From the Pen of Dr Taylor

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26 Sep 2018 | CAPS Clinic

Contouring breast shape and fullness

By Dr Alastair Taylor (Bachelor of Medicine, Bachelor of Surgery | Fellow of the Royal Australasian College of Surgeons | MED0001401767)



At The CAPS Clinic I often see women requesting firmer, higher and tighter breasts. A Breast Augmentation Mastopexy contours a firmer, higher shape to sagging breasts.

All surgical procedures carry risks. Results vary and specific outcomes are not guaranteed. To learn more about the risks of aesthetic surgery visit

This is a complex surgery requiring a very experienced Plastic Surgeon. I was honoured to have recently been named the first ever ‘Surgeon Of The Month’ by the Safer Breast Implant Organisation for my commitment to minimising the risk and spread of bacteria associated with breast implants.

I am listed on the Safer Breast Implants Organisation website as a surgeon who follows the recommended 14-point plan and have done so for many years. Using the plan ensures that my patients are given the benefit of proven research to combat infection and the best chance of a stable and safer outcome.

When should I consider a Breast Augmentation Mastopexy?

Breasts can lose shape and fullness after breastfeeding and significant weight loss.

A Breast Augmentation Mastopexy can help reposition the breasts to a higher position by removing the excess skin and increasing volume by inserting a small implant.

What is involved?

It is not uncommon for breast droopiness to be too far advanced for an implant alone. If the nipple is pointing down or is sitting below the fold where the breast attaches to the chest a breast Mastopexy is required.

An e­ffective Breast Augmentation Mastopexy internally stitches the breast material together to produce a supported cone shape.

The nipple stays attached to breast material with blood and nerve supply, so breast feeding may be possible in the future.

Can I have a Breast Mastopexy without implants?

This is well within your right to choose, as some patients are not willing to have implants and wish only to have a Mastopexy to move the breast to a higher position. Keep in mind that in most cases, a Mastopexy alone will not restore volume and firmness to the breasts.

Can I have breast implants and a lift performed at the same time?

It is possible to do a Mastopexy at the same time as putting in an implant.

If the nipple needs more elevation than 5cm it is better to do the Mastopexy as one operation and put in an implant 6 months later once everything has healed.

This may take two operations, but safer outcomes can be accomplished in planned stages of surgery rather than trying to do it all in one big procedure and risking complication.

What results can I expect?

A Breast Augmentation Mastopexy will leave you with similar sized breasts but with more volume and your nipples will be relocated to a higher position on your chest.

It will restore your breasts to the position they were before you had children or had significant weight loss.

This procedure will help restore shape to a patient’s body and help clothing fit more comfortably.


Find out more about Breast Mastopexy at the CAPS Clinic in Canberra.

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