A breast lift procedure, or a mastopexy, raises and firms the breasts by removing excess skin and tightening the surrounding tissue for more youthful, naturally-shaped breasts. Incisions are placed around the nipple and may extend from the nipple to the inframammary crease, which is the place where the breast meets the chest.

At your consultation, Dr. DiFrancesco will help you determine if an implant is necessary to achieve your desired look.

What is a Breast Lift?

Would you like to regain those perky, full, youthful breasts? Then Mastopexy or Breast lift may be for you. If your breasts have begun sagging, are uneven, have decreased in volume, or if you have stretched areolas or droopy nipples you should consider a breast lift/ mastopexy. As we age, our breasts sag. This could be from several different causes such as pregnancy, breast feeding, weight loss or gain, normal aging, and heredity. Mastopexy or Breast lift surgery may include a breast augmentation to add volume or upper pole fullness.

Candidates for Breast lift/ Mastopexy

If you are unhappy with the appearance of your breasts, or your breasts are asymmetric, then you should consider breast lift surgery. Are your breasts pendulous but adequate size, or do your breasts lack firmness and are relatively small? Do you have a nipple or areola which points downward below the breast? Do you have breasts which are not equal in size or shape? Have you finished with child birth and breastfeeding? If yes is your answer to these questions, you might be a good candidate for the breast lift.

At the same time, your surgeon may recommend the addition of a breast implant to help with volume issues or a breast reduction for pendulous breasts. A breast lift in patients who are large-breasted will not last as long as a smaller breasted woman due to the greater effects of gravity on large breasts. Women should be finished with child bearing and breastfeeding, as pregnancy tends to stretch the breast tissue and skin reversing the surgical result.


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Types of Mastopexy or Breast lift

There are different techniques for a breast lift procedure with both surgical and non-surgical options available. The breast lift or mastopexy procedure is typically performed under general anesthesia, but local anesthesia with IV sedation is available for smaller procedures. The size and type of incision will depend on the mastopexy or breast lift procedure which Dr. DiFrancesco will discuss with you during your consultation. The factors influencing your breast lift procedure are the breast shape and size, the nipple areola shape, size and position, the degree of breast sagging, skin quality, and degree of laxity.

Scarless Breast Lift or Mastopexy

The latest most technologically advanced technique for a minimal breast lift or mastopexy is the use of thermi for skin tightening. Thermi can be done under local anesthesia in the office with minimal downtime. The incision is small and hidden in the areola to avoid a visible scar. Recovery is quick with mild bruising and swelling. Most patients can return to work the next day and return to full activity including the gym within 2 weeks.

Crescent Breast Lift or Mastopexy

This breast lift or mastopexy uses a small crescent incision along the upper edge of the areola and removes a crescent shaped piece of skin for a small breast lift. The crescent breast lift is primarily used in patients who have a small amount of breast ptosis or loss of breast volume. A crescent breast lift may be performed alone or with breast augmentation to enhance the breast lift.

Donut or Peri Areolar Breast Lift

This breast lift uses an incision circumferentially around the areola for mild to moderate ptosis. It is commonly used to reduce the size of the areola and to place breast implants through the peri areolar incision. The peri areolar incision avoids having a visible scar on the breast skin.

Lollipop or Vertical Breast Lift

The lollipop breast lift extends the peri areolar incision vertically down from the areola to the breast crease. Patients with moderately drooping breasts or who may not want a breast implant might choose this breast lift for the best results. However, a vertical breast lift may be used in patients with breast implants to create more upper pole fullness.

Anchor or Wise Pattern Breast Lift

The anchor breast lift is used in patients with the most severe breast ptosis, most commonly after pregnancy and breastfeeding or after massive weight loss. The incision extends around the areolar, vertically down from the areola to the breast crease and across the breast crease. Patients may elect to add an implant for volume and upper pole fullness. Others may choose to have a breast reduction.

Breast lift With Breast Augmentation

Breast augmentation may be performed with autologous fat grafting or with a breast implant. The implant not only adds volume to the breast, but will help shape the breast into a more youthful appearance. Saline, silicone, or anatomical shaped silicone implants may be used in conjunction with a breast lift.

