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Cosmetic Breast Surgery

Breast Lift Surgery (Mastopexy)

Leesburg - Northern Virginia - Loudoun

Breast Lift

Breast lift surgery involves lifting and reshaping breasts that have lost firmness, size, and shape. Breasts change shape over a woman’s life. Breastfeeding, pregnancy, weight loss, aging, and gravity all play a part in causing drooping and volume loss.

A breast list will rejuvenate your figure creating perkier, uplifted breasts. If the areola has become enlarged, that can be reduced at the same time and the nipple repositioned to create a youthful aesthetic.

Breast lift is as much an art as it is a technically demanding procedure. The art is to provide you with the size and shape that you want and that fits your body with the least number of incisions. Outstanding advancements in mastopexy techniques have made this surgical procedure so effective and successful that new statistics by the ASPS (American Society of Plastic Surgeons) reveal nearly a 70% increase in demand since 2000. 

Dr. Chang, performs this procedure at his office Aesthetica Cosmetic Surgery & Laser Center. By integrating the latest methods, Dr. Chang can choose the appropriate technique based upon the degree of sag present, keeping in mind the desired result.

NOTE: We don’t take insurance or work with insurance companies. Patients pay for the surgery upfront and we provide them with a superbill, and other documents they may need to apply for reimbursement.

The goals of breast lift or mastopexy surgery are to lift the breast, reduce stretched out breast skin, elevate the nipple to the level of the under-breast crease, and to add volume to the breast if needed using implants or fat transfer.  

The Procedure:

A breast lift takes usually two to three hours or more and is performed while the patient is under general anesthesia.

Long acting pain medication is injected directly into the muscle of the breasts to help with pain control for the first day after surgery. Incisions are made based on the technique decided upon (more information about different techniques below). the the breasts are reshaped and excess skin removed. The skin tightens when the incisions are sutured. Dr. Chang pays particular attention to ensuring both breasts are symmetrical and look natural.

There are 3 types of incisions that Dr. Chang uses. During the free consultation he will talk over the different options and decide which technique is best suited for your breasts and goals.

Breast Lift with Donut Style Incisions –  

Breast lifts using a donut-style incision are performed only for patients who need a very small lift. If the areola size is too wide or the areola needs to be lifted more than about 2 cm, the donut incision will widen with time. This means that even though the length of the incision is shorter compared to the others, gravity will widen the incision and make it more visible.

Breast Lift with Lollipop Style Incisions –  

Breast lifts using a lollipop incision are designed for middle sized reductions or for patients who need the nipple to be lifted by more than 2 cm. The donut incision around the areola is extended downward which takes the tension off the areola. In this way, the scar around the areola is less conspicuous even though the overall length of the scar is longer. This technique also provides for excellent cleavage.  

Breast Lift with Anchor Style Incisions –  

Breast lifts using anchor-style incisions are designed for larger lifts with a lot of skin to remove. The donut incision around the areola is extended downward which takes the tension off the areola. An incision is then made along the infra-breast crease to remove extra skin and fat that tends to bunch up in this area. 

Women desire breast lift surgery for many reasons:

  • the desire to feel more feminine
  • wanting to have perkier breasts
  • would like their nipples to be higher
  • wanting to have more volume in their breasts

A good candidate is someone who is:

  • healthy
  • have fully developed breasts
  • is over the age of 18
  • is unhappy with the shape or size of their breasts
  • women who have lost volume due to pregnancy and breastfeeding
  • has a healthy attitude to the results of breast augmentation

It is important that patients make their own decisions regarding breast lift surgery and are not having it to please others.

That is determined by the patient. We would like to make some recommendations though. It is better to wait until after the family is complete. Pregnancy and breastfeeding will change the appearance of breasts. If you had a breast list before then you are increasing your risk of needing to have a revision surgery after.

After surgery you should rest at home and let yourself heal. Dr. Chang will send you home with a detailed recovery plan. There are a number of different ways to help aid recovery:

  • All patients will wear a surgical bra for about 4 weeks.  
  • Final results should not be expected for at least 6 months to a year. Over that time, the breast shape will change dramatically so you will have to be extremely patient; swelling will decrease dramatically as well as the shape of your breasts. This is particularly true for patients who have a lollipop style procedure
  • Some patients will require a drainage tube inserted near the incision to help with excess fluid leakage. This is removed after a few days.
  • Most patients are presentable without drawing attention in 1 to 2 weeks.
  • Sutures if any are removed in 10 to 14 days
  • Strenuous exercise should also be avoided for 2 to 4 weeks to help in the recovery process.
  • Apply aquaphor ointment to exposed sutures and incisions should be applied twice a day until the sutures are removed
  • Most patients will take 3 to 7 days off work
  • Pain can initially be moderate to severe. Narcotic pain medication will be prescribed for at least 2-3 days after surgery. The expectation is that advil or tylenol should be sufficient after 3 days.

