Mastopexy Vs Mastectomy
Confused between mastopexy and mastectomy? Learn the key differences between these breast surgeries—one cosmetic, the other medical—and find out which may be right for your needs.
Written by Dr.Sonia Bhatt
Last updated on 13th Jul, 2025
Introduction
If you're considering breast surgery, you may have come across terms like mastopexy and mastectomy. While both involve the breasts, they serve very different purposes. Understanding the differences can help you make an informed decision about which procedure—if any—is right for you.
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What Is Mastopexy?
Mastopexy, commonly known as a breast lift, is a cosmetic surgery that raises and reshapes sagging breasts. Over time, factors like ageing, pregnancy, breastfeeding, or weight fluctuations can cause breasts to lose elasticity and droop. A mastopexy helps restore a firmer, more youthful appearance without significantly changing breast size.
Who Might Need a Mastopexy?
Women with sagging breasts due to ageing or childbirth.
Those unhappy with the shape of their breasts but do not want implants.
Individuals who have lost significant weight and have excess skin.
What Does the Procedure Involve?
The surgeon removes excess skin and tightens surrounding tissue.
The nipple and areola may be repositioned for a natural look.
The procedure typically takes 2–3 hours under general anaesthesia.
Recovery & Aftercare
Mild discomfort and swelling for a few days.
Wearing a surgical bra for support.
Avoiding strenuous activity for 4–6 weeks.
What Is a Mastectomy?
A mastectomy is a medical procedure that involves the removal of one or both breasts, usually to treat or prevent breast cancer. Unlike mastopexy, which is cosmetic, a mastectomy is often a life-saving surgery.
Who Might Need a Mastectomy?
Patients diagnosed with breast cancer.
Individuals with a high genetic risk, like a BRCA gene mutation.
Those with precancerous conditions, like DCIS.
Types of Mastectomy
Total (Simple) Mastectomy – Removal of the entire breast, but not lymph nodes.
Modified Radical Mastectomy – Removal of breast tissue and some lymph nodes.
Double Mastectomy – Removal of both breasts, often for cancer prevention.
Skin-Sparing or Nipple-Sparing Mastectomy – Preserves skin/nipple for reconstruction.
Recovery & Aftercare
Hospital stay for 1–2 days for monitoring.
Pain management and wound care.
Emotional support and possible breast reconstruction options.
Key Differences Between Mastopexy and Mastectomy
Below is a quick comparison to help you see the main differences:
| Factor | Mastopexy | Mastectomy |
| Purpose | Cosmetic, improves shape | Medical, cancer treatment or prevention |
| Breast Removal | No, only reshaping | Yes, partial or full removal |
| Anaesthesia | General | General |
| Recovery Time | 4–6 weeks | 4–8 weeks, longer if reconstruction is done |
| Scarring | Moderate, around areola & under breast | Significant, depending on type |
Which One Is Right for You?
Here’s how to know which surgery may suit your situation:
Choose Mastopexy If:
You want to improve breast shape and firmness.
You have sagging but no underlying health concerns.
You’re not looking for a major change in breast size.
Choose Mastectomy If:
You have breast cancer or a high genetic risk.
Your doctor recommends it for medical reasons.
You’re considering reconstruction afterward.
Tips for Recovery & Care
Proper care speeds up recovery and improves results.
After Mastopexy:
Follow your surgeon’s instructions on wound care.
Wear a supportive bra to reduce swelling.
Avoid heavy lifting for at least a month.
After Mastectomy:
Attend follow-up appointments for cancer monitoring.
Consider physical therapy if lymph nodes were removed.
Seek emotional support with counselling or support groups.
When to Consult a Doctor
If you’re unsure which procedure is right for you, consult a board-certified plastic surgeon (for mastopexy) or an oncologist/breast surgeon (for mastectomy).
Need expert advice? You can book a consultation with top specialists on Apollo 24|7 for personalised guidance.
Final Thoughts
While both mastopexy and mastectomy involve breast surgery, their purposes are entirely different. A mastopexy enhances appearance, while a mastectomy is often a medical necessity. Understanding these differences helps you make the best choice for your health and confidence.
If you have concerns about breast health or cosmetic changes, don’t hesitate to reach out to a healthcare professional.
Consult Top Plastic Surgeons
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Consult Top Plastic Surgeons
Dr. N. U. Annapurna
Plastic Surgeon
13 Years • MBBS, MS General Surgery, MCh Plastic Surgery
Bangalore
Samista Cosmetic Plastic and Laser Surgery Centre, Bangalore
Dr. Reginold Lam
Plastic Surgeon
25 Years • MBBS, Mch
Hyderabad
Sathya Veda Medical Center, Hyderabad
Dr. Prashant Yadav
Plastic Surgeon
21 Years • MBBS,MS Gen Surgery,MCH(Pl.Surgery)
New Delhi
Dezire clinic Pvt. Ltd., New Delhi
Dr Shikha Bansal
Plastic Surgeon
10 Years • MBBS, MS (General Surgery), Mch (Plastic Surgery)
Gurugram
Dr Shikha Bansal Clinic, Gurugram
(150+ Patients)
Dr. Naveen Kumar H R
Plastic Surgeon
20 Years • MBBS, MS General Surgery, M CH Plastic Surgery
Bengaluru
Sai Thunga healthcare, Bengaluru
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