What Is a Mastopexy?

Mastopexy is the medical term for a breast lift. The procedure is performed to raise the breasts to a more youthful position and minimize the appearance of sagging. Mastopexy can provide:

  • A lifted, more youthful breast contour
  • A tighter skin envelope
  • Increased firmness
  • Improved nipple appearance
  • More flattering breast appearance both in and out of clothing

A breast lift can create the illusion of more breast volume as a result of an elevated position and removal of excess skin. However, many women elect to combine their mastopexy in San Luis Obispo with breast augmentation to achieve their ideal breast size, shape, and position.

Is a Breast Lift Right for Me?

If you are bothered by sagging, drooping breasts, are in good overall health, close to your ideal weight, and don’t smoke, you are likely a good candidate for breast lift surgery. Women choose to undergo breast surgery for a variety of reasons. You may consider a breast lift due to:

  • Weight fluctuations: Weight loss can improve your health and wellbeing, but you may find that your breasts may droop or sag in a way they previously didn’t. A breast lift can elevate your breasts to complement your weight loss efforts.
  • Post-pregnancy: Pregnancy and nursing can cause breasts to stretch and change shape. A breast lift can restore your breasts to their pre-pregnancy position.
  • Heredity: Nature isn’t always fair, and some breasts simply droop more than others. If you’ve wanted to improve the position of your breasts for years, now may be the perfect time for a change.
  • Time and gravity: Over time, gravity inevitably causes youthful, perky breasts to droop and sag, especially full breasts. Mastopexy can lift your breasts and boost your confidence.
Banner media
Women in white top

Speak With an Expert

The best way to determine if a breast lift is right for you is to schedule a personal consultation with board-certified plastic surgeon Dr. Charles Chalekson in San Luis Obispo County. As a seasoned breast lift surgeon with more than 20 years of experience, Dr. Chalekson has the knowledge and skill needed to create beautiful, balanced results. During your initial consultation, he will discuss your concerns and what you would like to accomplish with mastopexy. He will assess your candidacy and explain all of your treatment options

Understanding Breast Ptosis

No woman is immune to the effects of time and gravity. Over time, the connective tissue that keeps the breasts elevated begins to deteriorate, causing the breasts to sag. Additionally, sagging is more likely to occur as the dense glandular tissue of the breast is replaced by fat during menopause. Ptosis is the medical term for sagging breasts. The condition is defined by four separate grades, representing different degrees of sagging. The best surgical approach to correct your ptosis will be based on your unique anatomy, goals, and level of sagging. These levels include:

  • Grade one: Breasts maintain a forward projection, but are below the breast crease.
  • Grade two: The lower breast sags below the breast crease, and the breasts and nipples are both drooping.
  • Grade three: Breast tissue is mostly below the breast crease, and the nipples are beginning to point down.
  • Grade four: All breast tissue is below the breast crease, and the nipples point completely downward.
Background media

What Are the Benefits of a Mastopexy?

There are several benefits associated with breast lift surgery. Following the procedure, most San Luis Obispo County patients report the following improvements:

  • A youthful breast shape. Breasts often lose their shape over time as their tissue gathers below the inframammary line. A breast lift can be used to raise the tissue, giving the breasts a supple, perky shape.
  • Better nipple projection. As your breasts begin to sag, your nipples may begin to point down towards the floor. During a breast lift, the nipple can be repositioned higher, resulting in a forward projection.
  • Reduced under-breast rashes. Many women with large or sagging breasts suffer from skin irritation or chafing under the breast crease. By repositioning the breasts higher on the chest wall, a breast lift can reduce the occurrence of rashes under the breasts.

When Should I Combine a Breast Lift With Augmentation?

For many women, restoring a youthful breast shape involves more than lifting alone. When volume loss, upper-pole deflation, or a naturally smaller breast size is a concern, a breast lift can be thoughtfully combined with augmentation to create a more complete rejuvenation.

This approach allows the breasts to be elevated while also enhancing fullness and contour. During your consultation, the implant type, size, and profile are carefully selected to complement your natural proportions.

