Will breast lift reduce size?

Hi @Jennabay, thanks for your question. You can achieve great results by raising the base and improving the overall proportion. This will create overall harmony. The lift can be performed through an L-shaped incision scar instead of an anchor. This allows me to reposition your own breast tissue and improve the projection of the upper pole and medial areas without losing volume. A consultation is vital to establish a surgical plan that meets your needs, meets your expectations and takes into account what is possible. Best regards.

Alan Gonzalez MD, FACS. Member of the American Society of Plastic Surgery (ASPS), Member of the International Federation for Adipose Therapeutics and Science” (IFATS), Member of the American Society of Plastic Surgery (ASPS), Member of the Colombian Society of Plastic Surgery (SCCP).

Hello Jennabay,

Thank you for reaching out with your question about whether a breast lift will reduce your breast size, especially when considering an autologous breast augmentation with a lift.

In general, a breast lift (mastopexy) is designed to elevate and reshape sagging breasts, giving them a firmer and more youthful appearance. This procedure typically involves removing excess skin and repositioning the nipple and areola. While a breast lift can slightly reduce breast volume due to the removal of skin, it doesn’t significantly decrease breast size in most cases.

The autologous breast augmentation technique you mentioned involves using your own tissue, usually fat transferred from another part of your body, to add volume to the breasts. This can enhance fullness, especially in the upper part of the breasts, without the need for implants. It's a great option if you're happy with your current size but are looking to improve breast shape and fullness.

The difference in opinions you received from the two doctors might be based on their different techniques and experiences. It's important to remember that each surgical approach and patient's body is unique, so outcomes can vary.

If you're concerned about losing a whole cup size, it’s crucial to communicate this clearly to your surgeon. Discuss your goals, concerns about areola size, and the desire to maintain your current cup size. A skilled surgeon can tailor the procedure to meet your specific needs and expectations, and might combine different techniques to achieve the desired result without significant size reduction.

Remember, choosing a board-certified plastic surgeon experienced in breast lift and autologous augmentation is key to getting the outcome you desire.

If you have any more questions or need further clarification, feel free to reach out.

Sincerely,
Dr. Katzen

Hi, thank you for sharing your question. Generally, a breast lift would not reduce the volume of your breasts. Photos are always helpful to provide better advice.

HI-The opinions of both surgeons are in my opinion correct. If you undergo a breast lift with autologous augmentation you should not lose volume in the breast as it is preserving the volume you currently have. On the other hand, if you undergo a breast lift without autologous augmentation by default you will lose some breast volume which will decrease the overall size of your breast. For your particular needs, I suggest you undergo a breast lift with autologous augmentation as that will achieve the most preservation of volume and size. Best of luck with your breast lift surgery, I hope your results are magnificent.
Dr. Rodriguez

Dear Jennabay,
breast lift shouldn't cause reduction in breast size. My preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Upper pole fullness is elusive, and auto-augmentation with fatty tissue flaps or fat grafting make only a minimal difference. Breast implants are safe, effective at giving what most women want, and are very durable. Breast lifting only requires a small amount of tissue and skin to be removed. Changes in cup size are less to do with volume loss than shape change (more breast tissue up on the chest wall and not down filling the cup of the bra).

Unfortunately, you have not provided photographs or told us your bra size. However, the technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Cuando realizamos el levantamiento mamario con tu propio tejido si reduce tu tamaño, puedes reducir entre 1 y 2 tallas, depende de cada paciente. Si deseas conservar la misma talla, te recomiendo un implante pequeño, ubicado detras del musculo acompañado de mi tecnica de cuñas que centralice y proyecte tus senos. Es importante evaluarte para conocer bien tu caso, ya que cada paciente es completamente diferente

A breast lift, or mastopexy, primarily addresses sagging and reshapes the breast, but it doesn’t significantly change the size. If you’re considering a breast lift, it’s best to consult with a skilled plastic surgeon to discuss your specific goals and options.

With a breast lift, breast tissue is not removed, but excess skin is. If you have a lot of excess skin, you may be smaller after a lift.