The Breast Lift Surgery

The mastopexy surgery usually takes between one and three hours, with the method of anesthesia depending on the extensiveness of the surgery. Scarring will also vary, depending on the amount of excess skin that needs to be removed. If needed, a breast implant can be placed during a breast lift for additional volume, and we can also adjust the areola and nipple in size and diameter. Once the breasts are reshaped, the nipple will be repositioned in the ideal location proportionate to the breasts before the incisions are carefully sutured closed. Take a look at the various types of procedures we offer below. Please note that results are not guaranteed, and may vary from person to person.

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Before & After Feature Breast Lift

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Am I a Good Candidate?

A good candidate for this surgery is desiring of fuller, perkier breasts. Non-smokers in generally good health, and those with reasonable expectations from the surgical procedure make the ideal candidate. At Holcomb - Kreithen Plastic Surgery, we’ll set up an in-person consultation, before deciding on the surgery that’s right for you.

The best breast lift candidates are healthy, emotionally stable, and have realistic expectations about what the surgery can accomplish. We can lift breasts of any size, but the results may not last as long in heavy breasts. Many women seek mastopexy because pregnancy and nursing have left them with stretched skin and lost volume in their breasts.

However, if you’re planning to have more children, it may be a good idea to postpone your breast lift. While there are no special risks that affect future pregnancies (for example, mastopexy usually doesn’t interfere with breast-feeding), pregnancy is likely to stretch your breasts again and offset the results of the procedure.

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Dr. Salzman measuring patient's breast

Circumareolar Incision

Some patients, especially those with relatively small breasts and minimal sagging, may be candidates for a minimal circular incision, requiring less extensive incisions. One such procedure is the “doughnut (or concentric) mastopexy,” in which round incisions are made around the areola, and a doughnut-shaped area of skin is removed.

Keyhole (Lollipop) Incision

The incision outlines the area from which breast skin will be removed and defines the new location for the nipple. When the excess skin has been removed, the nipple and areola are moved to a higher position.

The skin surrounding the areola is then brought down and together to reshape the breast. Stitches are located around the areola and in a vertical line extending downwards from the nipple area.

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Inverted T (Anchor) Incision

Patients with significant excess breast skin are likely candidates for a more extensive skin removal lift which involves vertical and horizontal scars in the lower breast as well as repositioning the nipple-areolar to a higher location. The horizontal scar is typically hidden by the inframammary crease at the bottom of the breast.

Inferior Horizontal Lift

In certain situations, there’s so much sagging skin that a vertical scar is not necessary. The incisions can be hidden under the breast and around the nipple-areolar complex.

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How Much Does Breast Lift Cost?

Each plan is customized to individual situations and includes facility fees, IV sedation, medication, and post-operative appointments. Schedule an appointment with the doctor to discuss the details of your surgery, and he will provide a customized plan and quote for you.

Meet Your Surgeons 75 Years of Combined Experience

J. David Holcomb, MD Face, Nose & Laser Surgery


J. David Holcomb, MD is a double board-certified Facial Plastic and Cosmetic Laser Surgeon (American Board of Facial Plastic and Reconstructive Surgery, American Board of Otolaryngology) who has practiced in Sarasota since 2000. His expertise includes advanced procedures such as rhinoplasty and laser resurfacing, and he has participated in groundbreaking clinical research trials (principal investigator in several helium plasma dermal resurfacing studies and BLESS II Letybo neurotoxin non-inferiority study).

Meet Dr. Holcomb
Dr. J David Holcomb

Joshua C. Kreithen, MD Breast & Body Surgery


Joshua C. Kreithen, MD is an Aesthetic Breast & Contouring Body Specialist who is board certified by the American Board of Plastic and Reconstructive Surgery. Dr. Kreithen has practiced in Sarasota, Florida since 2004.

Meet Dr. Kreithen
Dr. Joshua C. Kreithen

Marc J. Salzman, MD Face, Breast & Body Surgery


Marc J. Salzman, MD is a board-certified, fellowship-trained plastic surgeon with over 30 years of experience in face and body procedures. A recognized educator and innovator, he's known for advancing techniques and contributing to FDA studies on breast implants.

