Over time, pregnancy, breastfeeding, weight fluctuations, aging, and gravity can cause the breasts to lose their youthful shape and firmness. A breast lift (mastopexy) is designed to elevate and reshape the breasts by removing excess skin, repositioning the nipple and areola, and creating a firmer, more youthful contour without significantly changing breast size. Board-certified plastic surgeon Dr. Ali Totonchi specializes in personalized breast lift procedures that restore natural-looking breast shape while enhancing balance and proportion. Whether performed alone or combined with breast augmentation to restore lost volume, every treatment plan is customized to help you achieve beautiful, long-lasting results that complement your body and aesthetic goals.
Real Dr. Totonchi Patient, Before & After Breast Lift*
If your feel your breasts have flattened, sagged, lost shape and volume, or your nipples and areola point downward, you may consider breast lift surgery. Women’s breasts mature over time and lose their firmness and youthful contour. The breast lift or mastopexy procedure raises the breasts by removing excess tissue, and then reshaping and supporting the breast, which restores a youthful, uplifted appearance. A breast lift does not change the size of the breasts, it just lifts and supports the breast tissue that is present. If you have large or elongated areolas, which is the darkened tissue surrounding the nipple, they can be reduced at the time of your breast lift.
Breast lift surgery can benefit many women who feel insecure about their breasts by boosting their self-esteem and making them feel more comfortable with their bodies. Candidates for breast lifts include women who:
• Have flat or sagging breasts
• Want to restore their breast shape after pregnancy
• Have nipples that point downward
• Want to enhance their breasts after significant weight loss
Dr. Totonchi can perform breast lift using one of a few different surgical techniques. His incision placement typically depends on the size of the breasts and the extent of the sagging.
Lollipop Lift: Dr. Totonchi makes a round incision around the perimeter of the areola, as well as a vertical line from the bottom of the areola down to the lower breast crease. This is the approach that Dr. Totonchi utilizes most often.
Anchor Lift: This technique begins with a lollipop incision and then adds a horizontal incision across the lower breast crease. Dr. Totonchi suggests this approach for the most advanced cases of breast ptosis.
Donut Lift: Also known as a Benelli lift, this technique is less invasive because its primary objective is to reposition the areola, while tightening a small amount of breast skin.
Crescent Lift: This is the least invasive approach because the incision is placed along the top portion of the areola only. Accordingly, Dr. Totonchi uses it only to address very early signs of breast sagging.
Breast lift surgery is typically completed in two to three hours. Patients receive anesthesia prior to the surgery to keep them comfortable throughout this procedure. This is an outpatient procedure, which means that patients return home to rest and recover on the same day as their surgery.
The results of the breast lift procedure are visible immediately. The final breast result will continue to improve over 3 months, as the breast shape and position form. You will have an incision around the areola, a linear incision vertically on the inferior portion of the breast, and a horizontal linear scar near the breast crease. The incisions heal within 7-10 days. Scars will continue to mature for a full year after your breast surgery. Once your incisions heal, scar massage, moisturizing creams and silicone sheeting strips help to minimize the appearance of the scars. Be aware that your breasts will continue to change over time as your breasts age and mature.
You will be given a prescription for pain medication. Pain is variable from patient to patient. The maximum pain will be in the first 48-72 hours. Most people tolerate breast lift surgery well and feel good 5-7 days post op, and return to work after the first week. Wearing a good support bra/sports bra post op is important. You may return to your regular exercise routine 6-8 weeks after surgery. Instructions about post-operative care are provided to each patient and can also be printed from Dr. Totonchi’s website.
If you desire volume to your breasts, you may consider a breast lift combined with breast augmentation. Breast augmentation can either be done at the same time as your breast lift, or staged, depending on surgeon preference. Details on breast augmentation can be found on the web home page. Breast lift surgery alone or in combination with an augmentation is highly individualized, and Dr. Totonchi can assist you in determining which procedure is right for you. Breast surgery should not be considered until child bearing is complete. Significant weight loss or weight gain after breast surgery can negatively impact the final result achieved.
A breast lift can restore youthful breast position, improve body proportions, and help you feel more confident in and out of your clothing. Whether your concerns stem from pregnancy, weight loss, aging, or genetics, Dr. Ali Totonchi combines advanced surgical techniques with an artistic approach to create elegant, natural-looking results tailored to your unique anatomy. His goal is to deliver a refreshed appearance that enhances your figure while preserving your natural beauty.
During your private consultation, Dr. Totonchi will carefully evaluate your concerns, discuss your desired outcome, and determine whether a breast lift alone or a breast lift combined with breast augmentation is the best approach to help you achieve your goals. Every surgical plan is thoughtfully customized to provide results that are balanced, long-lasting, and uniquely yours.
Take the first step toward restoring a more youthful, lifted silhouette. Contact Totonchi Plastic Surgery today at (216) 778-2262 for our Cleveland and Westlake locations or (440) 461-7999 for our Lyndhurst location to schedule your personalized breast lift consultation.
