What is a Breast Lift?

A Mastopexy, better known as a breast lift, is a cosmetic surgery procedure that helps raise a woman’s breast. By removing excess skin, the procedure helps to reduce sagging and drooping of the breasts. Removing the excess skin tightens the remaining skin around the tissue and works to support your newly formed breasts. Many women who are satisfied with the size of their breasts but are unhappy with their breast profile are choosing to have their breasts surgically lifted to achieve a more uplifted look.

In fact, since the year 2000, breast lift surgery has grown over 70% according to the American Society of Plastic Surgeons. Breast lift surgery not only corrects sagging but, if necessary, can reduce the size of the areola which often becomes enlarged over time. Patients undergoing breast reduction will also have a breast lift as part of the procedure. Dr. Birely understands the importance of having a youthful and vibrant appearance. These factors, among many, can improve one's quality of life substantially.

What are the benefits of breast lift surgery?

Breast lift surgery provides rejuvenated, lifted and aesthetic breasts for women who have experienced sagging, low positioned, or deflated breasts. This procedure has many benefits:

  • More youthful-looking, perky breasts
  • Improved confidence
  • Enhanced breast shape and contour 
  • Better cleavage
  • Breasts sit higher on the chest
  • Lifted, upward turning nipples
  • No more chafing under the breasts
  • A better, more attractive fit in clothing
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Am I a Good Candidate for a Breast Lift?

Many women opt for a breast lift after they have lost the ‘perkiness’ that they once possessed. This loss, the loss of skin elasticity and natural uplift, can be caused by many factors. Candidates typically notice their breasts experiencing lows and sagging from things such as breastfeeding, gravity, heredity, and weight loss. Women, desiring to reverse these effects may benefit from a procedure.

Unlike a breast augmentation, however, breast lift surgery will not significantly change the size of your breasts. A breast augmentation is more appropriate if significant size and shape changes are desired. Scheduling a consultation with Dr. Birely can further determine if a breast lift can create the solutions you hope for.

Will There be Visible Scars From Breast Lift Surgery?

Anytime there is an incision, there will be a scar. The true test of the skill of a plastic surgeon is in the planning and placement of the incisions and how thin the resulting scar will be. Dr. Birely is a board certified plastic surgeon with thousands of procedures to his credit. His goal is always on the best aesthetic outcome that is possible with particular focus on the resulting scar.

The placement of incisions can be discussed during your preoperative consultations. Incisions will need to be planned according to your particular anatomy and will always be done as minimally as possible.

Impeccable Surgical Technique with Exquisite Outcomes

Dr. Birely has a reputation for being a perfectionist – a highly desirable trait for a cosmetic surgeon. He provides breast lift surgery in the Baltimore area with natural-looking results, due to his ability to place incisions where they are less likely to be noticed. His closing technique is meticulous, designed to reduce tension and trauma to the incision while it is healing. This is a key factor for clean healing which results in scars that are virtually invisible once they are completely healed.

If you are concerned about scarring due to your particular response to healing, discuss this with Dr. Birely. There are many techniques and post operative scar therapies available for those who may have had poor scarring outcomes in the past.

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View Our Breast List Before & After Gallery

In most cases, the surest testament to a surgeon’s skill is the visual result. Within our gallery, you’ll find many such testaments, allowing you to further decide if Dr. Birely is the right choice for you for breast lift surgery in Baltimore, Maryland.

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What can I expect from my breast lift consultation with Dr. Birely?

Before breast lift surgery in Baltimore, a consultation with Dr. Birely can determine what techniques may be best for your desired results. Each breast lift is catered to each patient’s needs. The areas considered for your procedure will include:

  • Your current breast size and shape
  • Where your areolas are positioned on your chest
  • The degree of lift desired
  • Skin elasticity and sagging

Although the technique will be individual to each woman’s needs, you can expect specific steps to every breast lift procedure. First, Dr. Birely will administer either a sedative or anesthesia to perform your surgery. Once you are sleeping, an incision will be made either around the areola, vertically away from the areola, or horizontally along the breast crease. Your breasts will be reshaped and firmed; your areolas moved to a more perky height. Skin may be removed to reduce sagging. Finally, Dr. Birely will place sutures or skin adhesives to preserve your new look.

