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By Philip J. Straka

Straka Breast Lift Patient Before and AfterAs women age, it’s typical to experience sagging (or ptosis) of the breasts. This can occur due to pregnancy and nursing, weight loss, aging, or genetics. For women concerned about this drooping and sagging of their breasts, breast lift surgery can be a great solution. Regardless of the reason or your age, mastopexy can raise and reshape sagging breasts to give a perkier, more attractive look. But, does a breast lift cause a decrease in breast size? This question is a bit more complex, and it can depend on multiple factors such as severity of ptosis, the type of procedure performed, and the amount of tissue and skin removed.

Grades of Ptosis

Before undergoing breast lift surgery, it is important to understand the severity of your breast sagging. Dr. Straka will consult with you before your procedure to determine this. The three grades are mild (grade I), mild to moderate (grade II), and severe (grade III).


Mild ptosis is indicated if your nipple falls directly in front of the crease at the bottom of your breast, which is also called the inframammary fold. You may have mild to moderate ptosis if your nipple falls 1 to 3 centimeters below that fold. Severe ptosis is characterized by the nipple falling more than 3 centimeters below the inframammary fold. During your consultation with Dr. Straka, he will evaluate your breast sagging and discuss the different procedure options. The severity of your ptosis will determine the type of breast lift procedure you undergo.

The Procedure

During breast lift surgery, Dr. Straka removes excess skin and tightens the underlying breast tissue. This raises the position of your breast and provides a firmer contour. The location and length of incisions (and thus your potential for scarring) is determined by the grade of ptosis and the type of procedure required to meet your treatment goals.

Change in Cup Size

A breast lift is not the same as an augmentation or a reduction. Implants are not added, nor is there any significant amount of tissue removed, so it should not reduce breast size. However, a 2014 study reported in Plastic and Reconstructive Surgery®, the medical journal of the American Society of Plastic Surgeons (ASPS), found that women reported that their bra cup size decreased after their procedure.

The authors of the study do not believe that the reduction in cup size reflects a true reduction in breast size. Instead, the prevailing belief is that when your breasts are lifted and reshaped, the volume has been reapportioned and may fit better in a smaller cup size. So while it may seem that your breasts have decreased in size, that may not actually be the case.

For more information regarding how you could benefit from breast lift surgery, call our office to set up a consultation with Dr. Straka.