Breast lift (mastopexy) in Istanbul

If your breasts have dropped or lost their shape after pregnancy, breastfeeding, weight change or simply with time, this page explains how a lift works, the scars to expect, the recovery and how long the result lasts.

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  • Operation time 1–2 hours
  • Hospital stay Often the same day
  • Time in Istanbul At least 5–7 days after surgery before flying
  • Back to work Desk work after about 1 week
Illustrative artwork. Not a patient or treatment result.

What is a breast lift?

A breast lift (mastopexy) raises and reshapes breasts that have dropped, by removing excess skin and tightening the surrounding tissue so that the nipple sits higher. A stretched areola can be made smaller at the same time. A lift does not noticeably change breast size or fill the upper part of the breast: an implant can be added for fullness, or a reduction for smaller breasts. The operation takes 1–2 hours, most people return to desk work after about a week, and the scars are permanent but usually fade considerably.

What it can do

  • Raise the nipple and breast tissue to a higher position.
  • Reshape breasts that have become flatter or longer after pregnancy, breastfeeding, weight change or with age.
  • Make a stretched areola smaller.
  • Even out a difference in height between the two breasts.
  • Be combined with breast augmentation for upper fullness, or with breast reduction for smaller breasts.

What it cannot do

  • Make the breasts noticeably larger or fill the upper part on its own.
  • Avoid scars: the incisions leave permanent scars, which usually fade considerably.
  • Stop ageing and gravity; pregnancy or major weight loss can undo part of the result.
  • Be replaced by exercise, creams or tape, none of which can remove skin or move the nipple.

Is it right for you?

Breasts drop with pregnancy, breastfeeding, weight change, ageing, gravity and heredity. Surgeons grade the sagging by where the nipple sits against the fold under the breast: at the fold (grade 1), below the fold but above the lowest part of the breast (grade 2), or at the lowest point and pointing down (grade 3). Suitability is confirmed at an in-person examination.

Usually a good fit if

  • Your breasts have lost shape and volume, or look flatter or longer.
  • Without a bra, your nipples sit below the breast fold or point downwards.
  • Your areolas have stretched.
  • One breast sits lower than the other.
  • You are healthy, at a stable weight and do not smoke.

Better to wait or consider alternatives if

  • You plan more pregnancies: pregnancy can reduce or reverse the result.
  • You plan to lose a lot of weight after surgery.
  • You smoke and cannot stop around the operation.
  • You are still breastfeeding: a lift is planned once breastfeeding has finished.
  • Breastfeeding in future matters a great deal to you, as a lift carries a risk of not being able to breastfeed.

Techniques

The incision pattern follows the degree of sagging, the size and shape of the breast, the size and position of the areola and the quality of the skin. ASPS advises accepting the pattern your anatomy needs rather than insisting on the smallest scar.

Crescent lift

A half-moon of skin is removed along the upper edge of the areola. It is generally used for minor sagging, often together with an implant.

Best for

Minor sagging, often with augmentation.

Periareolar (doughnut) lift

Skin is removed in a ring around the areola, leaving a scar along its edge. The same step can make a stretched areola smaller.

Best for

Corrections centred on the areola.

Vertical (lollipop) lift

Incisions run around the areola and straight down to the breast fold, so that the lower part of the breast can be reshaped as well as lifted. The resulting scar is shaped like a lollipop.

Best for

Reshaping below the areola as well as lifting.

Anchor (inverted-T) lift

A horizontal incision along the fold is added to the vertical one, so that more skin can be removed. It is used for significant sagging, or when a reduction is done at the same time.

Best for

Marked sagging, or a lift combined with a reduction.

Lift with an implant

An implant can be added in the same operation or later, for upper fullness; the choice depends on the surgeon's experience. In a review of 4,856 single-stage cases, complications occurred in 13.1%, sagging returned in 5.2% and 10.7% had further surgery.

Best for

Sagging together with lost volume in the upper breast.