Breast Lift After Massive Weight Loss

Most patients, after losing weight, have sagging breast with loose skin that will extend around the bra line on to the back. Our massive weight loss patients will often need an extended anchor breast lift to address extra skin limited to the axilla or a breast lift combined with an upper body lift to address extra skin extending around to the back. A breast implant is usually required to restore the volume lost in the breast after the weight loss. The breast lift and upper body lift may be performed alone or in conjunction with another massive weight loss procedure such as an arm lift, body lift, or thigh lift. These patients will often elect to stay overnight to facilitate their recovery. The scars will depend on the amount of loose skin needing to be removed during surgery. Most patient will be fully recovered in 6 weeks after surgery.


Having sagging, low breasts can be discouraging and lead you to feel self-conscious. The best way to achieve your goals is with the help of a double board certified plastic surgeon with experience in achieving excellent breast surgery results. To get started, contact our Atlanta office by calling or filling out our online form. Dr. DiFrancesco can begin planning your customized breast lift during a private consultation.

How can I get a bigger butt fast?

The best way to get a dramatic change to your buttock is with fat transfer to the buttock.

Are buttock injections permanent?

Fat transfer to the buttock is permanent. If you donu2019t have enough of your own fat we can use sculptra. Sculptra is an off label use to enhance your buttock. It typically lasts 2 years.

How much does butt injections cost?

Sculptra injections run on average $6,000.

What is the recovery time for fat transfer to buttocks?

Most patients are back to everyday activities in a week or two. You can return to working out and full activity

Are you put to sleep for liposuction?

Liposuction can be performed under general anesthesia and you are put to sleep. However, for small areas of liposuction,many patients may only need local anesthesia.

Can I get liposuction if I am overweight?

Liposuction is a procedure that can remove unwanted fat from and area that has been resistant to diet and exercise

Can visceral fat be removed?

Liposuction can't remove visceral fat or internal fat. Liposuction will permanently remove fat that is subcutaneous or fat you can pinch under your skin.

Does a tummy tuck remove fat?

A tummy tuck removes extra skin and fat. It is often combined liposuction to improve the contour of your abdomen and waist area.

Does fat come back after lipo?

No once the fat cells are removed by liposuction they are gone permanently

Does liposuction get rid of cellulite?

Liposuction removes fat and may or may not improve cellulite. However, Cellfina will improve cellulite and has a 5 year FDA approval for cellulite reduction.

Does liposuction really work?

Yes liposuction really works. The fat removal is permanent.

How can I avoid weight gain after surgery?

Diet and exercise are the best way to maintain your results after liposuction.

How can I lose tummy fat fast?

Liposuction will remove tummy fat with results seen immediately

How can I reduce my stomach fat?

Yes liposuction is the perfect want to remove unwanted fat resistant to diet and exercise.

How do I prepare for liposuction?

You will need to eat a healthy diet, exercise and stop any NSAIDS or aspirin products.

How do you shower after liposuction?

You may shower normally the day after your procedure

How does fat transfer work?

Fat transfer is commonly used in the buttock and breast. Liposuction is used to remove the fat from the donor sites. The fat is processed in a closed system and injected into the breast or buttock.

How does Lipo work?

Liposuction permanently removes the fat cell through a hollow cannula or tube. It can contour your body and remove pockets of fat resistant to diet and exercise.

How long do you drain after lipo?

Most patient experience minimal drainage for 1-2 days after surgery

How long do you need off work after liposuction?

Many patients can return to work and a day or 2. You should expect to have more bruising, swelling, and discomfort for each additional area or procedure.

How much does it cost to get liposuction on your stomach?

Pricing varies depending on number of areas and the time your procedure takes. At your consultation you will be given an estimate of costs for your procedure.

How much does liposuction cost without insurance?

Insurance does not cover liposuction.

How much fat can lipo remove?

A total of 5 liter of fat can be removed during a single outpatient procedure safely. If you have several areas of liposuction which exceed the 5 liters, you can stage the procedure over several days.

How painful is liposuction recovery?

Most patient experience minimal discomfort described as soreness but not pain. Patients typically resume normal everyday activities the next day. Walking is healthy and encouraged with patients returning to full exercise in 2 weeks.

Is it easier to lose weight after liposuction?

Liposuction will not directly impact your ability to lose weight. A healthy diet is the best method for losing weight

Is Lipo permanent?

Liposuction permanently removes the fat cell through a hollow cannula or tube. It can contour your body and remove pockets of fat resistant to diet and exercise.

