What is a Breast Lift?

A Breast Lift, also known as mastopexy, raises the breasts by removing excess skin and tightening the tissue around the breast to reshape and support the new breast contour.

A Breast Lift can make you look better, and in many cases, more importantly, can make you physically feel better in and out of clothing. Surgery is often much easier than many think, and usually, patients can drive in 3 days, return to light work in 4 days, exercise in 3 weeks, and swim and go to the beach in 1 month.

Why Do Women Request Breast Lifts?

A Breast Lift is for the woman whose breasts droop more than desired. The tendency is inherited, can occur with weight change, or sagging can happen post-pregnancy, with hormonal changes, or just aging and gravity. The breast may be asymmetric, the nipple may point down, balance is lost and the overall appearance is an “aged look.”

Breast droop is both common and natural. Most women regardless of modest size have some breast droop even when young. However, when the breast relaxes too much, simply wearing a bra and getting it to fit comfortably and look good can become a challenge.

Some women develop breast droop right away during puberty. And when there is some asymmetry with droop, it can be more annoying when bras just don’t give the support, look and control you desire. Breast droop can gradually occur with puberty, weight changes, hormone changes, after pregnancy, and with aging. Breast droop can make your breast look smaller, less defined, and older than you are and feel. And if your breast is droopy when they first develop, and asymmetric, a Breast Lift can dramatically change the anatomy to a pleasing appearance that will then age much more naturally, look more normal, and fit in normal clothing, bras, and swimwear.

The reality is that when you have sagging breast, a bra often feels like it “folds” your breast upward, and invariably leaves a gap in the upper part of the bra that can be a challenge in clothing and bathing suits, even with padding. Breast sagging causes challenges such as finding bras that fit comfortably, looking good in your clothing, being able to participate in sports or to workout in a gym without concern or embarrassment, and wearing bathing suits with comfort at the pool without constant “repositioning” of your breast and clothing.

And the more sagging you have, the wider your breast can look in a bra. A drooping breast can cause discomfort at your shoulders with or without a bra. Many patients will notice an improvement in how their chest and shoulders feel even right after the surgery is completed.

Deciding on Surgery

Where to start when considering surgery for sagging breast?  The best way is to explore options during a consultation where you will find that challenges you may be experiencing are almost always shared by others. Options can include treatments depend on the amount of breast tissue you have, your skin characteristics, and your desires for outcome.

Many patients think they must have implants to have a well-proportioned breast, and find that techniques for breast reshaping and lifts often result in great appearance without the need for implants. Many who feel that they are too small often find that with repositioning breast tissue into a more symmetric and better space, they appear to have more projection and more aesthetically pleasing breast that fits more comfortably with bras and clothing off the rack. Sometimes breast implants are considered as an option for volume enhancement as well.

Breast Lift surgeries are one of the most common procedures we do today. No surgery is magic, and yet achieving improved symmetry with your breast can result in comfort and confidence in and out of clothing. Breast Lift surgery (mastopexy) lifts and repositions the breast to a higher, more youthful position. It reshapes a sagging breast & can dramatically affect the way your bra functions, how your clothing fits…how comfortable you are during daily activities & exercise.

Regardless of the causes, breast changes are often unpredictable, unavoidable, bothersome, challenging, uncomfortable, embarrassing, and problematic.

Dr. Rudderman is specialized in many surgeries of the breast and can perform the artistically demanding and rewarding surgeries that correct these problems. Dr. Rudderman is one of Atlanta’s surgeons of choice. He is specialized in many complicated problems of the breast and he employs delicate, advanced techniques to achieve the most natural-looking results possible.


Dr. Rudderman feels that Breast Lift operations are one of the most artistically demanding operations her performs. He customizes every procedure to match your anatomic characteristics and desires.

Dr. Rudderman’s Breast Lift surgery can achieve the following:

  • Breast Lift surgery rejuvenates breast shape and contour
  • Breast tissue is elevated to a more youthful position
  • Uneven, asymmetrical breasts improve with Breast Lift surgery
  • Nipple/areolar are resized, shaped, positioned and balanced
  • Breast Lift surgery restores a more youthful, pleasing shape
  • Breast Implants may be used to enhance your Breast Lift Surgery
  • Special techniques using your own natural tissue may be used
  • Rudderman customizes every single Breast Lift surgery

For years, Dr. Rudderman has been using the optimal combination of procedures, proper timing, expertise, artistic skills, and a safe personalized plan…to help guide women through procedures …to transform their body so they look better and feel healthier.


