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Breast Lift

Conveniently located to serve the areas of Maryland, Virginia and Washington, D.C.

Whether due to age, pregnancy, weight loss or genetics, sagging breasts can once again be elevated to youthful heights with breast lift surgery.

What is a Breast Lift?

Breast lift, or mastopexy, is a surgical procedure to lift and shape a woman’s breasts. Age, pregnancy, and weight loss are just a few factors that can cause breasts to sag; this procedure is specially designed to counter them. Our Maryland breast lift plastic surgery professionals are highly experienced in performing breast surgery, often attracting patients from neighboring areas, such as the District of Columbia and North Bethesda. Dr. Jabs, Dr. Richards, and Dr. Magge are board certified by the American Board of Plastic Surgery (ABPS), as well as members of the American Society for Aesthetic Plastic Surgery (ASAPS) and the American Society of Plastic Surgeons (ASPS).

With over 15 years of experience in the greater Washington DC area, our breast lift surgeons are able to give their patients the advice and quality care that they deserve when undergoing breast surgery.

Real Patient Results


Ideal Candidates

Pregnancy, weight loss, and/or aging can affect the elasticity of a woman’s breasts, causing the appearance of excess, sagging skin. In order to reshape and lift the breasts, which can help to reverse these factors, an individual can undergo mastopexy. Our District of Columbia breast lift surgeons will decide if you are a good candidate for this procedure after a consultation examination.

Characteristics of a Good Candidate

  • Good physical health
  • Dissatisfaction with breast size, shape, and appearance
  • Realistic expectations and goals
  • Not currently pregnant or breastfeeding

The aforementioned ptosis (breast sagging) factors can cause women’s breasts to present at different bust elevations than others. To help categorize the degree of ptosis individuals are experiencing, a grading system was created.

Degrees of Ptosis

  • Level 1: Mild sagging – The patient’s areolas are level with the breast crease, but breast tissue is still visible below the areolas.
  • Level 2: Moderate sagging – The patient’s areolas sit below the breast crease, but breast tissue is still visible below the areolas.
  • Level 3: Significant sagging – The patient’s areolas sit below the breast crease with no visible breast tissue below the areolas.
  • Pseudoptosis – The patient’s areolas are above the breast crease, but majority of breast tissue hangs below the breast crease.

Maryland Breast Lift Diagram

Methods Used

Crescent / Circumareolar Technique

A breast lift can be performed with small incisions, either on the upper half of the areola (crescent) or around the entire areola (circumareolar.) A large advantage of these techniques is the fact that the incisions are camouflaged in the already distinct border between the color of the breast and the areola. These incisions also allow for the reduction of areola size. However, these techniques are only effective for women who experience minor sagging; women experiencing a large amount of sagging will require a more extensive lift.

Vertical Technique

Also known as the keyhole or lollipop technique, the vertical technique involves one incision made around the circumference of the areola, and another made from the base of the areola incision to the base of the breast. This additional incision allows the surgeon more lifting capability.

Anchor Technique

The anchor technique is reserved for women with a significant amount of sagging that the aforementioned techniques would not be able to address. In addition to a circumferential areola incision and a vertical incision, a third incision is made following the natural breast crease, mimicking the shape of an anchor. Extensive lifting is performed with these incisions, with the appropriate amount of skin and tissue excised for a beautifully lifted and proportional bust.


An initial consultation at our Bethesda, Maryland location is the first step to beginning your breast lift journey. This is the time your surgeon will perform an examination to determine which surgical method you would benefit from most. A customized surgical plan will then be drawn up for you to optimize your individual results. Custom preparation and recovery instructions will also be provided at this time. Before and after pictures will be available for your viewing to get an idea of breast lift results, but please remember outcomes vary since each procedure is tailored to the individual. Questions are highly encouraged so please ask anything that comes to mind, even if you do not think it is applicable. Patient comfortability both emotionally and physically is our top priority.


Further customized instructions will be given to you at your consultation.

While most preparatory instructions will be individualized, all patients are asked to not smoke for the couple weeks leading up to your surgery date. Herbal supplements and anti-inflammatory meds should also be avoided for this time period. A mammogram may be needed, as well as certain medical evaluations deemed necessary by your surgeon.