Is liposuction an outpatient procedure?

Liposuction can be safely performed as an outpatient procedure. This means you will be able to have your procedure and go home the same day.

What is AirSculpt Lipo?

Airsculpt is a type of liposuction which uses a cannula vibrating at a high rate of speed.

What is ultrasonic liposuction?

Ultrasonic liposuction uses ultrasound to break up fat cell making it easier to remove the fat. It has lost its popularity due to a higher complication rate and new technologies which do the same and are safer.

Can underarm fat be removed?

Yes underarm fat is removed with liposuction

Do arm lift scars fade?

Arm lift scar can be viisible but they do tend to fade over time. It can take up to a year for the final appearance

Do waist trainers tighten loose skin?

No waist trainers do not help with loose skin.

Does arm lift leave a scar?

There is a scar after an arm lift. The scar can vary from a smaller scar in the armpit to a longer scar extending down to the elbow. The type or length of the scar depends on the amount of loose skin under your arm.

Does arm lipo hurt?

Patients note their arms are very sore after liposuction similar to a hard work out.

Does insurance pay for arm lift?

No insurance does not pay for an arm lift or liposuction of the arm.

Does Medicare pay for Brachioplasty?

No Medicare does not pay for an arm lift or liposuction of the arm.

How long after Brachioplasty Can I exercise?

Patients may resume exercise approximately 6 weeks after their procedure. You should listen to your body and start off slow working up to your pre procedure routine.

Does a lower body lift include thighs?

A lower body lift does include a lateral thigh lift.

Does insurance cover lower body lift?

No insurance does not cover a lower body lift

How do they remove excess skin after weight loss?

Extra skin after massive weight lose around the lower abdomen, waist and lower back can be corrected with a lower body lift.

What does a lower body lift consist of?

A lower body lift includes removal of excess skin circumferentially around the lower abdomen and back. It often includes a tummy tuck and buttock lift/ augmentation

What is a circumferential body lift?

A circumferential body lift is popular after massive weight loss to remove extra skin along the stomach, sides and lower back.

What is included in a body lift?

A body lift would include circumferential skin excision and may include liposuction, tummy tuck, and buttock augmentation.

What is the recovery time for a body lift?

The recovery time for a body lift is typically 4-6 weeks. We encourage walking early on because walking is healthy and can prevent blood clots in your legs. Most people return to normal daily activities in 1-2 weeks

Can a tummy tuck be considered medically necessary?

Insurance does not cover a tummy tuck.

How do you prepare for a mommy makeover?

The best way to prepare for a mommy makeover is with a healthy diet and exercise

What is all included in a Mommy Makeover?

A mommy makeover typically includes a tummy tuck, liposuction, and a breast lift and/or implants

Can I walk after tummy tuck?

Yes. Walking is healthy and we encourage our patients to walk several times a day for short distances during their recovery.

Can you get a tummy tuck if youre obese?

Tummy tucks can safely be performed in patients with a BMI < 35. In high BMI patients, wound healing problems and infection are more prevalent

Can you get pregnant after tummy tuck?

Sutures are placed internally to tighten to fascia and muscles which will help flatten your stomach and create an hourglass figure. Pregnancy is not recommended after a tummy tuck.

Can you lose weight after tummy tuck?

Yes, a tummy tuck will not interfere with your ability to lose weight.

Do men get tummy tuck?

Yes, men can be good candidates for tummy tuck especially after massive weight lose.

Does a tummy tuck tighten muscles?

After pregnancy or massive weight loss, muscles and fascia become stretched , a tummy tuck uses internal sutures to recreate a flatter more contoured look to your stomach.

How can I lose my stomach fat?

Diet and exercise is the best way to lose stomach fat.

How do I prepare for a tummy tuck?

The best way to prepare for a tummy tuck is with a healthy diet and exercise

How long do you wear a binder after surgery?

Typically, we recommend you wear a compression garment for 6 weeks after surgery.

How long does it take to lose weight after a tummy tuck?

Tummy tuck is a body contouring procedure which flattens your stomach and improves your waist. You may notice minimal weight lose svereal weeks after the procedure when the swelling has resolved.

How much weight can you lose having a tummy tuck?

A tummy tuck is not a weight lose procedure, It removes extra skin and tightens your muscle to make a flatter more contoured abdomen.

