Herman AesthÉtiques
Breast Lift (Mastopexy)
Lift. Rebalance. Refine.
A mastopexy restores a higher, firmer breast contour by correcting breast ptosis, tightening the cutaneous envelope, and repositioning the nipple–areola complex (NAC) on a vascularized pedicle.
Overview
What a Lift Corrects
Ptosis occurs when the breast parenchyma descends and the NAC sits at or below the inframammary fold (IMF). During mastopexy, redundant skin is excised, the parenchyma is coned and re-suspended, and the IMF relationship is refined to restore base support and upper-pole projection.
Technique choice is guided by ptosis grade, skin quality, areolar diameter, breast base width, and desired scar vector.
Technique Options
Lift Patterns
Incision design and pedicle selection are tailored to ptosis grade and tissue biomechanics.
A circumareolar (“donut”) mastopexy for mild ptosis. Also allows areolar reduction with limited scar length.
Best when the NAC is only slightly below ideal position and skin redundancy is minimal.
Periareolar + vertical limb (“lollipop”) for moderate ptosis. Enables stronger parenchymal coning and improved projection.
Common pedicles include superomedial or superior to preserve perfusion.
Adds a horizontal IMF limb (“anchor”) for significant ptosis or marked dermatolaxia. Greatest ability to excise excess skin vectors.
Useful when the lower pole requires extensive tightening to prevent bottoming out.
Augmentation mastopexy combines lift + implant when volume loss (postpartum involution) accompanies ptosis.
Implant selection considers base width, tissue pinch thickness, and desired projection to avoid over-stretching.
Terminology
Key Medical Terms
Tissue stalk preserving NAC neurovascular supply during transposition.
Severity classification based on NAC position vs IMF and mound apex.
Glandular + fatty tissue reshaped into a higher, tighter cone.
Excess lax skin envelope requiring excisional tightening.
Superior rotation of your own tissue to improve upper-pole fullness.
Healing
Recovery Phases
Swelling (edema) and tightness are expected early. Shape refines as the parenchyma settles into its new support.
Week 1
Compression bra, light ambulation, avoid heavy lifting. Watch for hematoma or seroma.
Weeks 2–3
Edema decreases. NAC position stabilizes. Gentle range-of-motion resumes.
Weeks 4–8+
Return to full exercise when cleared. Scars transition into remodeling over 6–12 months.
Safety First
Risks & Monitoring
Complications are uncommon but clinically important to understand.
Additional considerations include infection, asymmetry, altered sensation, and the need for revision.
Questions, Answered
Breast Lift FAQ
Does mastopexy increase breast size?
How is the scar pattern chosen?
Can a lift be combined with reduction?
How long do results last?
Schedule Your Consultation
Meet with Dr. Herman to review ptosis grading, pedicle options, and the lift technique best suited to your anatomy and goals.
Book NowBreast Aesthetic Expertise
Why Choose
Dr. Herman
Dr. Herman balances refined elevation with surgical safety — emphasizing pedicle perfusion, symmetry, and durable parenchymal support.
- Advanced training in aesthetic & reconstructive breast surgery
- Technique tailored to ptosis grade and tissue biomechanics
- Scar-vector planning for stable, long-term contour
Patient Testimonials
Real stories. Real results.
“I have been going to this office for years and wouldn’t go anywhere else. The treatment is consistently excellent and I always feel cared for.”
Read full review →“This man is not only an excellent surgeon — he is an artist. He changed my life and gave me confidence I never had. His work is stellar and his staff is amazing.”
— Stefanie F. (Plastic Surgery Near You)
Read full review →“Dr. Herman corrected a nose job I had 10 years ago. He did exactly what I asked for and I love my results — even with swelling. The entire experience was relaxing and comfortable.”
— Ondraia R. (Plastic Surgery Near You)
Read full review →“I finally feel comfortable in my own body. His calm and steady approach made all the difference.”
Read full review →“The staff was warm, welcoming, and knowledgeable. Dr. Herman is brilliant. I travel from New York because he is the only one I trust.”
— Verified Patient Review (Feb 27 2025)
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— Freddy A. (Plastic Surgery Near You)
Read full review →“Dr. Herman is absolutely the best! He is knowledgeable and professional. He has changed my life forever and made my dream come true. I am very, very pleased with the results! Thank you Dr. H!!!”
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Read full review →“I have been going to this office for years and wouldn’t go anywhere else. The treatment is consistently excellent, and I always feel cared for.”
Read full review →“Dr. Herman is THE BEST physician I have ever had. His bedside manner is the best. He is easy to talk to and has a great sense of humor. He truly cares about his patients and is kind, compassionate, and thoughtful. The entire office staff was welcoming, accommodating, and amazing. My only regret is not finding him sooner.”
Read full review →“This man is not only an excellent surgeon — he is an artist. He changed my life and gave me confidence I never knew I had. His work is stellar, and I will continue to go to him for future procedures. His support staff is amazing and professional.”
— Stefanie Franklyn (Plastic Surgery Near You)
Read full review →“AMAZING WORK! Dr. Herman corrected a nose job I had 10 years ago. He did exactly what I asked for — I love it, even with swelling. Dr. Herman and Amy made me feel so comfortable and relaxed. I recommend him to anyone considering plastic surgery.”
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