Breast Lift St. Louis
Conveniently located to serve St. Louis
A breast lift, or mastopexy, is an excellent plastic surgery procedure for reducing breast sag and restoring perkiness. Dr. Paul Rottler regularly performs breast lifts in St. Louis, MO, and will be happy to help you achieve your beauty goals.
Women come in from all over the country to undergo this procedure, which now outpaces breast implants! In fact, breast lifts are more popular than ever: the American Society of Plastic Surgeons reports that the number of breast lifts performed has grown by 70% since 2000.
What Is a Breast Lift?
This procedure is designed to raise the breasts to a higher position and restore a more youthful appearance. Removing excess skin and tightening the surrounding breast tissue and skin allows for the reshaping and recontouring of the breasts and areolas. Mastopexy can also reduce the size of the nipple-areolar complex that has become enlarged or stretched out.
The most common reasons patients pursue this procedure are changes in their breasts due to:
- Pregnancy
- Weight fluctuations
- Breastfeeding
- Aging
- Heredity
- Gravity
Before considering this surgery, it’s important to know that it won’t significantly change the size of your breasts, completely round out the top part of your breasts, or give you upper pole fullness. Also, a breast lift without implants cannot increase size.
Is Breast Lift Surgery Right For Me?
Breast lift surgery is highly individualized, so Dr. Rottler are best suited to evaluate your candidacy. However, as a rule of thumb, you may be a good candidate if:
- You feel that your breasts sag and have lost volume and shape.
- You want results that look natural rather than overworked.
- Your breasts have an elongated shape, or are flat and pendulous.
- Your nipples fall below the breast crease when unsupported.
- Your nipples and areolas point downward.
- Your areolas have become enlarged or stretched out of proportion.
- One breast falls lower than the other.
- You don’t smoke, are in good overall health, and can maintain a healthy body weight.
There are also several factors to consider before committing to this procedure. If you are still planning on having more children, you may want to delay mastopexy. Pregnancy could re-stretch your breasts and offset surgical results. Although nursing is possible after most breast lifts, some women may have trouble producing milk. Waiting may be your best option in this case.
Breast size can also affect the success of a lift. Women with smaller breasts will likely have longer-lasting results. Since larger breasts are heavier, they’re more likely to naturally sag again over time.
Your Breast Lift Consultation
When meeting with Dr. Rottler in St. Louis, come prepared with questions and be ready to discuss your goals, medical history, current medications, lifestyle habits, and any previous procedures. Your breast lift surgeon will assess your overall health and breast anatomy, including taking measurements and photos, to evaluate potential risks and determine the best treatment plan. They’ll explain the surgery, anesthesia options, expected outcomes, and risks, while addressing your concerns to help you feel informed and comfortable.
How to Prepare For a Breast Lift
Although the preparation for any cosmetic procedure is different from patient to patient, there are a few things that you may be asked to do before surgery, such as:
- Get a medical evaluation, blood work, or lab testing.
- Take certain medications or adjust the dosages of current medications.
- Get a mammogram before and after surgery to detect changes in your breast tissue.
- Quit smoking.
- Stop taking aspirin, anti-inflammatory drugs, and herbal supplements that could increase bleeding.
You’ll also want to arrange for help during your recovery, including a ride to and from the Seven Oaks Surgery Center, LLC, where you’ll be undergoing the procedure. You will probably also want someone to stay with you for at least the first night post-op.
What is The Procedure Like?
Your procedure will begin with the administration of either intravenous sedation or general anesthesia by a board-certified anesthesiologist. The anesthesiologist, who will be taking care of you during your surgery, will contact you the night before. They will instruct you when to eat or drink before your surgery and ask you questions about your medical history.
Once anesthesia has been administered, the actual procedure will begin. There are three common incision types for breast lifts:
- Around the areola
- Around the areola and down to the breast crease
- Around the areola, vertically down to the crease, and then horizontally across the crease
Dr. Rottler will discuss these different types of lifts during your mastopexy consultation and decide on the best choice depending on your goals and anatomy.
After the incision, he or she will lift the underlying breast tissue and reshape it to improve your breasts’ contour and chest wall position. They will also reposition your nipples and areolas to a natural height, reducing enlarged areolas if necessary by excising skin from the perimeter.
Lastly, excess breast skin will be removed to compensate for a loss of elasticity. The remaining skin will then be tightened as the incisions are closed.
What Will Recovery Be Like?
You’ll be sent home with bandages applied to your incisions and in a comfortable bra. Our plastic surgeons will give you directions regarding aftercare, including how to care for your breasts after surgery and what medications to take to aid healing and prevent infection. You will also be given written instructions on medication usage, local wound care, and specific warning signs you should keep an eye out for.
Your first post-op visit is usually the next morning unless otherwise specified. You may shower after your office visit. Exercise can begin in 3-4 weeks in most circumstances.

Breast Lift Benefits
- Lifts and reshapes sagging breasts
- Improves breast symmetry
- Enhances overall breast appearance
- Repositions nipples to a more natural height
- Boosts self-confidence and body image
How Much Does a Breast Lift Cost?
The price of your breast lift in St. Louis generally depends on the type of anesthesia used, the exact surgical techniques necessary, and other patient-specific details. We also offer financing to help patients manage the cost of care.
Breast Lift FAQs
Set Up Your Mastopexy Consultation
If you are looking for a breast lift in St. Louis, schedule your consultation with Dr. Paul Rottler today to get one step closer to the body you truly want. As part of your consultation, you will be able to look over breast lift before and after photos and describe your ideal results to Dr. Rottler.
Related Blog Posts

Breast Lift St. Louis
The Breast Lift procedure is designed to rejuvenate the appearance of breasts that have begun to sag and droop. Women experience breast… Read More