Op. Dr. Bilgehan İlker

Op. Dr. Bilgehan İlker

Specialist in plastic, reconstructive and aesthetic surgery

  • Specialist training: Dokuz Eylül University
  • Medical degree: Trakya University
  • Health tourism authorization: ST-2657
  • Dr. İlker speaks English and Turkish.
Dr. Bilgehan İlker

How Dr. İlker approaches a breast lift

Op. Dr. Bilgehan İlker is a specialist in plastic, reconstructive and aesthetic surgery, trained at Dokuz Eylül University, with her practice in Bakırköy, Istanbul. In her writing on body surgery she stresses matching the procedure to the patient and keeping expectations realistic: if a lift alone would leave too little breast tissue, adding an implant should be discussed.

A lift is often part of surgery after pregnancy. On her pages she describes combining it with a tummy tuck and liposuction under one anaesthetic, as a mummy makeover, and she asks patients not to lift anything heavy in early recovery, their baby included.

  • Position and volume Your examination looks at how much breast tissue you have as well as how low the breasts sit.
  • After breastfeeding A lift is planned once you have finished breastfeeding; ask her how long to wait in your case.
  • A female surgeon Dr. İlker is a woman; some patients find breast concerns easier to discuss with a female surgeon.
  • A mammogram first A baseline mammogram before surgery, with another afterwards, helps detect any future changes.

The operation, step by step

A breast lift usually takes 1–2 hours, under general anaesthesia or intravenous sedation.

  1. Consultation

    Your goals, medical history, mammogram results and any family history of breast cancer are reviewed, and measurements and photographs are taken with your consent.

  2. Marking

    The incision pattern and the new nipple position are drawn on your skin before surgery.

  3. Anaesthesia

    You have a general anaesthetic or intravenous sedation.

  4. Lifting and reshaping

    The breast tissue is lifted and reshaped, the nipple and areola are moved higher, the areola is reduced if needed and excess skin is removed.

  5. Closing

    Deep stitches support the new shape, and the skin is closed with stitches, skin glue or tape.

  6. Dressing and going home

    You wake in dressings and a support bra, sometimes with a thin drain, and most people go home the same day.

Your days in Istanbul

Plan at least 5–7 days in Istanbul after surgery. NHS guidance is not to fly sooner after breast surgery, because surgery and flying both raise the risk of blood clots.

  1. Examination and marking

    Before surgery

    Arrive early enough for the pre-operative examination and tests, and bring any recent mammogram reports.

  2. Operation, usually going home the same day

    Surgery day

    Have someone take you back to your accommodation and stay with you overnight.

  3. Rest close to your accommodation

    The first days

    Keep your elbows by your sides, sleep on your back and wear the support bra. Drains, if used, come out within a few days. Skip alcohol, sunbathing, swimming and tours.

  4. Wound check and a follow-up plan

    Before you fly home

    Have your wounds checked, and agree who will see you at home and how to reach the clinic.

Recovery, day by day

Typical ranges from Cleveland Clinic, ASPS and NHS guidance. Your own timeline depends on the technique and on how you heal.

  1. Day 1

    Going home

    Most people go home the same day with dressings, a support bra and sometimes a drain. Keep your arms down, elbows by your sides, and sleep on your back.

  2. Days 2–3

    Swelling and tightness

    Discomfort, swelling, bruising and a tight feeling in the skin are normal. Drains are usually removed within a few days.

  3. Week 1

    Back to light activity

    Desk work and light activities such as walking are usually possible after about a week, and flying after 5–7 days.

  4. Week 2

    Bruising fades

    Discomfort, swelling and bruising ease over about 2 weeks.

  5. Weeks 3–4

    Still taking it easy

    Strenuous activity stays off limits, and some surgeons prefer you to keep sleeping on your back for several weeks. Full healing of the incisions can take a few months.

  6. Months 2–3

    Back to exercise

    Heavy lifting, exercise and intimate activity are usually allowed again towards week 6, and many people move to a normal bra around week 8.

  7. Month 6

    The shape settles

    The shape and position of the breasts keep settling for several months, and the scars mature.

  8. Month 12

    Scars soften

    Scars continue to fade towards your skin tone. Keep to the mammogram plan agreed before surgery.

Contact us straight away if you notice

  • Redness, warmth or swelling of a breast, or discharge from an incision.
  • A temperature above 38°C (100.5°F).
  • Pain that does not ease with your medicines, or ongoing nausea and vomiting.
  • Rapid, painful swelling of one breast.
  • Pain, swelling or warmth in one calf.
  • Shortness of breath, chest pain, dizziness or an irregular heartbeat: call your local emergency number.