What do you eat after tummy tuck?

After a tummy tuck you should resume a normal healthy diet.

What is the best girdle to wear after a tummy tuck?

After your tummy tuck we will provide you with a compression garment.

When can I start working out after tummy tuck?

We encourage walking early after surgery as an important part of your healing process.Most patients resume exercise at 6 weeks, starting slowly and working up to their pre surgery routine.

Are buttock injections permanent?

Approximately 60 - 70% of fat survives the transfer and that fat is permanent

Can fat transfer be removed?

Although it is uncommon fat placed during a fat transfer to the buttocks can be removed with liposuction.

Can you freeze your fat off at home?

No I would not recommend freezing your fat off at home. It could be dangerous and may leave you permanently injuries or scarred.

Can you transfer fat to your breasts?

Yes, fat transfer to the breasts is becoming more popular as a natural breast augmentation for patients who do not want implants.

Does fat grafting leave scars?

An access point is needed to inject the fat under the skin for fat grafting. The small scar from the access point usually fades over time.

How common are buttock implants?

Buttock implants are not very common. Buttock implants have a higher complication rate and don't feels natural like fat.

How long do butt injections last?

Butt injection are an off label use of injectable and usually last 2 years.

How long does Brazilian butt lift last?

BBl fat transfer to the buttocks is permanent

Is Brazilian buttock lift permanent?

Yes. In a BBL fat is transferred to your buttocks with approximately 60-70% of the fat cells survive the transfer. These fat cells remain permanently.

What is the BBL?

Brazilian Butt Lift- it describes fat transfer to the buttock to enhance shape and size.

When can I sit after bbl?

Yes you can sit after a BBL but it must be on a BBL pillow. I recommend you sit on the BBL pillow for 6 weeks after your fat transfer. This will help the healing process and allow the maximum number of fat cells to survive the fat transfer.

Which is the most dangerous site for intramuscular injection?

Intramuscular fat injections are dangerous and can cause fat embolism. Fat injections should be limited to the subcutaneous layer.

Can you get lipo on your inner thighs?

Yes the inner thighs are a very common area of stubborn fat which will contour well after liposuction.

Does insurance cover skin removal after weight loss?

No insurance does not cover thigh lift

How can I reduce my thigh fat?

Diet and exercise are the best way to remove and keep off unwanted fat. However, some areas are resistent to diet and exercise and liposuction will reove this stubborn fat.

Does running get rid of cellulite?

No running does not get rid of cellulite. Cellfina is an FDA approved procedure to improve cellulite

How do you prepare for a thigh lift?

The best preparation is a healthy diet and exercise

How long is recovery from a thigh lift?

Patients are up walking immediately after their procedure. Walking is healthy and good for your recovery. Typically in 1-2 weeks you resume normal everyday activities. BY 4-6 weeks patient resume full activity including returning to the gym

How much does vaginal rejuvenation cost?

Vaginal rejuvenation may include the addition or removal of fat the the labia majora. Labiaplasty or reduction of the labia minora and clitoral hood.

What is labial rejuvenation?

Labiaplasty includes reduction of the labia minora and/or clitoral hood reduction.

What can be used to tighten the Virgina?

ThermiVA uses radiofrequency energy to tighten the vagina. It can help with urinary incontinence and vaginal lubrication. It is an in office procedure done in 30 minutes with a series of 3 treatments performed 4 weeks apart.

Are breast implants under warranty?

Yes. Some manufactures do offer a warranty. For the latest information on breast implant warranties in Atlanta please call our office.

Can breast implants cause pain years later?

If you are experiencing pain years after your breast implant procedure it could be from implant rupture or scar tissue forming around the implant. You should follow up with a plastic surgeon for evaluation as soon as possible

Can breast implants last 30 years?

Yes, fat transfer to the breasts is becoming more common. Small volumes of fat may be transferring to the breast to increase the breast one cup size, correct small asymmetry or add more cleavage medially.

Can you breast feed after breast augmentation

Breast augmentation will not stop your ability to breastfeed.

Do breast implants cause autoimmune disease?

There has not been a study to show a connection with autoimmune disease and breast implants

Do breasts sag after breast augmentation?

Breast augmentation will give your breasts a small lift.

Do you have to replace breast implants every 10 years?

Breast implants typically last approximately 20 years. The earlier generation implants lasted 10 years on average.

