Sagging Breasts: Breast Lift vs Breast Reduction?

If you have sagging breasts – and nearly every woman experiences sagging breast skin at some stage of their lives – you may be researching your breast surgery options. To get uplifted breasts, which lifts the nipples to a more central location on the breast mound, requires a breast lift. You can get a breast lift with or without augmentation – or perhaps you need a breast reduction. Here’s how to tell if you need a breast lift or a breast reduction, which always includes a lifting of the breast volume and the nipples or “areola.”

Breast Surgery For Sagging Breasts?

There are four types of breast surgery possible to remedy sagging breasts and downward-facing nipples, although one is known as a breast reduction rather than a breast lift. It does, however, inherently include a breast and nipple lift.

Breast Augmentation for Sagging Breasts

An augmentation on its own for mild ptosis (sagging). This can somewhat elevate the nipples, but which may lead to future further sagging if the skin is lax.

Breast Lift for Sagging Breasts

There are three options for breast lift surgery to correct sagging breasts. A breast lift (nipple lift) that does not include additional volume changes. This is known as a mastopexy procedure. You could also pursue a breast lift that includes increased volume via the use of a breast prosthesis (breast implant). This is known as a mastopexy augmentation (combined breast uplift with breast implants). Finally, a breast lift that is combined with a reduction of breast tissues – a breast reduction. This is officially known as a reduction mammoplasty.

Before and After a Breast Lift

Click to see more Breast Lift Before and After Images

Surgery Options: Breast Lift or Breast Reduction?

Choosing between a breast lift, a breast lift with implants, or a breast reduction can be difficult to decide. This is something that will be covered in your consultation with your plastic surgeon. However, there are some ways you can tell at home, whether you need a breast lift or breast reduction.

Breast Lift for Ptosis

Are your breasts empty-looking and only slightly sagging, such as can occur after weight loss or pregnancy? Depending on where your nipples sit and what your skin tone is, you’ll usually have two main options to enhance the appearance of your breasts. In these cases, you can pursue either a breast lift on its own or a Mastopexy Augmentation (breast lift with implants).

An uplift without implants can usually resolve the problems associated with sagging breasts, but it may seem to you as if you have a slightly reduced volume (even if you don’t).

Breast Reduction for Ptosis

If, however, you have very heavy tissues in the breast area, you may need to explore your breast reduction options. this means if you have heavy breasts or breasts that sag due to large breast volume, a reduction is recommended. Further, large breasts can cause a variety of issues including back, shoulder and neck pain. The skin can also suffer from grooves caused by the weight of the breasts pulling the bra down. In these cases, you may benefit most from a breast reduction.


Phone us to arrange a consultation on (03) 8849 1444 or read more on the breast reduction page.

We also have free guides on breast reduction and breast lift surgery.

Please Contact Dr.Rubinstein’s office to book a consultation or enquire about further information regarding plastic surgery procedures.

Dr Craig Rubinstein’s affiliations include:

*Disclaimer: Results can vary significantly from patient to patient. Dr Rubinstein fully customises each surgery to meet the needs of each patient. Plastic surgery is serious and you need to be sure you have read the educational materials and understand the surgery process, breast surgery recovery times, breast surgery scars, and risks before proceeding. This information does not replace any advice Dr Rubinstein gives you during your consultation, which will be based on the breast surgery you will actually be having, your lifestyle, skin health, and daily habits.