As with any surgery, there are associated risks. Only you can decide whether the procedure can achieve your goals and if the recovery and risks are acceptable to you. Complications are rare but can include:

  • Local bleeding or bruising
  • Infection particularly from the absorbable sutures
  • Loss of sensation although rare
  • Widened or thickened scar
  • Asymmetry (unevenness between two sides)
  • Delayed wound healing with skin or tissue necrosis
  • Extra skin at the ends of the incisions
  • Under-correction
  • Over-correction

Unsatisfactory results may require additional procedures. Patients will generally be responsible for any associated facility fees. It is important to note that revision for breast lift surgery may be required in up to 20% of patients.

During your initial appointment, Dr. Chang will pay attention to your wants and goals before creating your personal treatment plan. Following that, he can estimate your cost. When done well, a breast lift will significantly enhance your physical appearance, so it is important to concentrate on having a skilled surgeon with years of training, like Dr. Chang, rather than a low price. To help make surgery affordable, Aesthetica Cosmetic Surgery & Laser Center will help you find low-interest financing. See the pricing card below.

Breast lift surgery is commonly performed with other procedures such as:

  • Mommy makeover
  • Breast augmentation
  • Arm lift
  • Tummy tuck
  • Liposuction

We will help you with this decision at your consultation.

Adding breast implants during a breast lift will depend on the desired amount of cleavage and overall breast size. Those patients who wish for larger breasts and fullness will benefit from the addition of breast implants to their surgery.

These considerations will be discussed in your consultation. 



One of the major goals of a breast lift is to lift the nipple-areola to a more normal location. They are never “removed” or “detached”; that is a common misunderstanding.

Instead, the nipple-areola is lifted by removing the skin between the future location and the existing location of the nipple/areola. The areola is then reduced  and lifted to its new location. The desired location and size may be discussed during your appointment so we can choose the ideal incision pattern to use in your breast lift.

Breast Lift Leesburg, Va
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Patient Questionnaire

Breast Lift

What is a Breast Lift? And Other Breast Lift FAQs

Eventually, our breasts will droop. Whether it’s due to gravity, hormonal changes during pregnancy, or something else, our breasts take a lot throughout life. Would you like your breasts to feel sexy and perky again? Then a breast lift might be for you. Here, we answer some of the most common questions you might have about breast lifts.
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A breast lift, or mastopexy, is an outpatient procedure that involves repositioning the nipple and removing excess skin. Although it does not change breast size, the procedure results in a more youthful, uplifted breast contour and reduces the negative effects of time.

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Dr. Phillip Chang Plastic Surgeon in Loudoun VA

Dr. Phillip Chang is a leading plastic surgeon in Loudoun County who specializes in surgical and nonsurgical cosmetic procedures for the breast, body, face, and skin. He is board certified in plastic surgery by the American Board of Plastic Surgery and is the founder of Aesthetica Cosmetic Surgery & Laser Center in Leesburg, VA. Dr. Chang is dedicated to providing high-quality service that concentrates on the unique needs and concerns of his patients. He believes combining attentive care and minimally invasive techniques is the best avenue for achieving beautiful, natural-looking results. Dr. Chang is thrilled to be serving the greater northwest area of Washington, D.C. with top cosmetic care that is dependable and trustworthy.

Interested in learning more about Dr. Chang? Click here.

We are based in Leesburg, VA. Located as part of the Lansdowne medical complex, you have access to our 24-7 state-of-the-art facility as well as access to Lansdowne hospital. We are based directly across the road from INOVA hospital. There is ample parking, elevators to bring you to our third floor offices, and welcoming staff to sign you in.

We are proud of our surgeries and cosmetic procedures and love that our patients are happy too. They like to shout it out on Google, Yell, Facebook, and right here on our website. Check out our reviews here.

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All potential patients receive either a phone, virtual, or in-consultation for free.

During the consultation we will discuss your treatment wishes and expectations. This is the time to ask us lots of questions to really understand what is involved, what the costs will be, and what is expected of you. This is also a great time to get to know Dr. Chang.

Aesthetica has received numerous awards from the Loudoun County Chamber of Commerce, New Beauty, Best of Loudoun, Posh 7 Top Picks, and Dr. Chang is internationally known for his lectures and advances in precise surgical technique as demonstrated through his unique mini-facelift procedure.

We have three execeptionally talents cosmetic nurses:

  • Melanie Schwarz, RN, BSN
  • Katy Down, RN, BSN
  • Angela Westbrook, RN, BSN

Read more about us – we can’t wait to meet you!

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