Meet Dr. Salzman
Dr. Marc Salzman

Breast Lift with Implants

For many women, ptosis (drooping) of the breasts also leads to a lack of fullness and volume. In these situations, an implant will provide an improved, rounder and larger shape.

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Breast Lift Procedure Details

  • Mastopexy Procedure: Raise and reshape sagging breasts by removing excess skin and repositioning remaining tissue and nipples.
  • Length: 1 to 3 hours.
  • Anesthesia: Local with sedation, or general.
  • In/Outpatient: Usually outpatient. Sometimes inpatient.
  • Recovery: Back to work within 1 week or more. Strenuous activities after one month. Fading of scars within several months to a year.
  • Duration of Results: Variable; gravity, pregnancy, aging, and weight changes may cause new sagging. Results may last longer or be enhanced when breast implants are inserted as part of the procedure.
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Preparing for Your Surgery

Depending on your age and family history, Dr. Kreithen may require you to have a mammogram (breast x-ray) before surgery. You’ll also get specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. While you’re making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a few days if needed.

Patient Testimonials

It is without saying that Dr. Holcomb's staff is par excellence. You are greeted with respect and professionalism. Personally of utmost importance was to trust my face to a Doct...

I am 2 1/2 weeks post op and could not be happier!! From consultation to post op appointments the staff and Dr. Kreithen have been amazing. Staff is always available to speak to...

I have had an astounding experience with Dr.Kreithen! From the beginning, he was very knowledgeable and informative. Throughout the entire process, they were easily available to...

Dr. Kreithen gave me an arm lift in June. I am so pleased with the results. The surgery went well and was almost pain free. The office staff is wonderful and caring. I highly re...

Dr. Kreithen and everyone on his staff was amazing throughout my entire process. I had a lower body lift and LOVE the results. I did have some minor issues being allergic to med...

Dr. Kreithen had a great bedside manner. He is great at what he does. My BA was beautifully done and his team was awesome.

Dr Kreithen did a fantastic job on my breasts. I am an older woman that had implants from 10 years ago. It was embarrassing for me at my current age to request new ones. I'm so ...

Dr Kreithen spotted something from a prior MRI done in 2017 & 2019. He basically has saved my life. Having had breast implants for 32 years and suffering fibromyalgia for th...

Dr. Holcomb is a gifted surgeon who will make you look your best. I've had 3 procedures and am delighted with all 3. I especially have to commend his staff... Lauren and Leslie ...

Doctor Kreithen and his staff are the absolute BEST. Caring, friendly, efficient, and my surgery outcome is the best. After surgery I had ZERO pain, recovery was easy, follow up...

If I could give a 10 star rating i sure would. I had both Dr Kreithan and Dr Holcolm did procedures on me in march. Dr Kreithen LISTENED TO my husband and me and HEARD us. This ...

They say breast reduction patients are among the happiest of plastic surgery patients. I am very happy with my decision to go with Holcomb Plastic Surgery. I am pleased with the...

My daughter who had her breast done by Dr. Kreithen told me to go to him for the type of surgeries I was wanting to have done. He did a beautiful job with her breast implants. I...

Had BA in 12/2017 and decided on Dr Kreithen. I had been planning on BA for 7-8yrs , had a couple of consultations with others , but just did not feel 100% about the surgeons I ...

I found all the staff very professional, kind, and helpful which is a big plus . I have no negative feedback which is why I give 5+ stars

Dr. Holcomb is an incredible rhinoplasty surgeon. I'm at about 9 months post op, so pretty much all of the swelling is gone, and I could not be more happy. I'm sure most people ...

I have only had positive experiences within this office, having utilized all the different services that they offer. Dr. Kreithen is a very skilled and caring surgeon. I first s...

Dr. Holcomb is the only one I let do my Botox. I have a short forehead, which can be difficult to do with an untrained provider. The entire office is professional and polite. Wo...

Truly the most professional and skilled plastic surgery practice in the area! Truly everything you would ever want in a doctor. I had a tummy tuck with Dr. Kreithen and LOVE my ...

