Breast Surgeries

Are you Unhappy with your Breasts?

Sydney's leading Breast lift Surgeon Dr. Mark Kohout can help. Lift your breasts and boost your confidence.


Unfortunately, it’s a fact of life that breasts droop with age. The effects of ageing, gravity, weight loss and pregnancy all take their toll and can leave them sagging and lacking shape. Hormonal changes can soften the ligaments that support the breasts, and tissue stretches when they grow with pregnancy or normal weight gain. Often breasts that droop after pregnancy lose tissue and volume and can look flat or wobbly. Once they sag, there really isn’t any way to get them back to normal.

If you are unhappy with your breasts because they sag, find yourself feeling self-conscious or find it hard to find clothes you feel good in, a lift can make them feel firmer and perkier. Sometimes a this lift surgery is enough to restore your shape to a youthful look, but often where volume has been lost or the nipple is pointing below the crease, a breast augmentation or enlargement is performed at the same time to give a natural fullness of shape.

You may be a good candidate for Mastopexy surgery if you have one or more of the following conditions:

  • Breasts that are pendulous, but of satisfactory size.
  • Breasts that lack substance or firmness.
  • Nipples and areolas that point downward especially if they are positioned below the crease.

Your Consultation with Dr. Mark Kohout

First you’ll come to Dr Kohout’s private consultation rooms to discuss the results you’d like to achieve. Dr. Mark Kohout is an experienced surgeon who will listen to your concerns, tell you how he can help, and talk you through the procedure. You’ll be able to ask lots of questions and put your mind at ease. You can also look at some before and after photographs to fully understand the benefits of a breast lift or augmentation. Examples of before and after photos of satisfied clients are in our photo gallery. Or call us on 1300 551 151 with your questions.



FAQs Answered by Plastic Surgeon Dr. Mark Kohout


What is Mastopexy/Breast lift Surgery?

Mastopexy or breast lift is an aesthetic (cosmetic) surgical procedure aimed at lifting and reshaping sagging breasts to a rejuvenated shape and contour. Click here to get more Information about this procedure from the Australian Foundation of Plastic Surgery.

Degrees of breast ptosis (droop) 

How do I know if I need Breast Lift Surgery or not?

It may help if you are happy with the overall size of your breasts but unhappy with their shape in terms of sagging or drooping. You may have noticed this “ptosis” with time or following breast-feeding, loss of weight or with ageing. Mastopexy lifts and restores the breast into its position and helps improve your overall appearance. You may be a good candidate for breast lift surgery in Sydney if you have one or more of the following conditions:

• Breasts that are pendulous, but of satisfactory size.
• Breasts that lack substance or firmness.
• Nipples and areolas that point downward especially if they are positioned below the breast crease.

Sometimes these conditions may be inherited traits. In certain cases the breasts may have developed differently so that one breast is firm and well positioned while the other is not. There may be differences in the size of your breasts as well as their shape. Breasts that are large and heavy can be lifted but the results may not be as longlasting as when the procedure is done on smaller breasts. Some people need Breast Augmentation Surgery at the same time to provide breast fullness. In that case, breast implants are inserted under the chest (pectoral) muscle or directly behind the breast tissue. 

How to Prepare for Surgery?

The goal of your plastic surgeon and the staff is to make your surgical experience as easy and comfortable for you as possible. Smokers will be asked to stop smoking 3 weeks before surgery as nicotine in cigarette smoke interferes with blood circulation. Aspirin and some anti-inflammatory drugs used for the treatment of arthritis can cause increased bleeding, so you should avoid taking these medications for 2 weeks before surgery. Surgery is usually performed on an outpatient basis.  If this is the case, make certain you have someone to drive you home after surgery and to stay with you at least the first night following surgery.

The Day of Surgery

Your surgeon will mark your skin before the operation and if you have not already done so, you will need to sign the consent form for your operation.  Preoperative photographs will be taken if this has not already happened. You will also be seen by the anaesthetist, who will go through your medical history with you again and will explain the anaesthetic procedure to you. Medications are administered for your comfort during the surgical procedure.  During the anaesthetic, various monitors are used to check your heart, blood pressure, pulse and the amount of oxygen circulating in your blood.

The Operation: What Does it Involve?

