Breast Lift (Mastopexy)
in Seattle, WA
Breast shape can change with pregnancy, breastfeeding, weight loss, removal of breast implants, or the simple fact of aging and the natural loss of skin elasticity. These factors can create sagging, volume changes, or a flattened upper breast. Many women feel these changes affect their confidence, body comfort, and how clothing fits.
Dr. Alexander Gougoutas is a board-certified plastic surgeon who completed a fellowship in aesthetic surgery. He has a background in breast reconstruction and extensive experience in restoring the breast shape. He offers cosmetic breast rejuvenation surgeries, such as breast lift, to help women reclaim balance with beautiful, long-lasting results.
Get In TouchTable of Contents
- See Results from Actual Patients: Breast Lift Before & After Pictures
- What Our Patients Have to Say: Breast Lift Testimonials
- Breast Lift Cost in Seattle
- Why Choose Dr. Alexander Gougoutas for Your Breast Lift in Seattle?
- Book Your Breast Lift Consultation Today
- What Is a Breast Lift?
- Benefits of a Breast Lift
- Am I a Good Candidate for a Breast Lift?
- How Is a Breast Lift Performed?
- How to Prepare for a Breast Lift
- Breast Lift Recovery & Aftercare
- What Results Can I Expect From a Breast Lift?
- Breast Lift FAQs
See Results From Actual Patients: Breast Lift Before & After Pictures


This patient from Bellevue, WA had a mastopexy (breast lift) with mesh reinforcement. Post-operative photos taken at ~ 3 months.


This 41 year-old patient from Redmond, WA had a breast lift / reduction as part of a mommy makeover. Post-operative photos taken at ~ 3 months.
What Our Patients Have to Say: Breast Lift Testimonials
“I had implant removal, breast lift with fat transfer, abdominoplasty – 7 hour surgery and lots of recovery but very happy with results.”
“I had a Mastopexy and my results are fantastic! I could not be happier. I wish I had done years ago. Dr. G. Is wonderful and I highly recommend him. His staff are all wonderful too.”
Breast Lift Cost in Seattle
The cost of breast lift surgery in Seattle varies based on factors such as surgical technique, surgeon’s experience, geographic location, and other variables.
Dr. Gougoutas tailors every breast lift procedure using advanced surgical techniques. The estimated price range for a breast lift at Puget Plastic Surgery is between $5,600 and $17,600. Prices vary depending on individual needs. Detailed cost estimates are provided at your consultation.

Why Choose Dr. Alexander Gougoutas for Your Breast Lift in Seattle?
Dr. Alexander Gougoutas is a board-certified plastic and reconstructive surgeon with specialized training in aesthetic and reconstructive breast surgery.
With advanced training in microsurgery and a background in breast reconstruction, Dr. Gougoutas possesses a deep understanding of restoring the breast form. This foundation is a boon to cosmetic breast lift surgery, where breast shape and proportion are carefully and artfully restored. Dr. Gougoutas offers patients not only his expertise but also advanced methods, such as the use of an internal bra when appropriate.
Dr. Gougoutas strives to provide a positive, patient-centered approach. He emphasizes the importance of open communication, patient education, and long-term follow-up care, so patients can feel confident in their results and throughout their entire surgical journey.
Book Your Breast Lift Consultation Today
Elevate your aesthetic and feel more confident and comfortable in your skin with a breast lift. Contact the office of Dr. Alexander Gougoutas at (206) 320-6138 or complete our online contact form to schedule a consultation today.
What Is a Breast Lift?
A breast lift (mastopexy) is a cosmetic procedure designed to correct sagging breasts and restore youthful elevation and firmer breasts.
Whether due to a specific change such as pregnancy, weight loss, or aging, the skin and tissues of the breast may stretch and lose their firmness. This can result in nipples that sit lower on the breast mound, a loss of upper breast fullness, or a stretched areola. The degree of sagging (ptosis) varies among patients and can range from mild to severe.
It’s important to understand that a breast lift addresses breast shape rather than size. This procedure is ideal for patients who are happy with their breast volume but want to address sagging, drooping breasts. Volume loss can be addressed with additional procedures, such as fat grafting or breast implants.

