Although larger breasts are more likely to sag due to their weight compared to smaller breasts, the most determining factor in breast sagging is skin quality. This explains why some very large breasts do not sag significantly, while some very small breasts may sag. Therefore, skin quality must be thoroughly evaluated during the examination. It is a crucial factor that should be assessed before performing a breast lift surgery.

Breast lift surgeries should be planned differently for each patient. Using the same method for every patient may lead to unfavorable results.

Unfortunately, it is inevitable for some scars to remain after a breast lift surgery. However, these scars typically become significantly less noticeable after about one year. In patients with excellent skin quality and minimal sagging, removing a crescent-shaped portion of skin from the upper half of the areola and repositioning the nipple upward is usually sufficient.

For patients with moderate sagging who are satisfied with their breast size, removing only the excess skin may be enough. However, this procedure will leave a circular scar around the areola and a “J-shaped” scar extending from the nipple to the outer edge of the inframammary fold.

In cases where patients are concerned not only about sagging but also about small breast size, a breast implant should be placed in addition to removing the excess skin. Since the weight of the breast implant exerts a downward force on the breast skin, it is preferable to place the implant under the chest muscle or to use polyurethane implants. This approach helps minimize the negative effects and delays the possibility of future sagging.