Mastopexy (Breast Uplift) and Augmentation Mastopexy (Breast Uplift + Implants

Approximate Total Costs:

  • Mastopexy only (no implants):   $13,000

  • Mastopexy + Implants (Augmentation Mastopexy): $16,500

The above costs are only indicative approximations for surgery in Sydney and could vary slightly depending on which of our Surgeons and Hospital you choose.  Nevertheless, the above total costs are fairly close to what you can expect to pay and do include the Surgeon’s Fee, Anaesthetist’s Fee, Hospital Costs, Implants (if you choose to have) and GST if applicable.

Importantly, the above total costs will reduce if qualify for a partial Medicare Rebate on the Surgeon’s Fee and Anaesthetist’s Fee if you meet ALL  of Medicare’s following criteria:

  • The surgery is performed not less than 1 year and not more than 7 years since your most recent pregnancy; AND
  • At least 2/3 of the breast, including the nipple, lies below the level of the breast crease; AND
  • The nipple is located at the lowest part of the breast mound.

And, if you do qualify for a Medicare Rebate and you also have Private Hospital Cover, you can then also claim a variable portion of your Hospital Fees depending on your Fund and Level of Cover.

 

Our Mastopexy Surgeons

All Mastopexy and Augmentation Mastopexy procedures at Breast Excellence in Sydney are performed by either of our two highly-experienced Mastopexy Surgeons:

  • Dr Sawjin Tew, Australian-trained female, Specialist Plastic Surgeon
  • Dr Bobby A. Kumar, Cosmetic & Restorative Surgeon

Why Do Breasts Sag and Need Breast Lift Surgery

As with other parts of our bodies that change over time, breasts also change.  They lose firmness and volume, the internal supporting ligaments (Cooper’s Ligaments) become weaker and the skin loses its former elasticity. As a result, under the effects of gravity, the breasts start to droop. These natural ageing changes are accelerated by pregnancy, breast feeding and major weight loss.

The only treatment for sagging breasts, medically known as “Ptosis”, is surgery and the degree of Ptosis will determine the design of the Mastopexy required. 

In contrast to a Breast Reduction where there is an excess of breast tissue that needs to be reduced, in a Mastopexy, only the loose excess skin is removed without any breast tissue.  With no loss of breast tissue, your breasts do not end up any smaller.

Various patterns and designs of Mastopexy exist, and your experienced Surgeon will recommend whichever one is most appropriate for your degree of Ptosis.  Removal of the excess, loose breast skin tightens the skin envelope of the breast over its existing breast tissue.  This in turn in creates ‘lift’ and elevates the breast to a higher, more pleasing position on your chest wall.

If you are happy with your breast volume and only wish to lift your breasts to a higher and more attractive position, you only need to have a straightforward Mastopexy.

If, on the other hand, you have also lost considerable breast volume and wish to increase the size of your breasts by inserting implants at the same time as the ‘Lift’,  you will need to have an ‘Augmentation Mastopexy’.

Interestingly, some women who have suffered both Breast Ptosis and over-stretched lower abdominal skin after successive pregnancies choose to have both a Mastopexy and ‘Tummy Tuck’ at the same time – a procedure popularly known as a ‘Mummy Makeover’.

PLEASE NOTE:  If you have only a very mild degree of Ptosis known as ‘Pseudo-Ptosis’ – where the breast mound has only fallen slightly below the breast crease but the nipple is still above it – you may not need a Mastopexy at all as Pseudo-Ptosis can be corrected by implants alone.

The Specific Breast Changes that Cause Ptosis

With age, every woman’s breasts change in size and volume as:

  • the skin envelope becomes looser; and
  • the supporting Cooper’s Ligaments within the breast itself – and whose function is to hold the breast up high on the chest wall – become weaker and allow the breast to droop.

These changes are accelerated by pregnancy, breast-feeding and major weight loss.

The Demographics of Women Presenting for Correction of Breast Ptosis

The main groups of women we see at Breast Excellence presenting for correction of Breast Ptosis are:

1. Young women with developmentally large breasts that have simply sagged from the sheer weight and volume of the breasts.

2. Women following pregnancy and breast-feeding due to the enlargement of the breasts and the associated stretching of the breast skin as part of the body’s preparation for breast feeding. Unfortunately, after breast feeding has completed, the breasts do not return to their pre-pregnancy state because:

  • there has been a variable loss of breast volume due to shrinkage of the milk glands; and
  • the overstretched breast skin does not return to its former “tightness” and so leaves the skin envelope of the breast somewhat looser.

3. Post-menopausal women due to the progressive loss of breast tissue and skin elasticity.

4. Women of any age following major weight loss

Degrees of Ptosis

 

Mastopexy (Breast Uplift) Patterns & Techniques

Whereas very minor degrees of Ptosis (known as ‘Pseudo-Ptosis) can be corrected by inserting implants alone, the more advanced degrees of Ptosis require one of the following types of Mastopexy – each given its descriptive name based on the pattern of the final scars:

Crescent Mastopexy is the simplest form Breast Lift and involves removing a crescent of skin above the areola.  Sometimes, it is necessary to extend the incisions a little sideways at the ends in which case it then changes its name to a ‘Batwing Mastopexy’ as follows.

