A breast lift can improve breast position, shape, and symmetry while restoring a firmer, more youthful appearance. The procedure can raise the nipple to a more natural position and improve breast projection. While mastopexy does not significantly change breast size, it may be combined with implants or fat transfer for patients seeking additional volume.
Ideal candidates for mastopexy are individuals who are bothered by breast sagging, loss of shape, or downward-pointing nipples. Candidates should be in good overall health, at a stable weight, and have realistic expectations. A breast lift is well suited for patients who are satisfied with their breast volume but desire improved shape and position.
Mastopexy addresses the breasts, including excess skin, breast tissue position, and the nipple–areola complex. The procedure focuses on improving breast contour, elevation, and symmetry.
Mastopexy techniques are tailored to the degree of breast sagging, skin quality, and individual goals. Several incision patterns may be used, including:
Periareolar (Donut) Lift:
Involves a circular incision around the areola and is best suited for mild sagging.
Vertical (Lollipop) Lift:
Combines an incision around the areola with a vertical incision down to the breast crease, allowing for greater reshaping and lift.
Wise Pattern (Anchor) Lift:
Uses incisions around the areola, vertically down the breast, and along the breast crease. This approach is typically used for more significant sagging or excess skin.
Incisions are carefully planned to achieve optimal shape while maintaining nipple sensation and blood supply. The procedure is performed under anesthesia, and recovery progresses gradually as swelling subsides and results refine.

Esthetica Center of San Diego is a modern surgical center with offices in San Diego and in Orange County. We are a team of renowned cosmetic surgeons dedicated to providing only the best customer care and outcomes.
Request a breast lift consultation with Dr. Wael Kouli at Esthetica in Del Mar or Coronado. Bring your questions about your goals, treatment options, and next steps.
To learn more about surgery and to find out if you are a good candidate, contact our office today to schedule a personal consultation.


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