Board Certification: American Board of Plastic Surgery
Manhattan Eye, Ear & Throat Hospital, Fellowship in Aesthetic Surgery


Breast Lift VS. Breast Reduction: Which Procedure Is Right For You? 

Breast Lift VS. Breast Reduction: Which Procedure is Right For you? Cosmetic breast procedures have become increasingly popular, offering individuals the opportunity to enhance their physical appearance and boost their self-confidence. The three main categories of breast procedures are augmentations (making the breasts larger), reductions (making the breasts smaller), and breast lifts or mastopexies (raising the height of the nipple and/or reshaping the breast tissue). Some procedures combine portions of these operations into a single cosmetic surgery.

There is some confusion regarding breast reductions and mastopexies. Patients often come to me requesting a breast reduction when they actually are describing a mastopexy and vice versa. While both involve alterations to the breasts, they serve distinct purposes and cater to unique patient needs. Let’s delve into the nuances that differentiate mastopexy and breast reduction.

Mastopexy: Elevating Aesthetic Appeal

Mastopexy, commonly referred to as a breast lift, primarily focuses on rejuvenating and reshaping breasts that have sagged or deflated due to factors like pregnancy, breastfeeding, weight fluctuations, or aging. The procedure involves repositioning the nipple and/or breast tissue to a higher, more youthful position on the chest wall by removing excess skin and tightening the surrounding tissue. While skin is removed (and sometimes a small amount of breast tissue), mastopexy aims to improve breast shape and contour without significantly altering breast volume. This results in breasts that appear more youthful.

Mastopexy is an ideal option for individuals who are satisfied with the size of their breasts but wish to address issues such as drooping or asymmetry. One of the best questions to ask yourself is: Are you happy with your breasts in a standard bra (not a push-up)? If the answer is yes, then a mastopexy is likely more appropriate than a true breast reduction.

Breast Reduction: Alleviating Discomfort and Enhancing Quality of Life

On the other hand, breast reduction surgery, also known as reduction mammoplasty, is geared towards reducing the size and weight of excessively large breasts. Large breasts can lead to various physical discomforts and health issues, including back pain, neck pain, shoulder grooving from bra straps, and skin irritation beneath the crease of the breast from excess skin on skin contact.

Breast reduction involves the surgical removal of excess breast tissue, fat, and skin to improve symptoms and attempt to create a breast that is proportionate with the patient’s body frame. Similar to a mastopexy, this procedure also aims to reshape and lift the breasts to create a more youthful and balanced appearance. By reducing the weight and volume of the breasts, patients often experience relief from physical discomfort and enjoy an enhanced quality of life.

Beyond addressing physical discomfort, breast reduction can also have a significant impact on psychological well-being by alleviating self-consciousness and improving body image. Many individuals who undergo breast reduction surgery report increased confidence and a greater willingness to engage in physical activities that were previously hindered by the size of their breasts.

Key Differences and Considerations

While mastopexy and breast reduction share the goal of lifting the breasts and enhancing the appearance, their primary focus and outcomes differ significantly. Mastopexy primarily addresses breast sagging and loss of firmness, resulting in a lifted and rejuvenated appearance, whereas breast reduction focuses on reducing the size and weight of disproportionately large breasts to alleviate physical discomfort and improve overall quality of life.

When considering either procedure, it’s essential for individuals to consult with a qualified plastic surgeon who can assess their specific concerns, goals, and medical history to determine the most suitable course of action. By understanding the distinctions between mastopexy and breast reduction, patients can make informed decisions that align with their unique needs and desired outcomes, ultimately achieving greater satisfaction with their appearance and overall well-being.

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Felice Ecker
Felice Ecker
00:44 23 Sep 23
Please share the photos They can best show my recovery in such a short time. Dr Wilson’s skill as a surgeon is superb !!!
Harriet Dubroff
Harriet Dubroff
17:03 07 Sep 23
I am a new patient of Dr WilsonI was quite nervous concerning my procedureI found him to be very professional & caring surgeon with a wonderful bedside mannerhe always responded promptly whenever I contacted himhe is truly an artist at his work5 stars are not nearly enoughHarriet dubroff,
lain miller
lain miller
19:17 05 Sep 23
Dr. Wilson stitched me after I had MOHS surgery on my face. He was incredibly cautious and walked me through all the best stitching possibilities. Once he explained the best way to end up with the smallest scar, he stitched me up and I was healed in a week. The mark is so small you almost can’t see it. In 6 month to a year with proper care and treatment I’m sure it will be gone.
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