Because of individual factors, not everyone will achieve the same results from mastopexy surgery. Your plastic surgeon will select the surgical technique that he or she feels will obtain the best outcome for you. There are currently several techniques for mastopexy. They all aim to lift and reshape the breasts, and reposition the nipples. If the breast sagging is minimal and the breasts are small, ptosis can be corrected with augmentation mammaplasty. This method causes fewer scars on the breast. During the procedure the nipple and areola are repositioned to a higher position and excess skin is removed from beneath the breast. Closing the remaining skin lifts the breast mound to a higher position and re-contours the breast to give it a more projected and youthful appearance. If there is inadequate breast tissue to fill the skin and achieve the desired size, a saline-filled breast implant may be placed beneath the breast at the same time achieving the desired size, shape and projection.

How long does the Operation take?

The operation for Breast lift (Mastopexy) takes from 1 to 2 hours, depending on the extent of each case.

When can i resume my normal activities?

It is often possible to return to work within two weeks, depending on your job. In many instances you can resume most of your normal activities, including some form of mild exercise, after several weeks. You may continue to experience some mild, periodic discomfort during this time, but such feelings are normal. It is important not to do any strenuous exercise of the upper body and chest as this increases the chances of bleeding. Severe pain should be reported to your doctor. Any sexual activity should be avoided for a minimum of one week, and your plastic surgeon may advise you to wait longer. After that, care must be taken to be extremely gentle with your breasts for at least the next six weeks. 

Results of your Surgery: What and When?

As the healing process is gradual, you should expect to wait at least several weeks to get an accurate picture of the results of your breast surgery. Incisions will fade over a number of months until they become barely visible. The effects of gravity and ageing will eventually alter the shape of your breasts. If, after a period of years, you become dissatisfied with the appearance of your breasts, you may choose to undergo another breast lifting procedure to restore their more youthful position and contour.

What Complications can arise from the Procedure?

Fortunately, significant complications from mastopexy are infrequent. Every year, many thousands of operations are performed with no major problems and good results. However everyone considering surgery should be aware of both the benefits and risks. The subject of risks and potential complications of surgery is best discussed on a personal level between you and your plastic surgeon.

  •  Bleeding: There is a 2-3% risk of postoperative bleeding which may at worst require return to the operating theatre for drainage.

  • Infection: If infection occurs it will become evident within one week of surgery and may delay the healing process or result in the development of scar tissue.  This may require treatment with antibiotics.  In the unlikely event of infection, the ultimate result of the surgery may be adversely affected.

  • Swelling and bruising: As with all operations, a degree of swelling and bruising will occur usually worst in the first 48 hours post-operatively.  This has usually subsided by the end of the second week.

  • Scarring: Scars are an unavoidable drawback to the procedure, but typically quite acceptable to most patients.  The incisions are designed so that the scars will not be visible while wearing normal clothing.  The scars will be more obvious in the early months after surgery.  These scars will continue to fade over the ensuing 12-18 months.  Some patients may have a tendency to form thick or red scars (hypertrophic or keloid scars).  These scars can usually be improved by other measures.

  • Symmetry: Following reduction, sometimes the breasts may not be perfectly symmetrical or the nipple height may vary slightly.  If desired, minor adjustments can be made at a later time.  

  • Loss of some of the skin of the breast

You can help to minimise certain risks by following the advice and instructions of your plastic surgeon both before and after your surgery.

Breast lift Results with Dr. Mark Kohout

deflated breasts before and after breast lift / mastopexy


Click here to see more Pictures

How much does this Plastic Surgery Procedure cost?

Breast lift/ Mastopexy $9,900 This price assumes top hospital cover with a private fund. If fund cover does not apply in your situation, plan for additional costs of around $2,500
Combined breast lift and breast implant $11,900 This price assumes top hospital cover with a private fund. If fund cover does not apply in your situation, plan for additional costs of around $2,500

Speak with Us Today and Discover more About this Procedure

To find out more about our breast lift surgery options with Dr. Mark Kohout, please get in touch with us. We are located in 185-211 Broadway, Sydney, Australia. We’re always available to provide you with reliable advice that you can trust. Call us on 1300 551 151 and speak with our helpful and friendly staff.

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