I recently had eyelid surgery and laser treatment under my eyes done by Dr. Holcomb. Dr. Holcomb is very professional and friendly. He always asked if there were any questions o...

Dr Kreithen has been doing my Botox for about five years, I would never ever consider going to see another doctor. He is masterful at what he does! Always uses only a limited am...

I had a breast reduction completed by Dr. Kreithen, in January. Before surgery I stopped drinking heavily on coffee. I cut back to drinking 1/2 cup to a cup of coffee a day for ...

Dr Holcomb is an excellent surgeon I had a facelift and laser skin resurfacing. I feel 10 years younger and am very pleased with the result

Dr Kreithen gets my best recommendation for anyone looking for a talented plastic surgeon. Very happy with the results of my procedure. He knows what he is doing and I am a happ...

My experience with Dr. Kreithen was amazing. I originally made two consultation appointments with different doctors to shop around but after my first appointment with Holcomb &a...

Dr. Kreithen is amazing. I saw him for Botox and he did a great job. He is an artist with the needles so I felt no pain. I had no bruising and all my wrinkles were blurred away....

Dr. Holcomb and his staff are the best. I had a very positive experience and I'm thrilled with the results of my procedures.

Dr Kreithen did an amazing job on my tummy tuck! I absolutely love the results. The office is clean and beautiful, all the staff have been so kind and respectful, and follow up ...

I am so thrilled with the results. it helps with The helium plasma laser procedure took away years of smoking and sun, damage, The staff and everybody in the office went beyond ...

After contemplating breast augmentation for years, I couldn't be more happier with my decision to choose the best Doctor in the Sarasota area, Dr. Kreithen. My new gals are perf...

Dr. Kreithen is an incredible surgeon and the staff that work along side him are just as incredible. I went to him to see if he could fix some awful scars on my breasts from a p...

My original breast augmentation was performed by Dr. Kreithen approximate 12 years ago. I wanted to increase my size and also get the newest implants. I am beyond happy with my ...

I would highly recommend Dr. Kreithen to anyone who is considering cosmetic surgery he is very knowledgeable and takes the time to listen to your concerns I had a great experien...

Dr Holcomb is AWESOME! I was very afraid to have anything done to my face, but, Dr Holcomb not only reassured me, his results are amazing!! I couldn't be more pleased and I woul...

Dr. Kreithen is the BEST! I had a Panniculectomy because I lost over 300lbs and am so impressed with the surgery. Dr. Kreithen always answers all of my questions and always make...

I can't say enough about my experience with Dr. Kreithen. Him himself all the office staff were absolutely amazing! Everyone was very thorough with explaining my procedures. Any...

I went in for a consultation to see what my options were for reducing the fat under my chin. I did not want anything injected, and I did not want to go under the knife. Kimberly...

Kim Daily performed both Ultherapy and Halo laser treatment for me last month. At age 45, I was looking for something other than fillers to freshen up my look. Kim Daily took th...

After an abundant amount of research & asking around, a friend referred me to this facility to find out more about a procedure. The staff made me feel at home, and made sure...

I have only had positive experiences within this office, having utilized all the different services that they offer. Dr. Kreithen is a very skilled and caring surgeon. I first s...

This was my second surgical procedure with this office & again I want to say thank you to the entire staff especially the front desk, the nurses & of course Dr. Holcomb....

I had a lower face/neck lift with a full face CO2 laser and I couldn’t be happier with the results!  I look like myself only more refreshed and younger!   The of...

I recently underwent a facelift at Holcomb & Kreithen Plastic Surgery and MedSpa, and I couldn't be happier with the results and overall experience. The professionalism and ...

I went in, feeling pretty discouraged. I can say that, from the beginning of my experience, through the surgery, and the end of my experience, which is now has been almost 6 mon...

Fortunately, I have had the pleasure to have procedures done by both Dr. Kreithen and Dr. Holcomb.  Their office staff and nurses are considerate and caring.  They sho...

I had a breast implant  replacement done by Dr  Kreithen.  I did my research on all the Sarasota Plastic surgeons and Dr Holcomb and Dr Kreithen and their clinic ...