Most Breast Lift procedures are accomplished with surgical incision placement that includes an incision around the areola, and a vertical incision to the crease below your breast, and some length of incision along the crease. Women are always (and rightly) concerned about how these incisions and scars will heal. Our technique used the most delicate approach with the care of tissue that promotes the greatest probability of excellent healing. It is rare to have resulting scars that are problematic and that require revisional surgery.

In the procedures, the superficial skin and soft tissue are elevated allowing for the breast tissue to be reshaped to a more normal anatomic appearance including often repositioning on the chest wall. This is accomplished by understanding and achieving the best possible balance between breast volume, skin and soft tissue, chest wall shape, nipple, and areolar size and position, all after taking into consideration your height, shape, weight, age, lifestyle, and desires.

Surgery usually takes 1 to 2 ½ hours, is outpatient, and may involve a drain placement for usually 1 day. Women with a desk-type job almost always return to work on Monday after a Thursday operation. Healing issues are rare if you are healthy and a non-smoker. Those that use tobacco products can reduce healing difficulty risk by reducing use before and after surgery. Women with children often can return to full childcare within reason in 3-4 days, including carpool and driving.

The operation and artistry are specific to each woman. During your visit, you will receive extensive education regarding your condition, your concerns, your options, your risks and benefits, and your probable predictable outcome. The goal is safe surgery, excellent appearance, normal anatomic redistribution, and an outcome that last for years and ages appropriately. Surgery is never permanent, and aging and other factors will impact appearance. The goal is for a revised breast to age naturally.


Dr. Rudderman believes the consultation is critical for you and him. The consultation includes the following: a thorough education of your options, an overview of techniques used to modify breast form, discussion on incisions, your desires regarding breast volume, desired appearance and body balance, careful, comprehensive examination to evaluate breast volume, tissue, skin characteristics and position, evaluation of your body frame, chest anatomy, and if implants are considered, a discussion of today’s breast implant options and safety considerations. During your consultation he will assess your anatomy, tissue and skin characteristics, breast volume, breast history, your desires for now and long-range, your options…and he will create a personalized treatment plan that can be performed in a safe predictable way. Occasionally, you may require treatment for one breast that may differ from the other. These treatments are not an emergency, and plenty of time will be allowed to have a full conversation to consider options. Additional visits can be provided until you feel confident that you are making the best decision for yourself in health, safety, and outcome. From the consultation evolves…trust, respect, mutual understanding, and a personalized treatment plan.

These treatments are not an emergency, and plenty of time will be allowed to have a full conversation to consider options. Additional visits can be provided until you feel confident that you are making the best decision for yourself in health, safety, and outcome.

Dr. Rudderman has done hundreds of breast surgeries and can project your likely outcomes. From the consultation evolves…trust, respect, mutual understanding, and a personalized treatment plan.

After your first consultation with Dr. Rudderman, you will realize that there truly is a difference in how surgeons approach their profession. For Dr. Rudderman…that difference means understanding your goals and providing a level of service that places safety & comfort alongside predictable and pleasing outcomes.

Contact us at 678.566.7200 to meet with Dr. Rudderman in our Alpharetta or Midtown Atlanta offices.

Written and reviewed by:

This article was written by Dr. Randy Rudderman, who is board certified by the American Board of Plastic and Reconstructive Surgery (1994). He practices medicine at his offices in Alpharetta and Atlanta.
Learn more about Dr. Rudderman, his medical training, and credentials.

  • Dr. Rudderman and his staff made the experience easy and comfortable. They were realistic communicating surgery expectations, expected pain levels and down time from work. Nurses were informative and friendly and wait times minimal. I also liked the fact that Dr. Rudderman does all his own work and doesn't let other less experienced people do parts of the surgery the way other doctors may. I'm only one week out of the surgery, but I am very satisfied with the results so far.

    Susan Parker | Atlanta, GA


Dr. Rudderman’s unique, integrated approach to plastic surgery employs only safe, effective, predictable surgical techniques that are driven by uncompromising respect for the natural condition of the human form. He understands that the body changes with time – as do desires. His primary goal is to deliver the best possible plastic surgery … specifically matched to each patient…in a safe environment with ultimate respect for every single individual…their concerns and goals. LEARN MORE »

“The best plastic surgery results must give each individual the opportunity to feel comfortable now and in the future…”

Dr. Randy Rudderman

We Have Reopened the Office for Surgery, Injectables, and Spa Treatments!Schedule an Appointment Online