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Which Incision is Right for Me?

A traditional incision pattern is used to address larger amounts of “droopy” excess skin.

Alternatively, the vertical incision can be used for those who have some sagging skin but are not interested in breast implants.

Women with mild to moderate skin laxity may achieve beautiful results in a breast lift with a peri-areolar incision. Dr. Birely works closely with each patient during the initial consultation to determine the best approach based on your desired outcome and individual condition.

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Types of Incisions For Breast Lift

There are many different techniques used for a breast lift procedure based on the amount of excess skin you have, among other factors. The most common incisions include:

Traditional or anchor incision

A three-part incision. It goes around the areola, down to the breast crease, and along the breast crease.

Vertical or keyhole incision

Placed around the areola and then vertically down to the breast crease.

Peri-areolar incision

Simply goes around the areola without additional incisions.

There are other incision patterns that may be used in certain cases based on the degree of excess skin and whether you desire breast implants in combination with your breast lift.

What Can I Expect After a Breast Lift Procedure?

After your procedure, you will be wearing supportive dressings, bandages, and garments for healing. In order to drain unwanted fluids, a drain tube may be kept near your incisions. Dr. Birely will give also you specific instructions for your post procedure care. These instructions may include:

  • Caring for your breasts after surgery
  • Taking or applying medications
  • Looking for signs indicating infection or risks
  • Avoiding potentially harmful activities
  • Checking in with Dr. Birely for a follow up appointment

Recovery time for most breast lift Baltimore patients may include feelings of tenderness or general discomfort. Some bruising or numbness may also occur during healing. Most after effects of your procedures will subside within a few weeks after the surgery day. Your full results, lifted and perky breasts, should reach completion within a few months. If you have any further questions about your breast lift recovery, Dr. Birely can answer them during your initial consultation.

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Breast Lift FAQS

Dr. Brent Birely performs breast lift procedures in Baltimore to lift and firm the breasts for a perkier, plumper, more youthful bust. Read our answers to some of the frequently asked questions about breast lift surgery:

What Causes Sagging Breasts?

Can Exercise Lift And Tighten The Breasts?

How Can I Tell If I Need A Breast Lift?

Is It Possible To Breast Feed After Breast Lift Surgery?

How Much Does A Breast Lift Cost?

Can I Get Implants At The Same Time As My Breast Lift?

What Kind Of Breast Implants Should I Get?

How Long Will My Breast Lift Last?

How Can I Preserve The Results Of My Breast Lift?

How Do I Prepare For My Breast Lift Procedure?

What Causes Sagging Breasts?

High, perky breasts are a sign of youth, but time and certain life factors can take their toll. Breast ptosis (sagging) has a number of possible causes, including:

  • Aging: The skin of the breasts and the supporting structure of the ligaments lose elasticity and become stretched as women grow older.
  • Pregnancy: During pregnancy, increased hormone levels cause the breasts to increase in volume, often by one or two cup sizes. After childbirth and breastfeeding, the breasts may have a flattened, stretched out, droopy appearance.
  • Significant weight loss: Overall weight loss means loss of fat volume in the breasts, as well as the rest of the body. This can result in loose skin and saggy breast tissue.
  • Vigorous exercise without proper support: Jogging, running, or exercising vigorously without a properly fitted sports bra allows the breasts to move too freely, stretching the skin and supporting ligaments, causing the breasts to sag.

Can Exercise Lift And Tighten The Breasts?

Exercise can build up the muscles surrounding the breasts, which can make them appear somewhat firmer and tighter. However, exercise alone cannot tighten a loose chest and breast skin or lift the breasts to a higher position on the chest. These cosmetic goals can only be accomplished with surgery.

