Breast lift surgery (mastopexy) put simply is a repositioning of the breasts to a higher position on the chest. It is a very common procedure among women who are experiencing a drop in the position of their breasts as a result of the natural aging process, along with other factors such as pregnancy and breast feeding, as well as large weight loss or gain.

Breast lift surgery is performed under general anesthesia on an outpatient basis. The procedure may last anywhere from two to three hours, or longer if breast implants are also being placed. The degree of the lift is used to determine the incision type.


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The most common types of breast lift incisions include:

Once the appropriate incision is created, excess skin is removed and the nipple and the areola are moved to a higher position on the breast. The skin that was previously above the nipple is then brought down around the nipple and sutured in place. During the procedure, the nipple and the areola remain connected to the underlying tissue and nerves to help prevent loss of sensation after surgery.

areola1areola2Donut Incision

This is an incision created around the areola.  This incision is a great way to perform a lift in someone with a small amount of “droop” to their breasts.  This incision extends all the around the areola, and once healed can be very hard to identify.  This incision is commonly performed when a implant is also being placed to increase breast size.





areola3areola4Lollipop Incision

Two incisions, one of which is created around the areola and the other extends from the areola toward the bottom of the breast.  This is the most common incision Dr. Lewis uses for a mastopexy.   By the time most women have decided to have a mastopexy, they have more “droop” than can be fixed with a periareolar incision.  The lollipop incicion allows a fairly substantial lift to the breast and allows removal of more excess skin to create a very youthful and natural shape.




areola5areola6Anchor Incision

three incisions that form an anchor on the surface of the breast.  This incicion pattern is necessary in women with a large amount of sag to their breasts.  It allows the greatest change in shape and tailoring to recreate a youthful shape to the breasts.

Will anesthesia and pain relief be used during / after surgery?

You will be made comfortable throughout the whole procedure. The choices during surgery include intravenous sedation and general anesthesia.  After surgery, you will be given instructions on pain relief medication.

What happens immediately after surgery?

At the end of the surgical procedure, surgical garments are put around the chest to protect the breasts in the days following surgery. This helps keep the breasts in place and reduces swelling and risk of trauma to the treatment area.  You will be taken to the recovery room and our kind and friendly team will make you as comfortable as possible.  If your breast lift is performed on an outpatient basis, you will be able to return home on the same day.  You need to ensure someone is available to drive you to and from surgery and to stay with you for at least the first night after your procedure.

How long will complete recovery take?

Breast lift surgery involves tissue removal and reshaping, which is not easy on the body. After the procedure, you may experience swelling, bruising and some discomfort, all of which is relieved with pain medicine, antibiotics and plenty of rest. During the first week, you will wear a surgical bra to help with the healing process. You’ll return to us within a few days to remove any stitches and should be fine to return to work after seven to 10 days. Strenuous physical activity should be avoided for up to one month.

If you have any concerns or questions once you are discharged from our care, we encourage you to contact us straightaway, no matter how small or trivial you feel they might be.

Am I a Good Candidate for Breast Lift Surgery?

A breast lift procedure is best suited to women who have good volume in their breasts.   Most, but not all, women getting a breast lift have had children, and are unhappy with the changes the pregnancy causes to their breasts.  Some women may not have enough volume for breast lift surgery, in which case breast implants can be placed for best aesthetic results.
The most suitable candidates for breast lift are generally healthy individuals. However, older patients who have minor medical conditions may also undergo the procedure after a careful assessment of their health history. Breast lift candidacy is decided on a case by case basis.

What are the Risks of Breast Lift Surgery

Check Accreditation

With any surgical procedure there are risks that you must be aware of. To minimize the risks, ensure your surgery is conducted in a safe and secure environment using the latest surgical techniques by checking the certifications and accreditation of your surgeon. Accreditation boards and bodies are there to protect you. Dr. Gordon Lewis has 9 years surgical experience and is affiliated to several important professional organizations.

  • He is board certified by the American Society of Plastic Surgeons www.plasticsurgery.org
  • Affiliated to the Richmond Academy of Medicine www.ramdocs.org and the Medical Society of Virginia www.msv.org
  • He is also an associate member of the American Society for Aesthetic Plastic Surgery www.surgery.org and the American College of Surgeons www.facs.org
  • A candidate member of the American Society for Surgery of the Hand www.assh.org

Possible Complications

During your initial consultation, we will discuss every possible outcome of your procedure including possible complications.  Although infrequent, breast lift surgery risks can include one or some of the following;
⦁    You may experience temporary or permanent loss of nipple sensation
⦁    Bleeding, infection or poor healing of your scar
⦁    Breast asymmetry
⦁    Excessive firmness of the breast
⦁    Anesthesia related risks
It is vital that you follow instructions after your procedure to avoid any unnecessary complications, including excessive lifting or motion during the time of healing.  If you have any concerns or questions after your procedure, we encourage you to contact us straight away.

During a comprehensive one-on-one consultation at Lewis Plastic Surgery, you will learn about:
⦁    What to expect based on breast anatomy, skin characteristics and fat availability
⦁    Degree of sagginess and asymmetry
⦁    The surgical approach for minimal scarring
⦁    Nipple position and breast implants, if necessary
⦁    Anesthesia and surgical facility
⦁    What you can do to reduce risk of complications
⦁    Cost of surgery and financing options

We will use the latest surgical techniques to lift the breasts with minimal tissue trauma and scarring. During your consultation we will carefully examine your breast anatomy and tissue availability. We will listen to your aesthetic goals and go over all of the treatment options that will help you achieve the results you seek.

We have a great collection of before and after breast lift surgery photographs that will help you get a clear picture of real life results that have already been achieved at Lewis Plastic Surgery.  We believe that knowledge is power and therefore strive to thoroughly educate our patients so that they can feel comfortable knowing what to expect prior to, during and after surgery.

Surgical procedures are performed at an accredited outpatient surgical center or a local hospital. Dr Gordon Lewis is affiliated with several local medical centers where his patients undergo surgery. He primarily operates at these locations:
⦁    Johnston-Willis Hospital
⦁    Stony Point Surgery Center
⦁    Chippenham Hospital
⦁    Parham Surgery Center

He also has privileges at St. Mary’s Hospital and Henrico Doctors Hospital, but operates there less frequently.

Initial consultations, follow up appointments and all non-surgical treatments and minor surgical procedures are performed at Lewis Plastic Surgery practice which is located in the grounds of the Johnston Willis Hospital, Richmond, VA.


We will provide a detailed estimate of pricing if you contact us by email, or call the office.  This price given prior to a consultation is usually very accurate, but is an estimate. This will not but confirmed until you have a visit with Dr. Lewis and get a written quote at that time.   The total price given is all inclusive and will include:
⦁    Dr. Lewis’s Fee
⦁    Operating room fee
⦁    Anesthesia fee
⦁    Cost for Cosmetic Protect

Every patient is required to attend an initial consultation before a procedure can be booked.Once you decide to proceed with surgery, we will assist you in finalizing a date and getting everything ready for surgery. We try to be as flexible as possible and will make arrangements to see you at Lewis Plastic Surgery, in the grounds of the Johnston Willis hospital, within a few days of you contacting us.Depending on your requirements, we can normally perform your procedure within 2 weeks.You can book a consultation online or by calling 804 267 6009.