Breast Lift (Mastopexy)

Breast Lift Surgery in Miami by Board Certified Plastic Surgeon Dr. Tal Roudner

Breast Lift Surgery in Miami

Choosing an experienced plastic surgeon to perform your breast lift procedure is particularly important to ensure that you attain your desired results. Dr. Tal Roudner in Miami, a Board Certified Plastic Surgeon, is a specialist in the field of breast lift surgery (mastopexy) as well as breast lift surgery with implants.

Breast lift surgery, also known as Mastopexy is a surgical procedure performed to improve the appearance of sagging (ptotic) breasts.

According to the American Society of Plastic Surgeons, in their cosmetic national data bank statistic reports of 2014, breast lift (Mastopexy) was performed in 92,724 patients that year. That is a 75% increase compared to the year 2000.

Dr. Roudner’s surgical goal is to revive the youthful appearance of the breast by restoring the shape, fullness and projection of the breast while minimizing visible scars.

Dr. Roudner may perform a series of different procedures while lifting the breast, such as: repositioning the breast tissues, removing excess skin and soft tissue as well as repositioning the areola and nipple. By doing so an improved body contours and a revitalized breast appearance is achieved. Dr. Roudner may perform the breast lift surgery alone, or in combination with a breast augmentation procedure.

Contact our Miami office regarding your Breast Lift Surgery

To discuss whether a breast lift procedure is right for you, please call our Miami office at 305-767-7719 and schedule your complementary breast lift consultation with Miami plastic surgeon Dr. Tal Roudner.


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Miami Breast Lift Surgery Before & After Photo Gallery

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Breast Lift Surgery Video Testimonials

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From the FDA: About Breast Implants.


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Your Breast Lift Consultation with Dr. Tal

When you come to our Miami office for your breast lift consultation, you will have the opportunity to discuss the details of the surgery as well as your surgical goals and expectations.

Your breast lift consultation will also include a discussion and review of your health history, allergies and any medications you are taking. Dr. Roudner will perform a breast examination to assess details like the size, shape, placement and soft tissue characteristics of your breasts. He will evaluate the size and position of the nipple areolar complex as well. All of these factors are important in determining the right approach to take for your breast lift surgery.

If you smoke, you must stop smoking for four weeks prior to your surgery and must remain smoke-free for at least three weeks following the surgery. A nicotine test will be performed on the day of your breast lift surgery. If you need assistance stopping, please let Dr. Roudner know. We can provide assistance and support. It is essential to stop smoking as advised since it can have a detrimental effect on the repositioned nipple areolar complex after surgery.

After carefully consideration of all the factors involved as well as your own goals, Dr. Roudner will provide his recommendation as to whether breast lift surgery is right for you. If the choice is made to proceed, the office staff will schedule your breast lift surgery to take place either at our state-of-the-art surgical suite in Miami, one of Miami’s excellent local hospitals or ambulatory centers depending on your specific needs.

Full Breast Lift

A full breast lift involves an incision along the inframammary fold (the crease were the breast meets the chest wall) incisions around the NAC (Nipple Areolar Complex) and a vertical incision between the areola and the inframammary fold at the base of the breast. This type of incision is commonly referred to as the “anchor incision” or the “inverted-T incision”. This procedure removes excess skin, elevates the breast, and often reduces the size of the areola, allowing for maximal reshaping of the breast. The full breast lift is the most widely used surgical procedure for women with significant breast ptosis (sagging) because it consistently produces the desired breast shape and position upon the chest wall.

Modified Breast Lift

The modified breast lift aims to achieve a similar transformation as a full breast lift, with fewer scars; it is restricted when compared to the full breast lift, because the procedure effects fewer changes to the shape and position of the breast. The modified breast lift is more commonly used in women with less ptosis (sagging) of the breast. There are several, variations of the modified breast lift techniques: 1. The “crescent lift” removes a crescent shape of tissue from around the superior pole of the areola, thereby raising the NAC (nipple areolar complex) on the chest wall. This is reserved for a very limited breast lift on a patient with very slight sagging of the breast or for asymmetry between the two areola. 2. The circumareolar/periareolar breast lift also known as the “Benelli breast lift” or “donut lift”, which involves removing a circumferential ring of skin from around the areola limiting the scarring to around the areola area. This lift is designed to lift the breast of women with mild to moderate sagging. 3. The vertical breast lift also known as the “lollipop lift”, which entails an incision around the nipple and areola, with a vertical scar extending to the inframammary fold at the base of the breast.

Breast Lift Combined with Breast Augmentation

In many patients the full or the modified breast lift procedure is combined with a silicone or saline breast augmentation as one procedure. The addition of the breast implant is used to augment the superior pole of the breast that is deficient in most patients with ptotic (sagging) breast. The breast implant can be placed in the sub-mammary plane (behind the breast tissue) or the sub-muscular plane (behind the muscle) according to patient’s breast characteristics and surgeon preference.

