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Breast Lift and Augmentation - Mastopexy
with Augmentation

Breast Lift Surgery in Jacksonville FL
by Dr. A.H. Nezami at Jacksonville Cosmetic Surgery Center

Over the years, the natural aging process causes breasts to loose volume and skin to stretch due to pregnancy, weight loss, and gravity. Mastopexy is a plastic surgery procedure that lifts and reshapes the breasts, removes excess skin, and repositions the nipples. Breast lift can be performed in conjunction with breast augmentation. For more detailed information about breast augmentation, please refer to our breast augmentation page.

Virtual Results Imaging Available

Our practice is equipped with virtual 3D imaging capabilities that not only allow patients to imagine their post-surgical results, but also help them select and refine a personalized, aesthetic approach based upon visualizations of the available options.

Patient Preparation

One Month before Surgery

Smoking patients must refrain from smoking at least one month before the surgery, and must continue to refrain for one month afterward. Smoking interferes with blood flow to the skin, which prevents rapid healing and causes tissue loss. Birth control pills and Hormonal therapy in any form can increase risk of blood clot and more serious complications. Therefore all hormonal therapy should be stopped one month before and one month after surgery. Authorization from the prescribing physician should be obtained.

Two Weeks before Surgery

Patients must avoid certain medications such as aspirin, Ibuprofen, vitamin E, and any other blood thinning or clotting medication. Patients who are taking prescription blood thinners will require authorization from their prescribing doctor before cessation. No herbal medications should be taken without the approval of Dr. Nezami.

One Week before Surgery

The patient will meet with Dr. Nezami for a pre-operative consultation. During this visit, she will make the final implant selection (for a combination breast lift/augmentation surgery). Dr. Nezami will review the patient's medical history, and perform the pre-surgical measurements and final examination. Dr. Nezami will explain the location of the incisions. A surgical assistant will review the pre- and post-operative patient instructions at this time. Alcoholic beverages must not be consumed beginning two days before the surgery.

One Day before Surgery

Dr. Nezami will see you in the office for very precise marking of the post-op location of the nipple, areolas and the amount of skin removal. This precise marking is important to have symmetry of the breasts. The marking will take 45 minutes to an hour. Dr. Nezami believes perfectly symmetrical marking is prerequisite for his most amazing results.

The Day of Surgery

The patient should have fasted at least eight hours beforehand. She will continue to wash her body, especially her chest, breast and under arms, with Hibiclean (as she has already been doing for three days). The patient will arrive for surgery dressed in a front opening sweatshirt and comfortable, slip-on shoes. Any jewelry, including any jewelry on pierced body parts, should be removed. She will refrain from applying deodorant or lotion on the day of the surgery.

Anesthesia and Surgical Safety

Breast lift surgery can take up to four hours and is performed under general anesthesia administered by a board certified anesthesiologist. Located within the Baptist Medical Center Complex, our surgical suite is accredited by the American Association for Accreditation of Ambulatory Surgery Facilities, Inc.


During breast lift surgery, the surgeon removes excess skin around the areola and the bottom of the breast, and elevates the nipple and areola. If needed, the size of the areola may also be reduced. Incisions vary depending on the degree of the lift required. The resultant scar may simply outline the areola or it may outline the areola and form a line from the areola down to the crease beneath the breast. A breast surgery incision is meticulously repaired to leave the least visible scar, and breasts requiring a milder lift will sustain more minimal scars. There are a number of available products, such as vitamin E, Mederma®, cortisone cream, and silicone sheets, that can assist healing and help ensure better result.

Recovery after Breast Lift with Augmentation

The patient should arrange for a driver to transport her home on the day of the surgery. In addition, a caregiver should stay with the patient during the first 48 hours of recovery at home. To minimize the risk of blood clot, we ask patients to walk several times a day following their surgery. The stitches will be removed within five days at the first post-operative visit, and after 2 to 3 weeks of recovery, Dr. Nezami will remove the tapes.

