Mastopexy or breast lift is the procedure used to address significant drooping of the breast (also known as ptosis). This commonly occurs after pregnancy and breastfeeding or with age. It is a product of loss of breast volume as well as breast support.
When there has been a marked degree of volume loss such that even a breast lift does not provide the desired breast size, an implant may also be required. This procedure is called mastopexy augmentation.
Although both procedures do not involve removal of breast tissue other than excess skin, the underlying longevity of the procedure lies in reshaping the underlying breast mound such that it creates more support to withstand gravity and aging. Just addressing the skin to be tighter is a very temporary and in my view, inadequate technique.
The incisions required are similar to breast reduction surgery – either just an incision around the nipple with a vertical extension or an added horizontal extension in the breast fold. Which technique offers you the optimal, safest outcome will be discussed at the initial consultation.