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Enhancing Your Natural Shape With Surgical Artistry

Pregnancy, breastfeeding, weight fluctuations, and the natural aging process can all cause the breasts to lose their youthful firmness and position. For many women, these changes create a disconnect between how they feel and how they look. Dr. David Parizh, DO, FACS, performs mastopexy for women across Long Island and Manhattan with a focus on natural, balanced results that complement each patient's unique body.

His fellowship-level training in facial and body aesthetics, combined with over a decade of surgical education at institutions including NYU and New York Presbyterian, gives him the precision and artistic judgment this procedure demands.

What Is Mastopexy?

Mastopexy is an outpatient surgical procedure designed to lift and reshape ptotic (sagging) breasts. According to StatPearls clinical literature, the procedure repositions the nipple-areolar complex to a higher, more youthful position while preserving breast volume. Several techniques exist, and the approach is tailored to each patient's degree of ptosis, anatomy, and desired outcome.

  • Periareolar (donut) lift: An incision around the areola corrects mild sagging with minimal scarring. Best suited for patients who need a subtle lift.
  • Vertical (lollipop) lift: An incision around the areola and vertically down to the breast fold addresses moderate ptosis. This is the most commonly used technique.
  • Inverted-T (anchor) lift: Adds a horizontal incision along the breast fold for patients with significant sagging. Provides the most comprehensive reshaping.

The Cleveland Clinic notes that mastopexy is highly individualized, and a thorough consultation is essential for selecting the right approach.

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Benefits of Mastopexy

  • Lifted, youthful breast position: Reverses the effects of gravity, pregnancy, and aging on breast shape.
  • Improved symmetry: Corrects unevenness in nipple position, breast shape, or overall projection.
  • More proportional silhouette: Creates a balanced body contour, especially when combined with other procedures.
  • Enhanced confidence: Many patients report feeling more comfortable in fitted clothing, swimwear, and intimate settings.
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Are You a Candidate for Mastopexy?

You may be a good candidate if you:

  • Have breasts that sag or have lost firmness and shape
  • Have nipples that point downward or fall below the breast crease
  • Have stretched or enlarged areolas
  • Are at a stable weight and not planning future pregnancies (which can affect results)
  • Are a non-smoker or willing to quit before and after surgery
  • Are in good overall health with realistic expectations
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Why Choose Dr. Parizh for Mastopexy in Long Island?

Dr. Parizh's approach to mastopexy reflects his broader surgical philosophy: every enhancement should honor the patient's natural anatomy. Board-certified by the American Board of Plastic Surgery and a Fellow of the American College of Surgeons, he tailors each breast lift to the individual's tissue quality, breast dimensions, and aesthetic goals.

His reconstructive background gives him a precise understanding of skin tension, tissue healing, and scar placement, ensuring results that are both beautiful and long-lasting.

What to Expect Before, During, and After

Consultation

  • Dr. Parizh evaluates your breast anatomy, skin elasticity, degree of ptosis, and nipple position
  • You'll discuss your goals, whether you'd like to combine the lift with augmentation or reduction, and what technique best fits your body
  • Cost and financing options are reviewed during your visit

During the Procedure

  • General anesthesia is administered
  • The chosen incision pattern is made (periareolar, vertical, or anchor)
  • Excess skin is removed, and the breast tissue is reshaped and lifted
  • The nipple-areolar complex is repositioned to a higher, more natural location
  • The procedure typically takes one to three hours

Recovery and Results

  • A surgical support bra is worn for several weeks
  • Most patients return to light activities within one to two weeks
  • Strenuous exercise and heavy lifting are restricted for four to six weeks
  • Swelling resolves gradually, with final results visible within three to six months
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Related Procedures

Mastopexy can be performed in combination with breast augmentation (implants) for patients who want both lift and added volume, or with breast reduction for patients seeking a smaller, perkier result. Dr. Parizh will discuss all options during your consultation.

Rediscover the Shape You Love. Book a Consultation With Dr. Parizh Today

If sagging or loss of breast shape is affecting your confidence, Dr. David Parizh, DO, FACS, can help you explore your options. Schedule a consultation at his Garden City, East Hills, or Manhattan office today.

Mastopexy FAQ

Will a breast lift change the size of my breasts?

How long do breast lift results last?

Can I breastfeed after a mastopexy?

When will my scars start to fade?

How soon after pregnancy should I wait to have a breast lift?

Is a breast lift an outpatient procedure?

Can I combine a breast lift with a tummy tuck?

What kind of bra should I wear after surgery?

Will a breast lift change the size of my breasts?

A breast lift alone does not significantly increase or decrease breast size. If you want to add volume or reduce size, Dr. Parizh can combine mastopexy with augmentation or reduction during the same procedure.

How long do breast lift results last?

Results are long-lasting, though natural aging, gravity, and weight fluctuations will continue to affect breast shape over time. Maintaining a stable weight and wearing supportive undergarments can help preserve your results.

Can I breastfeed after a mastopexy?

Many women can breastfeed after a breast lift, though results vary depending on the technique used. Dr. Parizh takes care to preserve the milk ducts and nipple function whenever possible.

When will my scars start to fade?

Scars will appear red or pink for the first several months before gradually fading to thin, lighter lines over 12 to 18 months. Dr. Parizh may recommend scar care treatments to support the healing process.

How soon after pregnancy should I wait to have a breast lift?

Dr. Parizh typically recommends waiting at least six months after you have finished breastfeeding for your breast tissue to stabilize. This waiting period ensures the most accurate surgical planning and the most reliable long-term results.

Is a breast lift an outpatient procedure?

Yes, mastopexy is performed as an outpatient procedure, meaning you go home the same day. You will need someone to drive you home and assist you during the first 24 to 48 hours of recovery.

Can I combine a breast lift with a tummy tuck?

Yes, many patients choose to combine mastopexy with abdominoplasty in what is sometimes called a "mommy makeover." Dr. Parizh will evaluate whether combining procedures is safe and appropriate based on your health and goals.

What kind of bra should I wear after surgery?

You will wear a surgical support bra immediately after the procedure, typically for four to six weeks. Dr. Parizh will advise you on when it is safe to transition back to regular bras, including underwire styles.

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