Breast lift
For a firm, youthful breast shape

Sagging or drooping breasts are not solely a matter of age. Pregnancy and breastfeeding, significant weight loss, hormonal changes, or implant removal – there are many reasons why breasts can lose their former shape. What many women don't know: Neither exercise nor targeted exercises can reverse these changes. A breast lift – medically known as mastopexy – is the only permanent method for sustainably improving breast shape.

My name is Dr. Juliane Bodo, a specialist in plastic and aesthetic surgery in Berlin-Charlottenburg. Breast lift surgery is one of my specialties – and one of the most complex procedures in plastic surgery. Many surgeons deliberately avoid this procedure because it requires a high level of experience and technical precision. I am one of the few experts in Berlin who can perform a breast lift with implants in a single procedure.

What is the goal of a breast lift?

• Tissue tightening for a more youthful, natural breast shape
• Raising the nipple into a harmonious position
• Restoration of volume and shape – optionally with an implant
• Long-term stable results through proven surgical techniques
• Harmonious overall picture for more self-confidence

Breast lift with or without implants – which method is right for you?

The choice of method depends on your individual situation and your wishes. During the consultation, we will discuss together which option is right for you.

Breast lift without implants

Ideal for breast firming and lifting, where existing volume is sufficient. Excess skin is removed, the glandular tissue is reshaped and fixed in a higher position – anchored by a so-called "internal bra." The result: firm, natural-looking breasts without any foreign objects.

Breast lift with implant

This procedure is beneficial if additional volume is desired or a more pronounced cleavage is desired – especially after pregnancy or significant weight loss. The surgical technique is similar to a breast lift without implants, but is enhanced by a custom-selected silicone implant. I am one of the few surgeons who can combine both procedures in a single operation – which reduces anesthesia time, recovery period, and costs.

Combination with breast reduction

For patients who not only have sagging breasts but are also too large, I combine the lift with a breast reduction. Both are performed in a single procedure.

How does a breast lift procedure work?

The operation takes approximately 2–3 hours and is performed under general anesthesia. An overnight stay in my clinic is recommended – our team will care for you around the clock.

Cutting technique – which technique is the right one?

Depending on the extent of the sagging, we will choose the appropriate cutting technique together:

• Periareolar incision (donut technique): A ring-shaped incision around the areola – suitable for minor tightening procedures with little excess skin. The scar lies discreetly at the edge of the areola.
• Lejour technique (lollipop incision): Incision around the areola and vertically to the inframammary fold – proven effective for medium to large lifts, without a horizontal scar in the breast crease.
• Anchor incision: In cases of very large breasts or pronounced sagging, an additional horizontal incision is made in the inframammary fold. This technique allows for the most significant lifting and reshaping.

Regardless of the chosen incision technique, the following principles apply to every breast lift in my clinic:

• Nipple repositioning: The nipple, including its nerves and blood vessels, is gently moved into the new, anatomically correct position – sensitivity and breastfeeding ability are preserved as much as possible.
• Finest intradermal suturing technique: The wound is closed with very fine threads within the skin. This technique minimizes scarring and ensures that scars fade significantly over time.

In all techniques, the nipple, including its nerves and blood vessels, is gently repositioned. A special intradermal suturing technique minimizes scarring – the scars fade significantly over time in most patients.

The “inner bra”

A unique feature of my surgical technique: The glandular tissue is fixed to the muscle fascia using a special technique and stabilized long-term. This prevents the breasts from sagging again and ensures a permanently natural result.

GalaFLEX net – when additional stability is required

For larger implants or weaker tissue, I can, upon request, insert a GalaFLEX mesh made of poly-4-hydroxybutyrate (P4HB). This biodegradable mesh provides structural support to the tissue for the first 12–18 months and is gradually replaced by the body's own collagen – for better long-term results.