Benefits of a Breast Lift
Some of the potential benefits of a breast lift include:
- A firmer, more youthful breast shape
- Elevated nipple and areola position
- Improved breast symmetry
- Enhanced fit in clothing and bras
- Reduced skin irritation and chafing
- Increased confidence
- Long-lasting results
Am I a Good Candidate for a Breast Lift?
You may be a good candidate for breast lift surgery if you are:
- In good health overall
- At a stable body weight
- Not breastfeeding for 6 to 8 months before surgery
- Unhappy with sagging breasts or loss of upper breast fullness
- Looking to restore proportion and shape
- Realistic about what surgery can achieve
Dr. Gougoutas evaluates each patient during the initial consultation, reviews the patient’s anatomy, discusses goals, and makes tailored recommendations.
To determine if you’re a good candidate for breast lift surgery, schedule a consultation with Dr. Gougoutas today by calling (206) 320-6138.
How Is a Breast Lift Performed?
Breast lift surgery is performed on an outpatient basis and under deep sedation overseen by an anesthesiologist.
Incisions
There are several surgical approaches to breast lift surgery. The right one for you will depend on the degree of sagging, breast size, skin quality, and your goals.
- Crescent incision: A small half-circle along the areola allows for correction of mild sagging.
- Periareolar (donut) incision: An incision is made around the areola, ideal for smaller breasts with mild to moderate sagging.
- Vertical (lollipop) incisions: An incision around the areola plus a vertical incision down to the breast fold allows for more reshaping and lifting. This technique is often used for moderate sagging.
- Anchor (inverted-T) incisions: For more significant sagging, incisions around the areola, vertically down, and horizontally along the breast fold provide the greatest ability to reshape and lift.
What Is an Internal Brassiere?
During the aging process, the internal support ligaments of the breast stretch and elongate. This causes sagging of the tissues. In a conventional breast lift, the tissue is re-suspended and held in place by the tightened skin. There is, however, no reconstruction of the internal support ligaments. In patients with severe sagging or loss of skin elasticity, Dr. Gougoutas may recommend the use of an absorbable mesh to provide internal support, stabilize the suspended breast tissue, restructure the supporting ligaments, and improve the durability of the result. The mesh gradually dissolves over about three months, leaving behind a thin layer of tissue that functions as an “internal brassiere.”
A breast lift can also be combined with other breast procedures. A breast augmentation with a lift can restore both volume and shape. On the other hand, a breast reduction often includes a lift to reduce size and improve breast proportion, while elevating the breasts to a more youthful position.
How to Prepare for a Breast Lift
Dr. Gougoutas will provide you with more complete instructions before your procedure, but there are a few things to keep in mind when preparing for your breast lift:
- Stop smoking and use of nicotine products. Nicotine impairs healing and can increase the risk of complications, such as tissue necrosis.
- Avoid certain medications as directed. Blood-thinners and anti-inflammatory drugs are commonly paused when preparing for surgery.
- Arrange for support. Enlist a friend, family member, or professional caregiver to assist you in the first few days post-surgery with tasks such as meals, medication schedules, and household chores.
- Prepare your home and recovery space. Stock up on essentials such as pillows, snacks, water, and easy-to-reach items.
- Follow pre-operative instructions. Dr. Gougoutas will provide instructions on fasting, lab work, and other individualized requirements.
Breast Lift Recovery & Aftercare
After surgery, you’ll be monitored in a recovery room. When you are ready to be released and driven home by a pre-arranged driver, you’ll receive aftercare instructions. These will include such details as incision care, medications, and activity restrictions. It’s important to follow these for the best results and to avoid complications. Also, be sure to attend all follow-up appointments so Dr. Gougoutas can monitor your progress.
Swelling, bruising, and discomfort are expected in the first few days. Rest is crucial for recuperation—don’t overexert yourself. You are encouraged to take short walks around the house to improve circulation and reduce the risk of blood clots. You’ll wear a surgical bra or other support garment for several weeks as your breasts heal and tissues settle. If you had mesh placed at the time of your breast lift, you will also have a surgical drain in each breast that will stay in place for several days and be removed in the office.
Most patients can return to work after about two weeks. However, you will continue to follow activity restrictions until cleared by Dr. Gougoutas—these include refraining from strenuous activity, rigorous exercise, and raising your arms above your shoulders, for at least six to eight weeks.
What Results Can I Expect From a Breast Lift?
While your early results will be noticeable, their full effect is typically obscured by swelling. After several weeks, most of the swelling will resolve. As tissues settle over the three to six months after surgery, patients can expect ongoing improvements as results emerge.
Breast lift patients enjoy an elevated, more youthful breast contour, with improved symmetry and proportion. If fat grafting or implant augmentation is also performed, there is an improvement in upper-pole fullness.
The breasts can still undergo changes, especially with weight fluctuations or a future pregnancy. To preserve your results, it’s important to maintain a healthy lifestyle and ideally plan your surgery after you have finished building a family.
How do I know if I need a breast reduction or a lift?
A breast lift primarily addresses sagging and breast shape, while a reduction is designed to remove excess tissue to reduce overall breast size. If you are satisfied with your current breast volume (while wearing a bra), a lift alone is usually sufficient. If you want to reduce breast size, the breasts are usually lifted in the breast reduction procedure.
Can my breasts be enlarged with a lift?
A breast lift alone tightens and elevates the breasts but does not increase breast size or restore lost fullness. However, you can enhance breast volume during a breast lift with implants or fat grafting, also known as a breast augmentation with lift.
What procedures can be combined with a breast lift?
Breast lifts are often combined with augmentation to add volume. They can also be combined with body contouring procedures, such as liposuction or a tummy tuck. At your consultation, Dr. Gougoutas will listen to your goals and discuss your options.
Will I be able to breastfeed after a breast lift?
In most cases, breastfeeding remains possible. However, it is generally recommended to wait until you have finished breastfeeding before pursuing a breast lift, as future pregnancies can alter breast shape and volume and compromise results.
Where are breast lift scars located?
Breast lift scars will follow incision patterns: around the areola, vertically from the areola to the breast fold, and along the breast fold, depending on the extent of your lift. Dr. Gougoutas aims to minimize visible scarring while achieving optimal lift and breast contour. Scar concerns can be discussed during your consultation, so you can feel confident in your recovery plan and scar management.
Book Your Breast Lift Consultation Today
If you’re ready to achieve increased comfort and confidence with a more youthful bustline, choose a breast rejuvenation expert. Dr. Alexander Gougoutas is a board-certified plastic surgeon with a strong background in breast reconstruction and specialized aesthetic breast procedures, helping patients achieve stunning, lasting results.
To schedule a consultation, call (206) 320-6138 or complete our online contact form today.