I had procedures done by both holcomb and kreithen. I cant sing their praises enough. The office staff and nurses are incredibly kind and helpful. The doctors are amazing. I was...

The entire staff at this place went above and beyond for the entire process! I had abdominoplasty with hernia and abdominal wall repair and I was a nervous wreck at first; but t...

Dr. Kreithen is the BEST! I had a Panniculectomy because I lost over 300lbs and am so impressed with the surgery. Dr. Kreithen always answers all of my questions and always make...

Scarring

Noticeable scars will occur after the procedure, but everyone’s body is a little different. Regardless, the scars will be easily covered under clothing or swimwear. Complications after surgery are extremely rare. Avoiding the risk of significant issues after surgery is mitigated by choosing a Board Certified plastic surgeon like Dr. Joshua Kreithen.

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Where Your Surgery Will be Performed

A breast lift will most likely be performed at our state-of-the-art certified Holcomb – Kreithen Plastic Surgery Medical Center operating room. It’s usually done on an outpatient basis. Extensive complex combination (Mommy Makeover) procedures may require an overnight hospital stay.

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Types of Anesthesia

Breast lifts are usually performed under IV sedation, which means you’ll be in a twilight sleep through the operation. In selected patients–particularly when a smaller incision is being made—Dr. Kreithen may use local anesthesia, combined with a sedative to make you drowsy. You’ll be awake but relaxed, and will feel minimal discomfort.

Breast Lift Recovery

The breast lift procedure will be performed on an outpatient basis; patents are able to rest and relax at home the same afternoon. Women need to expect the recovery from their lift to take between two to four weeks but will feel good within the first week. Generally, pain after surgery is only mild to moderate, although Dr. Kreithen will prescribe appropriate medications for comfort.

Swelling, bruising, and numbness are common but are temporary. Initially, after the procedure, bandages will be worn; then a surgical support bra will be used for approximately one month to allow for appropriate healing. Patients generally feel well enough to return to work or school in two to three days, but strenuous exercise should be postponed for up to four weeks.

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After Your Surgery

After surgery, you’ll wear a sports bra over gauze dressings. Your breasts may be bruised, swollen, and uncomfortable for a day or two, but the pain shouldn’t be severe. Any discomfort you do feel can be relieved with medications prescribed by Dr. Kreithen.

Within a few days, the bandages will be removed. You’ll need to wear your sports bra for about a month. The stitches will be removed after a week or two. You will be provided with ointments and scar creams to optimize the appearance of your scar.

You can expect some loss of feeling in your nipples and breast skin, caused by the swelling after surgery. This numbness usually fades as the swelling subsides over the next six weeks or so. In some patients, however, it may last a year or more, and occasionally it may be permanent.

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Getting Back to Normal

Healing is a gradual process. Although you may be up and about in a day or two, don’t plan on returning to work for at least a week, depending on how you feel. Avoid lifting anything over your head for three to four weeks. You should wait at least four weeks before strenuous activity or exercises, and not lift more than 10 pounds in each arm.

Walking and other normal activities can resume when you feel comfortable. Your breasts will probably be sensitive to direct stimulation for two to three weeks, so you should avoid much physical contact. After that, breast contact is fine once your breasts are no longer sore, usually four to six weeks after surgery.

Your New Look

Dr. Kreithen will make every effort to make your scars as inconspicuous as possible. It may take up to a year for the scars to fully mature. Over time, eventually, the scars should fade to thin white lines. You should also keep in mind that a breast lift won’t keep you firm forever–the effects of gravity, pregnancy, aging, and weight fluctuations will eventually take their toll again. Your satisfaction with a breast lift is likely to be greater if you understand the procedure thoroughly and if your expectations are realistic.

To schedule a consultation for a Breast Lift, contact Holcomb and Kreithen Plastic Surgery. At the completion of your consultation, you will meet with our patient coordinator. You will be given an estimate of the cost of your procedure and have the option to schedule your procedure if you so choose. We are here to answer your questions and explain your options for a rejuvenating breast procedure. Our goal is to make every woman look natural and beautiful, as well as comfortable with her own body. We look forward to seeing you in our Sarasota or Tampa office.

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