Following Breast Lift Surgery

After your breast lift surgery, you can expect to have discomfort, swelling and bruising. Miami plastic surgeon Dr. Roudner will prescribe medications that will help with your post-operative pain. You can expect the pain to decrease significantly by about the third day. At this time, you will also be asked to return to our Miami office so Dr. Roudner can check on your progress and results.

While it will take time to see your full results, your swelling should be significantly diminished by the sixth week. Over the counter supplements such as Arnica Montana, Quercetin and Bromelain can be used to reduce swelling and bruising. You will need to attend your follow-up visits at our Miami office as requested to make sure you are progressing as expected and avoiding possible complications. Call our Miami office any time you are concerned or if you appear to be experiencing any of the complications discussed by Dr. Roudner at the time of consultation.

For more information about breast lifts and to schedule a complementary consultation, please call our Miami office at 305-767-7719.


Prepping for Breast Lift Surgery:

Patients undergoing breast lift procedure are seen in the office at time of consultation Dr. Roudner will discuss in details the procedure and where your procedure will be performed. Dr Roudner will evaluate overall your health and physical condition as well as access any conditions or risk factors. He will examine your breasts for size, shape, nipple areolar size and position, skin quality as well as take detailed measurements of your breasts. He will then present the options available and his recommendations for treatment. He will go over the risks, benefits as well as complications possible. The surgery may be performed at Dr. Roudner’s fully accredited office-based surgical center or at an outpatient/ambulatory surgical center, or a hospital.

Two weeks prior to surgery you will be seen for a pre-operative appointment. At the time of the pre-operative visit the necessary blood work and other needed tests are performed, consents are reviewed and signed and evaluation of any medical clearances are made. The instructions on what to do on the day of surgery, post-operative care and follow-up instructions are given as well. Pre-op photos are taken. Patients that smoke are required to stop smoking 4 weeks before the procedure and for 3 weeks after the surgery (preferably will not return to smoking). It is important to inform Dr. Roudner if you smoke at the initial consultation. Nicotine testing is conducted by urine test the day of surgery.

Patients preparing to undergo breast lift procedure, at the age of 30 and above, will need to obtain a mammogram prior to surgery. Any history of breast cancer or family history of breast cancer should be noted at time of consultation as well as results of any mammograms or previous breast surgery or breast biopsies.

Your medications will be evaluated prior to surgery and the appropriate adjustments made if needed in coordination with the primary care physician. Some medications (aspirin, ibuprofen, etc), supplements and herbs can cause bleeding problems during the surgery or after surgery. Therefore a list of any medication, supplements or herbs that should not be taken a few weeks before the procedure is given at the time of the consultation.

Prior to surgery it is important for you to maintain a healthy diet and avoid drinking alcohol. Patients who exercise regularly and are in good overall health prior to surgery generally experience a speedy recovery; however, the day prior to your breast lift procedure you should avoid any strenuous exercise.

You should not eat or drink anything, including water, after midnight the night before surgery. You should shower the night prior to the surgery and wash the surgical site with antimicrobial soap. After the shower you should avoid wearing any products such as: oils, creams, makeup, moisturizers, or lotions — including deodorant.

Removing any nail polish from at least one fingernail and toenail will be helpful for the anesthesia person in order to monitor the blood circulation during the procedure using a pulse-oxy-meter.

The morning of the surgery you may brush your teeth, but should not swallow more than a sip of water. If instructed by the primer care physician, you may take any needed prescribed medication with sipping a minimal amount of water.

On the day of surgery you should wear loose-fitting clothes that open in the front and comfortable flat shoes that are easy to put on.

You will need to make arrangements ahead of time for a friend or family member to drive you to and from our Miami office and also to remain with you for at least the next 24 hours while you are recovering from the anesthesia. If you have children, pets or other important responsibilities, make plans to have someone available to help you for the next several days while you are recovering from your breast lift surgery.

What to expect from Breast Lift Surgery:

The preparation for breast lift is quite similar to other elective surgical procedures except for a mammogram that is required prior to surgery for any women from the age of 30 and above or earlier if a history of breast cancer in a first degree relative is detected at an early stage of life. The surgery is performed at our accredited office surgical suite or at the hospital if needed due to certain medical condition. You will be recovered in the post anesthesia care unit and be discharged home the same day unless it is necessary to keep you over night (rare). The first few days after surgery are usually the most difficult ones with some pain and discomfort. By the third day most patients have a significant improvement. On the third day Dr. Roudner will examine you at the office to ensure that the breast are healing properly and that the breast is soft and the pockets are open. Follow up visits from there on are at one week, ten days, two weeks, six weeks, three months and one year. Most of the swelling is gone by six weeks and the final results are seen at six months to one year.