In an emergency, call your local emergency number.

Aftercare at home

  • Wear the support bra as instructed; many people move to a normal bra around week 8.
  • Care for drains and dressings as shown, and take medicines exactly as prescribed.
  • Protect the incisions from strain, rubbing and sudden movement.
  • Avoid raising your arms above your head until you are told you can.
  • Once the wounds have healed, use silicone gel or sheets, gentle massage when allowed and SPF 30+ on the scars.
  • Keep your weight stable to help the result last.

Risks and how they are reduced

A breast lift carries the general risks of surgery and some that are specific to reshaping the breast. Not smoking lowers the risk of wound-healing problems.

Risks are lowered by not smoking, reviewing your medicines, keeping a stable weight, protecting the incisions, wearing the support bra and waiting 5–7 days before flying. Choosing the incision pattern your anatomy needs, rather than the shortest scar, also protects the result.

Risks and how they are reduced
RiskHow often

Scarring

Scars are permanent and usually fade, but they can thicken or stay noticeable. Raised scars may appear 1–2 months after surgery, and keloids are more common on darker skin.

Varies

Changes in nipple or breast sensation

Sensation can increase or decrease, temporarily or permanently.

Varies

Asymmetry or uneven contour

The breasts or nipples may differ in shape or position, or the contour may be uneven, and a revision is sometimes needed.

Varies

Bleeding, fluid collection or infection

A haematoma, seroma or infection may need treatment. In single-stage lifts with implants, each occurred in under 2% of cases.

Uncommon

Wound-healing problems and fat necrosis

Wounds can heal slowly, especially in smokers, and small areas of fat can harden (fat necrosis).

Varies

Loss of nipple or areola

Reduced blood supply can lead to partial or total loss of the nipple and areola.

Rare

Breastfeeding

Some people cannot breastfeed after a lift.

Varies

Recurrent sagging

Ageing, gravity, pregnancy and weight loss can lower the breasts again; after single-stage lifts with implants, sagging returned in 5.2%.

Varies

Anaesthesia and blood clots

Any operation raises the risk of blood clots, which can be life-threatening, and flying soon afterwards adds to it.

Rare

Results and how long they last

The new position is visible straight away, but the shape settles over several months as the swelling goes down. Scars are red and slightly raised at around 6 weeks, still new at 6 months and usually much closer to your skin tone by a year.

The result is long-lasting, but ageing and gravity continue. A stable weight and a healthy lifestyle help it last; pregnancy and significant weight loss can undo part of it.

How long it lasts: Long-lasting, though ageing, gravity, pregnancy and weight change continue to affect the breasts.

With any surgical or interventional procedure, results vary from person to person. We recommend a detailed consultation with your doctor before any procedure.

Questions to ask at your consultation

Take these to any surgeon you see — including us.

  1. What is your specialist training, and how often do you perform breast lifts?
  2. Which incision pattern do you recommend for me, and where will the scars be?
  3. Do I need an implant as well to get the fullness I want?
  4. Will the operation take place in a hospital, and do I go home the same day?
  5. How long should I stay in Istanbul, and when are my check-ups?
  6. Who do I contact once I am home, and what happens if there is a complication?
  7. How might this affect breastfeeding?
  8. What does the plan include, and what might cost extra later?

What shapes your plan and quote

Your plan and quote follow your examination, because the technique depends on how much skin and tissue need to be moved.

  • The incision pattern and how much correction is needed.
  • Whether an implant or a reduction is added in the same operation.
  • Tests such as a mammogram and blood tests.
  • The anaesthesia and the length of any hospital stay.
  • Combining the lift with other surgery, such as a tummy tuck.

We do not publish prices: every plan is personal and is written for you after your assessment.

Frequently asked questions

How long is breast lift recovery?

Most people return to desk work after about a week, and swelling and bruising settle over roughly two weeks. Heavy lifting, exercise and other strenuous activity usually wait until around week 6, and many people switch to a normal bra at about week 8. The incisions take a few months to heal fully.

Will I have scars after a breast lift?

Yes. The scars are permanent but usually fade considerably. Depending on the pattern, they sit around the areola, along a vertical line below it and sometimes in the fold under the breast. At around 6 weeks they are red and slightly raised; by a year they are usually much closer to your skin tone.

How long does a breast lift last?

