Restoring shape, confidence, and natural lift

Breast Uplift (Mastopexy) in London

Breast uplift surgery, also known as mastopexy, restores firmness and shape to breasts that have lost volume or elasticity over time. It’s a highly individual procedure, chosen by women who wish to regain a more youthful, lifted contour while maintaining their natural size and proportion.

At her London practice, Dr Nicki Bystrzonowski performs breast uplift procedures with precision and sensitivity. Her approach focuses on reshaping the breast to create natural, long-lasting lift without exaggeration. For many patients, this procedure brings a renewed sense of balance and confidence, especially after pregnancy, breastfeeding, or weight changes.

With a background in psychology as well as plastic surgery, Dr Nicki understands the emotional connection between appearance and self-image. Her consultations are centred on open discussion, clear expectations, and results that look and feel authentic.

What Is a Breast Uplift (Mastopexy)?

A breast uplift repositions and reshapes existing breast tissue to create a firmer, higher profile without increasing overall size. During the procedure, excess skin is removed, the nipple and areola are repositioned, and the breast is reshaped to restore its natural contour.

This treatment can be performed on its own or combined with breast augmentation (using implants) to restore lost volume, or breast reduction to refine size and weight. Each plan is fully individualised, guided by anatomy, proportions, and patient preference.

The aim is to enhance shape and symmetry, resulting in a natural lift that feels proportionate and long-lasting, not artificial or overstated.

Key Information

DetailSummary
Procedure Time2–3 hours
AnaestheticGeneral anaesthetic
Hospital StayDay case or one-night stay
Recovery TimeLight activity after 7–10 days; full recovery within 6 weeks
ScarringAround the areola and vertically to the breast fold; fades gradually
Results VisibleImmediate lift; final results develop over 3–6 months
LongevityLong-lasting, though natural ageing and gravity continue over time
Follow-UpPostoperative check-ups with Dr Nicki to support recovery and monitor outcome

 

How Breast Uplift Surgery Works

Consultation and Planning

Every procedure begins with an in-depth consultation with Dr Nicki Bystrzonowski. She discusses your concerns, reviews breast tissue quality and skin elasticity, and outlines realistic options for shape and lift. This stage is collaborative and designed to ensure confidence in every decision.

Anaesthetic and Preparation

The operation is performed under general anaesthetic. Before surgery, incision lines are carefully marked, usually around the areola and down to the breast fold, to create a smooth, lifted contour and maintain symmetry.

The Procedure

During the surgery, excess skin is removed and the remaining breast tissue reshaped to create a firmer, elevated position. The nipple and areola are repositioned higher on the chest for a natural, youthful look.

Sculpting and Symmetry

Dr Nicki focuses on proportional, balanced results, ensuring both breasts are symmetrical and maintain soft, natural movement. If desired, implants can be added during the same procedure for additional fullness.

Recovery and Healing

Most patients return home the same day. Mild swelling and tightness are expected for the first week, gradually easing as the tissue settles. Supportive garments are worn to maintain shape and comfort. Most patients return to work within 7–10 days, and exercise after six weeks.

Long-Term Results

Once healed, the breasts appear lifted and more defined, with improved shape and projection. Scars fade steadily over time and are placed to remain discreet. Results are long-lasting, particularly with stable weight and good skin support.

Frequently Asked Questions

Who is suitable for a breast uplift?
A breast uplift is suitable for women whose breasts have lost firmness, volume, or position over time — often after pregnancy, breastfeeding, or weight fluctuations. Candidates should be in good health and happy with their current breast size, as the procedure restores lift and shape but doesn’t add volume unless combined with implants.
Will a breast uplift make my breasts smaller?
A breast uplift doesn’t significantly change size, but removing excess skin can make the breasts appear slightly smaller and firmer. For patients who want both lift and volume enhancement, Dr Nicki can combine mastopexy with breast augmentation using implants or fat transfer.
What kind of scars should I expect?
Scarring depends on the technique used but typically involves a circular scar around the areola and a vertical scar down to the breast fold (the “lollipop” pattern). In some cases, a short horizontal scar within the fold is also required. These scars fade significantly over time and are positioned discreetly.
How long will it take to recover?
Most patients can return to desk-based work after a week and resume light exercise after four to six weeks. Swelling and mild tightness are normal in the early phase and gradually settle as healing progresses. Wearing a supportive bra is essential to maintain results and comfort.
Will I lose nipple sensitivity?
Temporary changes in nipple sensation are common after breast surgery. Sensitivity usually returns within a few weeks or months as nerves recover. Permanent loss of sensation is uncommon, but Dr Nicki will discuss this risk before surgery so you’re fully informed.
Are the results permanent?
Yes — the breasts remain lifted and reshaped for many years. However, natural ageing and gravity will continue to have an effect over time. Maintaining a stable weight and good skin support helps preserve long-term results.
Can a breast uplift be combined with other procedures?
Absolutely. Many patients choose to combine a breast uplift with augmentation, reduction, or body-contouring surgery for a more balanced transformation. Dr Nicki creates tailored surgical plans that consider recovery time, proportion, and overall harmony.