Does getting breast implants make you gain weight?

You should not see a significant change in your scale after breast implants.

Does insurance cover breast implants?

Insurance will cover breast implants when they are used for breast reconstruction after cancer

How do you know if you have capsular contracture?

Capsular contracture is when normal scar tissue around your implant becomes firm and hard, changing the shape of your breast implant.

Is there an alternative to breast implants?

Yes. Fat transfer to the breasts is becoming a more popular procedure. Fat transfer can increase your cup by 1-2 sizes or help correct breast symmetry

What are gummy bear implant?

Gummy bear implants describe breast implants which have a more cohesive gel. If the implant were to rupture or break the silicone gel would act like a gummy bear.

What are Natrelle breast implants?

Natrelle implants are breast implants manufactured by Allergan.

What is the difference between a breast augmentation and breast implants?

Breast Augmentation is a surgical procedure to enhance your breast size. Breast implants are devices used to increase your breast size

Is breast enlargement possible without surgery?

I am not aware of anyway to enlarge your breasts without breast implants or fat transfer.

What is the average cost of a breast augmentation?

Breast Augmentation averages between $4,000 to $6,000

Does otoplasty affect hearing?

No otoplasty does not affect your hearing. It is a procedure which changes the cosmetic appearance of your ear.

How long after otoplasty can I exercise?

We recommend you wait 4 weeks befiore you resume fully exercise. However, you can starting walking right away after surgery.

How long is otoplasty surgery?

Otoplasty surgery can vary depending on how extensive the procedure is but usually 1 - 2 hours.

Can Botox lift droopy eyelids?

No Botox can't help droopy eyelids. In fact it may make them worse

Can droopy eyelids cause blurred vision?

Yes droopy eyelids can obstruct your vision. Typically your peripheral vision is obstructed and is most noticaeble at night.

Can I sleep on my side after eyelid surgery?

We recommend you sleep on your back with the head of your bed elevated

Can you get rid of hooded eyelids?

Yes hooded eyelids can be cause by sagging eyebrows or excess upper eyelid skin

Does eyelid surgery leave scars?

Yes incisions are carefully placed in the creases of your eyelids to hide the scars as much as possible

How do you reduce bruising after eyelid surgery?

The best way to reduce bruising after eyelid surgery is head elevation, ice packs and arnica

How long does eyelid surgery take?

Eyelid surgery make take from 1.5 hours to 3 hours depending on the extent of your surgery

How long does upper eyelid surgery take?

Eyelid surgery make take from 1.5 hours to 3 hours depending on the extent of your surgery

How do I prepare for a neck lift?

Patients should be in good health and eat a healthy diet with exercise. They should stop all herbal medication, NSAIDS and aspirin prion to surgery.

How do I tighten my jawline?

The are several ways to tighten your jawline from minimal invasive to major surgery. They depend on the amount of fat and loose skin you have. Minimally invasive procedures include Thermistor and Infini Rf Microneedling. Both are best for mild skin laxity. A neck lift is needed for more severe skin laxity. Finally, liposuction can be combined with any of these procedures to remove unwanted fat from the jawline and neck.

What is a liquid facelift?

A liquid facelift uses fillers and injectables to add volume and fill lines and wrinkles creating a more youthful appearance.

Frequently Asked Questions

What is a breast lift?

The medical term for this procedure is mastopexy surgery. It involves raising the nipple and areola, removing excess skin and reshaping the breast tissue for a more youthful appearance. When combined with a breast reduction, this results in a smaller but lifted breast.

What’s the difference between a breast lift and breast implants?

Breast implants increase the size of breasts and may lift the breast contour slightly but not dramatically. Implants used may be silicone or saline and are placed above or below the muscle. Breast-lift surgery alone does not significantly change the size of your breasts. However, the combination of a breast lift with implants can create larger, fuller breasts with greater cleavage.

Who can benefit from a breast lift?

Time, pregnancy, significant weight-loss and breastfeeding can all cause the breast to lose shape and firmness as well as skin elasticity. Women who experience this sagging or deflated appearance can benefit from the procedure.

How long does it take to recover from a breast lift?

Breast lifts are performed in the hospital, and recovery time depends on the individual. However, most women can return to work in two to three weeks. You will usually be able to return to exercise and regular activities, with your doctor’s approval, after four to six weeks.