How Can I Tell If I Need A Breast Lift?

The best way to determine if you need a breast lift in Baltimore is to consult with our board-certified plastic surgeon. However, a simple pencil test reveals the degree of sagging, or ptosis in medical terminology.

Lift your breast with one hand, place a pencil horizontally in the natural crease under the breast, and then release both the breast and the pencil. If the pencil falls away, there is no ptosis. If the breast holds the pencil in place, your breasts have begun to sag.

The position of the nipple in relation to the pencil can give you an idea of the degree of sagging. If the nipple is level with the pencil, it may indicate grade I ptosis. If the nipple is below the pencil, you may have grade II ptosis of the breast.

Is It Possible To Breast Feed After Breast Lift Surgery?

Any breast surgery could potentially impact a woman’s ability to breastfeed in the future. A breast lift procedure could be more likely to affect your ability to breastfeed than breast augmentation with implants.

Each pregnancy leads to changes in the breasts. If you are planning to have more children in the future, it may be advisable to delay breast lift surgery to several months after completing breastfeeding.

How Much Does A Breast Lift Cost?

A breast lift can cost in the range of $4,000 to $6,000, but the cost can vary widely based on many factors, including:

  • Incision pattern
  • Degree of excess skin
  • Any complimentary procedures like breast implants
  • Surgeons fees, anesthesia, and any facility costs

Our board-certified plastic surgeon will give you a better idea of specific costs during your initial consultation.

Can I Get Implants At The Same Time As My Breast Lift?

Sometimes a breast lift alone is enough to provide youthful, full breasts and implants are not necessary. However, some women simply aren’t happy with what nature gave them, or increasing their breast size would flatter their frame. Breast implants may be beneficial in situations where you want to increase your breast size by one or more cup sizes in conjunction with a lift.

What Kind Of Breast Implants Should I Get?

Silicone and saline breast implants are available. Silicone implants can feel more like natural breast tissue and do not deflate in the event of a rupture. Saline implants are more cost-effective and feel slightly less natural but require a smaller incision as they are filled after placement. If ruptured, the harmless saline solution is released, and the implant deflates. These situations are rare, however. Dr. Birely will work with you to determine the ideal breast implants based on your desired size, feel, and your budget.

How Long Will My Breast Lift Last?

A breast lift does not stop the aging process, but it can keep you looking younger, longer. You can enjoy the results of your breast lift for many years with proper care. Many factors can impact how long your breast lift will last, including genetics, skincare routine, level of skin elasticity, sun exposure, weight fluctuations, and others.

How Can I Preserve The Results Of My Breast Lift?

There are certain things you can do to help your results last longer. We recommend taking care of your skin with a moisturizer and sunscreen. Wear proper support, particularly during exercise or other strenuous activities. Perhaps most importantly, avoid large fluctuations in weight by maintaining a healthy lifestyle.

How Do I Prepare For My Breast Lift Procedure?

First, be honest with Dr. Birely during your consultation about your medical history, cosmetic goals, and be open with your questions or concerns. He will let you know if you need to alter any medications you are taking, schedule a mammogram, or other actions to prepare you for surgery. Follow all instructions carefully to reduce your risk for complications and promote fast healing.


Dr. Brent Birely is a board-certified plastic surgeon with offices in Lutherville and Bel Air, serving patients from Baltimore, Towson, Columbia, Westminster, and other Maryland cities. He is a very well regarded leader in cosmetic surgery and patient safety, and specializes in procedures including breast augmentation, tummy tuck, mommy makeover, facelift, and body lifting procedures after weight loss.

*The content/images on this website are not a guarantee of individual results. Individual results may vary. The information provided on this site is for general informational purposes only and does not replace the need for a formal consultation with a plastic and reconstructive surgeon before undergoing a surgical procedure or skin care treatment.

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