The result is long-lasting, although ageing and gravity keep acting on the breasts. Keeping a stable weight and a healthy lifestyle helps, while pregnancy and significant weight loss can reverse part of the lift. Cleveland Clinic describes the result as lasting several years; how long depends on ageing, weight and pregnancy.

Can I have a breast lift without implants?

Yes. A lift on its own raises and reshapes the breast, but it does not noticeably change the size or fill the upper part. If you want more fullness, an implant can be added in the same operation or later. Op. Dr. Bilgehan İlker raises this when your own tissue would not be enough for the shape you want.

Can I have a lift and implants at the same time?

Yes, a single-stage operation is possible, and whether to combine or separate the two is a decision for your surgeon. In a review of 4,856 single-stage cases, 13.1% had a complication and 10.7% needed further surgery. Recurrent sagging (5.2%), poor scarring (3.7%) and capsular contracture (3.0%) were among the problems reported.

How long after breastfeeding should I wait?

Plan a lift once you have finished having children and breastfeeding, since pregnancy can reduce or reverse the result. There is no fixed waiting time in the published guidance, so ask Dr. İlker how long to wait in your case. Your breasts are assessed at the consultation before a date is set.

Can I have a breast lift after weight loss?

Yes, once your weight is stable. A stable weight is part of being a suitable candidate, because losing a lot of weight after surgery can undo part of the result. If you are still losing weight, it usually makes sense to reach your goal first and then plan the lift.

Can I breastfeed after a breast lift?

Possibly, but not being able to breastfeed is a known risk of a lift. ASPS advises considering a lift once you have finished having children, partly because pregnancy can also reverse the result. If you plan to breastfeed in future, raise it at your consultation, as it may affect both the timing and the technique.

When can I sleep on my side?

There is no fixed day. You sleep on your back at first, and some surgeons prefer this for several weeks after a lift while the incisions heal. Ask Dr. İlker at your check-up when you can change position, because the answer depends on the technique used and on how you are healing.

When can I fly home after a breast lift?

NHS guidance is to wait 5–7 days after breast surgery before flying, because surgery and flying both raise the risk of blood clots. Plan your stay in Istanbul around this, have your wounds checked before you leave and agree who will see you once you are home.

When can I exercise again?

Walking and light activity usually return after about a week. Strenuous exercise, heavy lifting and intimate activity may be restricted until around week 6. Build up gradually once you are cleared, starting with low-impact exercise, and ask before restarting anything that strains the chest or arms.

Can exercise, creams or tape lift the breasts instead?

They cannot do what a lift does. A mastopexy works by removing excess skin and moving the nipple and breast tissue higher, and those are surgical steps. If you are not ready for surgery, a consultation can still help you understand your options and the right timing.

Medical informationThe information on this page is general information only. It is not medical advice and does not replace a diagnosis or treatment. Every surgical and interventional procedure carries risks, which will be explained to you in detail during your consultation. Whether this procedure suits you can only be decided after an in-person examination and assessment. We encourage you to also seek independent advice from your own doctor before deciding.

Written by the Bilgehan Clinic editorial team from the sources below. Medical review by Op. Dr. Bilgehan İlker is in progress.

Last updated:

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Op. Dr. Bilgehan İlker Specialist in plastic, reconstructive and aesthetic surgery
  • Nef 22 Ataköy, D Blok, Kat 1, Daire 36, Çobançeşme E-5 Yanyol Cad. No:22, Bakırköy / İstanbul
  • Monday to Saturday, 10:00–18:00
  • +90 542 280 27 51
  • Dr. İlker speaks English and Turkish.

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This exchange does not replace a medical examination or diagnosis. Whether a procedure suits you is decided at an in-person examination.

Ask Dr. İlker

Tell us what you are considering. The team replies with next steps and, where it helps, questions from Dr. İlker.

Dr. İlker speaks English and Turkish.

Op. Dr. Bilgehan İlker Specialist in plastic, reconstructive and aesthetic surgery

Let’s plan your consultation

Choose your country code on the left. Enter your number without the country code.

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How should we reply?

This exchange does not replace a medical examination or diagnosis. Whether a procedure suits you is decided at an in-person examination.

A question before you decide?

Many people find it easier to decide after a short, honest answer. Ask anything about your procedure; there is no obligation.

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