Anesthesia for Breast Lift Surgery:

The procedure may be performed under twilight sedation (person is sedated but not unconscious) with local anesthesia for small cases or it may be performed under general anesthesia.

Length of time for Breast Lift Surgery:

The procedure should take between 90 minutes to three hours depending on the complexity of the case the surgeon and technique used.

Breast Lift Surgery – Post-Surgery treatment:

You will be seen in the office and follow a protocol given at the time of pre-operative visit. The doctor and the nurses review the instructions with you as recovery progresses. You will be instructed to only wear sports bras for the first 3 weeks after surgery, after that a wire bra may be used. Swelling subsides over a period of three to six months but significant reduction of swelling is noticed by six weeks. It takes up to a year for the shape of the breast, as well as the scaring to finalize. Scars can be treated after surgery with silicone based cream such as Biocorneum. It is not uncommon for one breast to swell more than the other. The post-operative instructions are to avoid sun exposure for a minimum of 6 weeks but ideally a 6 months period.

Your Breast Lift Surgery

Once you are under anesthesia, Dr. Roudner will make your first incisions. The placement of these incisions will vary depending on the size, shape and position of your breasts. Regardless of where the incisions are placed, Dr. Roudner will be careful to place them in such a way that they blend in as much as possible with the natural contours and lines of your body.

When undergoing a breast lift with implants your breast implants will be placed first. During the breast lift procedure any excess skin and breast tissue may be removed and the nipple areolar complex repositioned appropriately on your breasts. At the end of the procedure Dr. Roudner will use internal sutures to support the repositioned breast tissues as well as superficial sutures for incisions closure.

Recovery time needed from Breast Lift Surgery:

You should plan to have 5 days of rest, with complete bed rest on the day of surgery (except for getting up to the restroom). The day after surgery you should get out of bed, gradually mobilizing at home with out strenuous activity. On day five you should be able to drive. Gradual light exercise may be started on the 4th week after surgery with full activity at six weeks after the surgery.

Following the Breast Lift Surgery

Dr. Roudner makes it of the essence for you to know that the breast lift surgery has the potential to give your breasts a revived youthful appearance, but also involves distinct scars in each of the areas described above and each has a characteristic pattern of healing. In the peri-areolar area the scarring is partially concealed by the lighter-to-darker change in skin color at the transition from the breast skin to the pigmented skin of the areola. The vertical part of the incision from the areola to the infra-mammary crease usually heals well and is less noticeable over time. The inframammary portion of the scar, along the infra-mammary fold at the base of the breast, often is the thickest of all three surgical scars, but is usually concealed in that fold. Although the coloration of these scars fades, they do remain visible, in most cases. Scars can be treated after surgery with silicone based cream such as Biocorneum. It is also important for you to know that the change obtained in the breast position and shape by the breast lift is only temporary. Sagging of the breast will recur over the course of time due to aging and gravitational forces.

Additional info regarding Breast Lift Surgery:

Any surgery has risk and possible complications. Serious complications after breast lift with or with out implants are rare, but may include: Post- surgical bleeding (hematoma), infection, seroma, capsular contracture (hardness of the breast- scar formation around the implant compresses the implant), scaring, change in nipples sensation (undersensitive, oversensitive or numb), nipple areolar compromise (extremely rare). Other less severe complications: Asymmetry, rippling, palpability, malpostion, rupture, deflation, leaking and recurrent sagging. With breast implants filled with saline (salt-water) solution a deflation of the implant due to a break or leak in the shell of the implant will be noticed as a reduction in the size of the breast, your body will absorb the solution with no harm. Although it is rare, women with breast implants may experience symptoms such as joint pain or swelling, fever, fatigue, breast pain and others symptoms associated with diseases of the immune system. The implants were studied extensively by the FDA and no correlation between the presence of the silicone implants and those symptoms has been found. The FDA considers the implants as a safe device to use in surgery. Ongoing studies are being conducted to further evaluate correlation between those symptoms and the implants. There’s no evidence that breast implants cause breast cancer, some clinical studies have showed the females with breast implants may detect the presence of breast cancer earlier than women that do not due to the heightened awareness of their breast and frequent breast massage. No negative effect of the implants on fertility, pregnancy, or the ability to breast feed has been found although breast feeding may require additional supplementation. Women with breast implants require special technique while obtaining a mammogram and should make the technician aware that they have breast implants.

Techniques Used during Breast Lift Surgery at our Miami office:


Circumareolar Technique

Circumareolar Technique - Breast Lift Incision Around AreolaThe circumareolar, also known as donut lift (donut mastopexy), is a technique that involves a circular incision made around the areola. This technique is best used for smaller breasts and minimal sagging (ptosis) and achieves a small degree of lift.