Mastopexy

 

 

 

 

 

The other more extensive patterns of Mastopexy are:

 

Circum-Areolar Mastopexy (also known as the ‘Benelli Lift’ or ‘Donut’ Pattern Lift).  This involves removing a ‘donut’ pattern of skin around the areola.  Its ability to “lift” is somewhat limited and accordingly this technique is only useful for women who have a light degree of sagging.  Since this technique limits the removal of excess skin to the area around the nipple, it will only deliver a subtle correction.  This form of Mastopexy can elevate the nipples but the internal breast tissue cannot be rearranged. The technique also tends to flatten the projection of the breasts and may decrease nipple projection.  And finally, based on its design,  it can leave variable degrees of puckering of the scar which may or may not completely disappear over time. 

circumareolar-mastopexy

 

Vertical Mastopexy  (or ‘Lollipop Lift’ Mastopexy). This is a commonly performed and effective lift for moderately sagging breasts without excessive skin stretch.  However, as the skin under the breast fold is not included in this technique, further minor adjustments may sometimes be necessary to tighten the skin along the fold under the breast.

vertical-mastopexy

 

Wise Pattern Mastopexy (or ‘Anchor’ Pattern Lift) is the most extensive design of ‘Lift’ and is used for all major degrees of sagging and stretched skin.

wise-pattern-mastopexy

Augmentation Mastopexy (Breast Uplift + Implants)

  • If a woman is happy with her breast size and is only bothered by the Ptosis, only a Breast Lift is necessary.
  • If however, as is often the case, the woman has also lost breast volume and wishes her breasts to be larger as well, implants need to be inserted. Naturally, this will increase the duration of the surgery and accordingly the final cost as well.  Our Surgeon will give you a detailed costing at your initial consultation.
  • Although implants are usually inserted at the same time as a Breast Lift, some surgeons recommend waiting 6 months after a Breast Lift before inserting implants.

How to Come to Us in Sydney

We are very conveniently located in  Sydney’s Central CBD and opposite Hyde Park at:

Level 8, 60 Park Street, Sydney  (cnr Elizabeth Street) 

– and  easily accessed by train, bus and ferry services as well as being within easy walking distance of several public car parking stations.

If Coming by Public Transport:

If Coming By Train: 8 minutes’ walk from Town Hall Station, 5 minutes from Museum Station.
If Coming By Bus: Disembark at a stop around Town Hall, Queen Victoria Building, or as close as possible to the corner of Park and Elizabeth Streets.
If Coming By Ferry: From Circular Quay take any bus that travels along Elizabeth Street, disembark at Park Street or the stop closest to Park Street.

If Coming by Car:

Parking Station Locations in Close Proximity Include:

Wilson’s Car Park: directly opposite the Clinic, enter via its Castlereagh Street entrance.
Queen Victoria Building (enter via York Street) – 10 minutes’ walk to Clinic.
Domain Parking Station: the cheapest – simply park and take a 15 minute walk diagonally through Hyde Park.

Frequently Asked Questions


Whereas minor breast sagging can be corrected by implants alone, excessive sagging of the breasts as a result of pregnancy/breast feeding, major weight loss or ageing can only be corrected with a Mastopexy.

A Mastopexy or ‘Breast Uplift’ is a surgical procedure to correct major sagging of the breasts. By removing the over-stretched breast skin, the skin envelope of the breast becomes tighter and the breast moves upwards.  No breast tissue is removed in a simple Mastopexy, so your breasts won’t be any smaller. Instead, they’ll be the same size as before but without the former sagging. So, if you’re happy with the current size of your breasts and only wish to correct the sag, you only need a straightforward Mastopexy.  If, on the other hand, you also wish to be bigger, implants can be inserted at the same time and this is known as an Augmentation Mastopexy.

Whether you have a simple Mastopexy (Breast Uplift) or an Augmentation Mastopexy (Breast Uplift + Implants) depends purely on whether you are happy with your current breast size or you wish to be bigger.

This will depend on the actual design of the Breast Lift required. It can take as little as 2 hours for a minor ‘Lift’ or around 4 hours for an ‘Anchor Lift’. Choosing to also have implants inserted at the same time will naturally make your procedure a little longer.

Yes, in most cases but if required this would be for one night only.
Unless you are also having implants inserted to increase your cup size, recovery is fairly quick as only skin is removed. Generally, this is around 7-10 days. With implants, you may need a few additional days of recovery before you return to work and daily activities.
The extent of the scarring depends on the pattern of skin excision required. Although the scars never totally disappear, they do become less conspicuous over time.
The total cost of a Mastopexy will be made up of the surgeon’s fee, the anaesthetist’s fee and the hospital charges – and each of these individual costs will depend on the length of your surgery. Although we can offer you an average total fee before any consultation, only after our Surgeon has seen you and assessed what needs to be done and how long it will take can we give you an accurate quotation.
If you meet Medicare’s eligibility criteria, you will be able to claim a portion of your Surgical and Anaesthetic Fees. Moreover, if you do qualify for a Medicare Item Number and you also have Private Health Insurance, you may also be able to claim part of your Hospital Costs depending on your Fund and Level of Cover.

Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

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