The patient may shower after her post-operative visit, but should avoid hot tubs and baths. Ten days after the surgery, a combination breast lift/augmentation patient is advised to begin massaging her breasts as instructed by Dr. Nezami; this massage technique will relax the tissue and help to prevent capsular contracture.

Post-surgical swelling may make the patient's breasts feel unnaturally tight. This condition is temporary, and the breasts will gradually soften and develop a more natural feel.

Patients can return to work after one week of recovery, but must avoid lifting heavy objects. After three weeks of recovery, the patient can gradually reintroduce exercise.

Breast lift/augmentation stretches the surrounding tissues. While this stretching can be painful, it is most felt during the first two days after surgery, and can be managed through medication. Occasionally, patients experience sudden, sharp pains, a burning sensation or sensitivity of the breast and nipple area up to few weeks after surgery. Some nerves may become stretched during surgery; these symptoms signal the return of sensation and will subside.

Dr. Nezami is available by telephone at all times, and our practice maintains a 24-hour service number: 904-399-5061. If a patient experiences any of the following symptoms, she should call Dr. Nezami immediately:

  • Uneven swelling.
  • More pain in one of her breasts than the other.
  • Temperature that exceeds 100 Degrees.
  • Pain in her calves.
  • Sudden, severe chest pain.
  • Shortness of breath.


Breast lift and breast lift/augmentation patients must be in good health and neither pregnant nor nursing and producing any milk at the time of the surgery. Patients receiving silicone implants must be at least twenty-two years old, while patients receiving saline implants must be at least eighteen years old. Breasts that have lost volume may require both breast augmentation and breast lift. There is no upper age limit for breast lift surgery.

Points to Consider:

  • Patients who are happy with their breast size when wearing a bra, but are unhappy with the way the breast droops when the bra is removed, will benefit from breast lift, and will not require augmentation.
  • The size of the breast remains unchanged after breast lift procedure; however, some patients may benefit from the removal of some breast tissue in order to achieve symmetry.
  • The breast lift procedure will sufficiently lift larger breasts; however, gravity will always affect heavier breasts more rapidly and to a greater degree. These patients may find a combination breast reduction/breast lift procedure most effective.
  • Patients with small, sagging breasts will benefit from combination of breast augmentation and lift procedure.
  • Generally breast lift procedure will last a lifetime if they are well supported by good supportive bra. For patients who experience significant weight loss after their lift procedure, or who have larger breasts, a second lift surgery may be required in the future.
  • Breast augmentation patients are advised to avoid wearing a bra for the first few weeks following surgery to allow stretching of the tissue. After this time, patients should wear supportive bras to prevent the weight of the implants from stretching the skin.
  • The patient will receive general anesthesia for a full breast lift. For more minimal lifts, the surgery can be performed under sedation and local anesthesia.
  • During recovery, a patient should sleep on her back with her upper body elevated (side sleeping is not recommended for several weeks to decrease the swelling.
  • Patient should avoid driving for the first 7 days after surgery or until they are off pain medication.
  • Patient should avoid air travel for the first two weeks following her breast lift surgery unless absolutely necessary, in which case she must get out of her seat and walk every thirty minutes to prevent blood clot. The same movement is required for long drives.
  • Showering is not permitted until five days of recovery have passed. Patients may sponge bathe or use a hand held shower to wash below the breasts.
  • Breast lift/augmentation patients are advised to avoid wearing a bra for the first few weeks following surgery. After this time, patients should wear supportive bras to prevent the weight of the implants from stretching the skin.
  • Breast lift surgery does not affect future breast-feeding capability.
  • Two weeks following the surgery, exposure to sunlight is considered safe if the incision area remains covered.
  • Our patients undergoing breast lift in Jacksonville FL, may gradually reintroduce an exercise regimen after three weeks. At this time, heavy lifting is also permitted.
  • The patient can return to work after six days of recovery if her job does not require heavy lifting, pulling, pushing or raising the arms above the shoulders.


We work with several companies that offer our patients convenient financing at the most competitive rates available. In most cases, patients can obtain approval within 24 hours.