Vertical Technique

Breast Lift Incision Areola Breast Crease The vertical technique is an extension of the circumareolar incision and involves a v-shaped incision that is an extension from the inferior portion of the circumareolar incision and continues down to the inferior mid- line of the breast. This breast lift procedure, although more invasive, achieves a greater degree of lift. This technique is best used for larger breasts and moderate to severe breast ptosis.

Anchor Technique

Breast Lift Incision Areola The anchor technique involves an extension of the vertical technique and has an anchor-shaped incision. It includes the circumareolar incision, the vertical incision down to the inferior mid-line of the breast and then laterally across the lower portion of the breast. This technique is the most invasive type of breast lift and achieves the greatest breast lift. This technique is best used for larger breasts and severe breast ptosis.

Breast Lift Surgery – Preoperative Appointment at our Miami office

About two weeks prior to your breast lift, we will ask you to return to our Miami office for your pre-op appointment. At this appointment, we will perform your required blood work as well as other necessary tests. We will review and sign the consent forms and provide you with instructions for the days prior to and following your breast lift.

Before you undergo your breast lift, it will be necessary to obtain a mammogram. If necessary, we will also make changes to your medications. Some medications can increase your risk of bleeding or other complications following your breast lift. Please provide us with a full list of your medications as well as any herbs or supplements you may be taking.


Reasons for Breast Lift Surgery

Many women experience changes in their breasts with aging and after pregnancy, breast feeding and weight loss. The effects of gravity on the breast as well as hereditary factors are involved in loss of skin elasticity and soft tissues changes. The aging process with lose of shape, firmness of the breasts and at times enlargement of the areolas require a breast lift procedure to rejuvenate the breast to its youthful full and uplifted appearance.

What can Breast Lift Surgery do for me?

Breast lift or mastopexy surgery returns the breasts to a more youthful and rejuvenated appearance by removing excess loose skin and tightening and reshaping the breast and soft tissues. It raises the breasts and nipple areola complex to its ideal position and reshapes and firms the breast to a youthful contour. It does not change the size of the breasts significantly unless it is combined with breast implants. Breast implants are placed in many of the breast lift cases when addition of upper pole fullness is desired.

What anesthesia is recommended for Breast Lift Surgery?

The operation can be performed under general anesthesia (in most cases) or twilight sedation with local anesthesia in smaller breast lift cases.

Who is a good candidate for Breast Lift Surgery?

Breast lift surgery is applicable surgery for healthy individuals with realistic expectations who are unhappy with sagging of their breasts as well as the shape and volume of the breasts. Patients that have flattened, elongated pendulous breasts with low positioned nipple areola complex and down pointing nipples as well as asymmetric breasts are good candidates for breast lift surgery with or with out implants. The patients should be non smokers or stop smoking at least 4 weeks prior to surgery.

How do I prepare for Breast Lift surgery?

A healthy diet and regular exercises (if permitted by health condition) is recommended in the weeks preceding your breast lift. People who are in good physical condition are more likely to have a faster recovery. In the days immediately preceding your surgery, avoid alcoholic beverages. On the day prior to the surgery, avoid strenuous exercise.

The night before your breast lift, take a shower and cleanse yourself according to Miami plastic surgeon Dr. Roudner’s instructions. Do not apply lotions, powders, creams, perfumes or deodorant following your shower.

After midnight, do not eat or drink anything, even water. In the morning, you may brush your teeth, but do your best to not swallow any water. If you are taking medications that have been approved by Dr. Roudner, use the least amount of water possible to swallow these.

Dress in loose-fitting clothing that opens in the front for ease and comfort following your breast lift. Wear comfortable, flat shoes that are easy to walk in since you will still be feeling effects from the anesthesia.

You will need to make arrangements ahead of time for a friend or family member to drive you to and from our Miami office and also to remain with you for at least the next 24 hours while you are recovering from the anesthesia. If you have children, pets or other important responsibilities, make plans to have someone available to help you for the next several days while you are recovering from your breast lift surgery.

How long will I need to recover from Breast Lift Surgery?

After your breast lift surgery you should have 5 days of rest at home. By the fifth day you should be able to drive and by 7 to 10 days you should be able to return to non- strenuous work (no heavy lifting). By three to four weeks a gradual return to activity at the gym with exercise like stationary bike are OK. By six weeks you should be fully recovered except for rare cases.

Is the recovery process after Breast Lift Surgery painful / discomforting?

It depends on the individual. Some patients recover with minimal pain or discomfort while some others have a more difficult time after surgery. Most patients have moderate pain in the first 3 days after surgery. After that period thing improve rapidly. The more active you become the more often pain stops you from engaging in more strenuous activity. That is the safe guard mechanism of the body to prevent injury. You should stop any activity at that point and rest. In very rare occasions pain persists for a long period and is mostly due to nerve regeneration or compression and may need to be treated if possible.

Breast Lift Surgery (Mastopexy) Miami