cup bra, then you are a B cup. Also, you can expect to lose some breast size/volume with any lift procedure that is used due to tightening of the skin. So, I would suggest a combination augmentation mastopexy with use of a small implant. This would provide you with good upper pole fill. Good luck!

Breast lift technique for long-term upper pole fullness

From your description of your breasts, you would probably get a very nice result from a mastopexy with a lollipop incision. This could be a Hall-Findlay technique, pectoral loop or mesh support technique. All of these technique attempt to do the same thing; preferentially place breast tissue in the upper pole of the breast and then avoid the effects of gravity. To some extent, they all add some volume to the upper pole of the breast, but none of them can come close to providing the long-term upper pole fullness that breast implants can give.

Ultimately, if you're comfortable with the idea of having implants, long-term upper pole fullness will be best achieved with them. If you don't want implants, a mastopexy alone will likely give you a very nice result, with a better overall shape to your breast, but without the same amount of upper pole fullness.

Hope this helps. Best of luck.

Upper breast fullness is unlikely to stay after breast lift alone

Breast lift, or mastopexy, usually must balance two issues, the position of the nipple relative to the fold under the breast, and the amount of skin laxity or looseness and bottoming out of the breast. Of the two, nipple position probably comes first as the primary indication for the lift. Restoring a firm, pert, and round breast with mastopexy alone can be quite difficult. Many techniques have been tried including the two you mention, though most often the breast will soften and the upper scoop and droop will recur. The most reliable method to maintain the upper fill and firmness is with a small implant, or a larger one if you wish, and shape the skin and nipple over the augmented breast with a mastopexy pattern that will limit the scar, yet provide the proper tailoring of the skin to resist recurrent ptosis or drooping on the breast and nipple over time. I have found over years that when patients ask for breast lift, they are often looking at upper fill, just what an implant will provide reliably. Look at pictures of breast lift, with and without implants, to help you decide what suits your goals.

Best of luck,


Breast lift techniques

There are many different techniques for breat lifting and there it is still an active area of refinement of old techniques and development of new techniques. The most important aspect of any technique is how successful it is in the surgeons hands. There is no agreement among plastic surgeons as to which technique is the best in any particular patient. The key is to find an experienced plastic surgeon who has reliable techniques for breast lifts and can show you pictures and have you speak tyo similar patients. That tact should give you the greatest confidence in the technique, the surgeon and the results.

John P. Stratis, MD
John P. Stratis, MD
Harrisburg Plastic Surgeon
40 reviews

Techniques for breast lift

It's good that you have been reading more about possible breast lift procedures, but you should discuss your concerns with your surgeon as "a little bit of knowledge can be a problem". There are many variables to be considered.

From what you described, there may be an argument for a small breast implant instead of a lift, which would limit any scars and help get more fullness. You need an exam in person to better determine this.

Breast Lifting Techniques?

Thank you for the question.

Achieving long-term superior pole volume/fullness is difficult with any of the available breast lifting operations especially if the patient has a paucity of breast tissue to begin with. Usually, for a long-term results sub pectoral (dual plane) breast implants are indicated.

In-person examination will be necessary to provide you with  precise advice.

Best wishes.

Breast Lift Technique to create Upper Pole Fullness

There are many breast lift techniques. The one I usually prefer is essentially a modified Hall Findlay technique. For women who have most of their breast tissue sagging at the bottom of their breast, this technique is very powerful to "rearrange" this tissue to maximize cleavage and improve upper pole fullness. In the proper candidates, the results can look like a breast augmentation result. However, one of the limitations is that we can only make you as full as the amount of breast tissue you have. If you want to go bigger/fuller, then an implant will be needed. To learn more about my technique, please watch this abc news video clip:

Breast lift surgery

Breast lift surgery can be accomplished tusing several different techniques. I would not incorporate a pectoralis sling to improve the bresat shape. I would use suture to tighten the parenchyma( breast tissue) and then redrape the skin over it using a Vertical lift in most cases.

Steven Wallach, MD
Steven Wallach, MD
New York Plastic Surgeon
30 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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