Exemplar - Bilateral mastopexy

Why this procedure is performed

Bilateral mastopexy is most commonly considered when the position and shape of the breasts have changed — typically after pregnancy and breastfeeding, after significant weight loss, or with age. The breast tissue and skin lose elasticity, and the nipple can sit lower than feels comfortable to the patient.

It is a procedure about shape and position, not size. People sometimes confuse it with breast reduction or augmentation, which are different operations addressing different concerns.

What the operation involves

Under general anaesthetic, the surgeon makes incisions in a planned pattern (typically anchor or lollipop-shaped), removes excess skin, repositions the breast tissue and the nipple-areola complex to a higher position, and closes the incisions in layers. The procedure usually takes two to three hours, and most patients go home the same day or after one night.

What to expect afterwards

Bruising and swelling are normal for two to three weeks. The final shape takes three to six months to settle as the tissues relax and the scars mature. A supportive bra is worn continuously for around six weeks, including overnight.

When to call your team

Contact your surgical team or NHS 111 if you experience increasing pain that is not controlled by your prescribed pain relief, sudden swelling, fever, redness spreading from the wound, or any concerns about the wound itself.

Who this page is for

This page is general information to help you prepare for a conversation with your surgeon. It does not replace that conversation. Every patient is different, and your surgeon will discuss what is appropriate for your specific situation, anatomy, and goals.

Frequently asked questions

What is bilateral mastopexy?

A breast lift on both sides. The surgeon repositions the breast tissue and the nipple to a higher position, and removes any excess skin. It does not change the size of the breast significantly — for that you would also need an augmentation (implant) or reduction.

How long does the operation take?

Usually two to three hours under general anaesthetic. You will normally go home the same day or after one night in hospital.

What scars can I expect?

There is no scar-free breast lift. The most common pattern is an 'anchor' shape: around the nipple, vertically down to the breast crease, and along the crease itself. A 'lollipop' pattern (without the horizontal element) is sometimes possible. Scars fade significantly over twelve to eighteen months but never disappear entirely.

What are the main risks?

All surgery carries risks of bleeding, infection, and reaction to the anaesthetic. Specific to mastopexy: changes in nipple sensation (sometimes permanent), asymmetry between the two sides, problems with wound healing, and the small possibility of needing further surgery to correct the result.

How long is the recovery?

Most people take one to two weeks off work and avoid driving for that period. A supportive bra is usually worn day and night for around six weeks. Strenuous exercise — running, weights, anything that bounces or strains the chest — is avoided for four to six weeks. The final shape settles over three to six months.

What are the alternatives?

Doing nothing is always an option. A well-fitted supportive bra can improve appearance without surgery. If your concern is volume rather than shape, an augmentation alone may be appropriate. If your concern is size and weight rather than position, a reduction may be more suitable. Your surgeon will help you think through which problem you are actually trying to solve.

Will the result last forever?

No surgical result is permanent. The breasts will continue to change with time, weight fluctuation, pregnancy, and gravity. Some people choose to have revision surgery years later. Stable weight and good support help the result last longer.