Breast Lift

Mastopexy, commonly called a breast lift, is a surgical procedure that elevates and reshapes sagging breasts by removing excess skin, tightening tissue, and repositioning the nipple for a firmer, more youthful look.

Great candidates are women experiencing sagging or drooping from aging, weight changes, or pregnancy who wish to restore breast shape and position without significantly altering volume. Candidates should be healthy nonsmokers with realistic expectations.

Mastopexy involves customized incisions tailored to your goals and the extent of sagging. Dr. Rokosz may use techniques such as incisions around the areola, down to the crease, or along the breast fold to achieve optimal lift and contour.

Most patients wear a surgical bra, experience some swelling and bruising, and have activity restrictions for 2–3 weeks. Most can return to daily routines after 2 weeks, with full results visible in 6–12 months as scars fade and shape settles.

Mastopexy does not significantly alter breast size. For those seeking additional volume, a combination procedure such as augmentation mastopexy (breast lift with implants) may be recommended.

Scars are a natural part of mastopexy, but Dr. Rokosz uses techniques and provides guidance on scar care to keep them as discreet as possible. Scars generally fade significantly over time.

Dr. Rokosz is a board-certified plastic surgeon known for her patient-centered approach, meticulous technique, and focus on beautiful, natural results for every breast lift.

A breast lift repositions sagging breasts without adding volume, whereas augmentation increases size. Many patients benefit from combining both procedures for optimal shape and fullness.

If your nipples point downward or sit below your breast crease, you likely need a lift. Dr. Rokosz performs the “pencil test” and other assessments to determine the best approach.

Surgery is performed under anesthesia, allowing you to fall into a restful sleep while Dr. Rokosz contours and revitalizes your chest. You will feel no pain or discomfort. After surgery, mild soreness in the chest is to be expected but can be managed by taking oral pain medications prescribed by the doctor and getting plenty of rest.

When undergoing your breast lift in San Antonio, you will attend several visits, including an initial consultation, a preoperative appointment, and your surgery date. This is followed by a few follow-up sessions, allowing Dr. Rokosz to monitor your incisions and ensure a seamless healing experience.

Patients notice immediate improvements in breast position after surgery, but final results take time to develop due to swelling. Within 6-8 weeks, you should notice continued refinement and sculpting emerging.

Patients are cautioned to wait 1 to 2 weeks before embarking on a short flight or a long road trip. Longer or international flights should be postponed for 4 to 6 weeks.

Like all surgeries, breast lift (mastopexy) procedures carry potential risks, although serious complications are rare when performed by a board-certified plastic surgeon like Dr. Rokosz. Risks include:

• Bleeding or infection
• Changes in nipple sensation (temporary or permanent)
• Asymmetry or contour irregularities
• Poor wound healing or noticeable scars

Dr. Rokosz will also discuss other common concerns, including:

• Risk of breast cancer and ability to screen
• Breastfeeding and its impact on pregnancy
• Staging procedures when significant changes are desired

Dr. Rokosz prioritizes patient safety and uses advanced techniques to minimize risks and promote optimal healing. She will thoroughly review all risks, benefits, and alternatives during your consultation to ensure you feel fully informed and confident in your decision.