Please make sure to have transportation arranged from surgery; postoperative breast lift patients cannot drive themselves for a couple of days. You surgeon will also prescribe medications which must be picked up before the day of your procedure; some of these will be required immediately after surgery. Range of arm motion will be limited for a short period of time, so make sure recovery items are stored at counter level before surgery.

Procedure Process

Breast lift surgery begins with marking the incision locations, then the appropriate amount of anesthesia is administered. Breast lifts are performed as an outpatient procedure, meaning you can return home after the procedure is completed. Incisions are made around the areola (nipple) and sometimes under the breast. Newer, minimal incision techniques reduce the scarring. The appropriate amount of tissue and skin are excised to create the desired results. The areolas can be reduced in size to be made proportionate with the newly shaped breasts. The procedure takes from 1.5 to 2.5 hours to perform. Once the desired lift is achieved, incisions are closed.

This is a procedure commonly performed by our breast lift experts, A. Dean Jabs, M.D., F.A.C.S., Franklin D. Richards, M.D., F.A.C.S., and Keshav Magge, M.D. of Cosmetic Surgery Associates, located in Bethesda, MD. For a full evaluation, feel free to consult with one of our physicians.

Ancillary Procedures

Breast Augmentation

Breast augmentation surgery along with a breast lift procedure will provide a patient with a shapelier, better contoured figure. This procedure involves the lifting of the breasts, as well as the insertion of breast implants (saline or silicone filled). This can be done through a predetermined incision location; through the areola or underneath the breasts. Breast augmentation allows the patient full customization of the look and size they desire with a variety of implant options.

Tummy Tuck

Breast enhancement is often paired with body contouring procedures for additional sculpting. A tummy tuck is a fantastic way of slimming and defining your midsection by removing lax skin and tightening abdominal muscles. This procedure is generally reserved for women and men who have not seen improved defining results despite routine exercise.


Liposuction is another great body sculpting procedure that can be performed in conjunction with breast lift surgery. It is specially designed to remove localized fat stores that are unresponsive to both a healthy diet and working out. The suctioning of these fat stores can be done just about anywhere on the body, some of the more popular areas being the stomach, thighs, and waist.


After your surgeon completes your breast lift surgery, you will be transported to our comfortable recovery room where you will slowly wake from the anesthesia with the company of our attentive, friendly nursing staff. Some patients may require drains; if they are necessary for your case cleaning instructions will be provided. Your breasts will be wrapped in dressing and supported with a surgical bra. It is important that this remains on at all times until your surgeon says otherwise. Bruising and swelling is a normal occurrence after breast surgery and will resolve on its own. Any discomfort you experience can be eased with prescribed pain medication.

Please do not sleep on your stomach, a beach chair position (head and back elevated) is recommended to help reduce swelling quicker. It is possible for you to return to work after two or three days. Heavy lifting and vigorous physical activities should be avoided for about 4 weeks or until otherwise instructed. A follow-up visit will be scheduled to assess healing progress and adjust instructions appropriately if necessary.


Your final breast lift results can be enjoyed once all traces of swelling and bruising have vanished. Scars resulting from surgery will fade with good care over time.


Average cost: $5,000-$7,000

The cost of your mastopexy procedure will depend on your specific case and if you opt to receive additional treatments or procedures.

Scheduling a Breast Lift Consultation

If you are considering a breast lift, we strongly recommend reaching out to our office to schedule a personalized one-on-one consultation with one of our board-certified plastic surgeons. Our office is located only 5 miles away from Rockville & Potomac and just 12 miles away from Washington DC. Please feel free to schedule a private consultation today!

Board Certified Plastic Surgeon at | + posts

Our Plastic Surgery Associates team includes Dr. Franklin Richards, Dr. A. Dean Jabs, and Dr. Keshav Magge. Each of our plastic surgeons is board-certified, and together they have over 60 years of combined experience. Drs. Richards, Jabs, and Magge are all highly qualified in procedures for the face, breast, and body, and pride themselves in providing excellent results through our state-of-the-art, Quad A certified operating centers