Banner media

Schedule a Consultation

Contact Us

Repositioning Breast Tissue for Lasting Shape

A common misconception is that a breast lift simply tightens skin. In reality, long-lasting, beautiful results depend on reshaping and repositioning the underlying breast tissue itself.

For many patients, internal tissue support techniques are used to create a more stable breast foundation, allowing the lifted shape to hold over time rather than relying on skin tension alone.

Dr. Chalekson specializes in this deeper structural approach that can enhance upper fullness, improve projection, and contribute to more graceful aging.

Understanding the Difference Breast Lift vs. Breast Reduction

Although breast lifts and reductions share some surgical techniques, their goals are distinct. A lift focuses on repositioning the breast to a higher, more youthful location, reshaping tissue, and refining contour while typically maintaining a similar overall volume. A breast reduction removes excess breast tissue and skin to decrease size and weight. Some patients benefit from elements of both procedures. A personalized evaluation helps determine which approach, or combination, will best support your comfort and long-term satisfaction.

yellow plant in a parking lot

Testimonials

“I feel free for the first time in so long, and the relief has been incredible. I always felt like I was in the best possible hands.”

– H.S.

“I am healing, I am HAPPY, and I know I can reach out to them for anything. They have taken such good care of me.”

– K.D.

“I am so completely happy with my body transformation. My life has already been transformed and it was completely worth it.”

– L.K.

“Great surgeon and office! Special shoutout to Angela that really advocated for me by arguing with my insurance to get coverage. Not only are the MAs and front desk nice but Dr. Cha...”

Great surgeon and office! Special shoutout to Angela that really advocated for me by arguing with my insurance to get coverage. Not only are the MAs and front desk nice but Dr. Chalekson also truly cares for his patients. I've gotten multiple compliments on the work he has done from close friends and my partner. Thank you guys for everything you have done for me. You gave me the experience of being comfortable in my body for the first time in my life.

– S.

“As a mom of three little boys, I just wanted to feel like me again, like I did before years of nursing and pregnancy. Thanks to Dr. Chalekson and his amazing team, I now do. The re...”

As a mom of three little boys, I just wanted to feel like me again, like I did before years of nursing and pregnancy. Thanks to Dr. Chalekson and his amazing team, I now do. The results of my BA are absolutely beautiful and so natural, which was important to me. The staff were incredibly kind, and the level of individual care in the operating room was exceptional. Dr. Chalekson is honest and down to earth, I felt comfortable talking to him each time we met and always felt he was giving me honest feedback that was never rushed. I couldn’t be happier with my experience and the confidence I’ve regained. Can’t recommend enough!

– S.L.

“The whole experience from my first visit to today has been amazing. DR Chalekson and his staff are amazing. I highly recommend this surgical office. I am so impressed with the staf...”

The whole experience from my first visit to today has been amazing. DR Chalekson and his staff are amazing. I highly recommend this surgical office. I am so impressed with the staff and outcome of my procedure.

– C.S.

“From the very beginning, at the initial consultation, I was greeted and treated with the upmost professionalism, and attentiveness. The beautiful, elegant, and private office made ...”

From the very beginning, at the initial consultation, I was greeted and treated with the upmost professionalism, and attentiveness. The beautiful, elegant, and private office made the experience perfect. The staff and doctor were available to answer any of my questions and worked with extremely busy schedule. Dr. Chalekson has raised the bar and set the new standard that all practitioners in his field should mirror.

– M.S.

“I had the best experience with Chalekson Plastic Surgery. I was a bundle of nerves and Dr. Chalekson and staff made me feel at ease. I am 4 days post op and I’m already amaze...”

I had the best experience with Chalekson Plastic Surgery. I was a bundle of nerves and Dr. Chalekson and staff made me feel at ease. I am 4 days post op and I’m already amazed by the results. I feel so grateful to have been treated by Dr. Chalekson and staff. A special thanks to Stephanie (surgical nurse), Christine (nurse manager) and Danielle (pre & post op nurse).

– A.C.

“The first time I walked into the office, it was like coming home to family. Everyone said hi and the nurse was fabulous. Kind and professional. Then the Doctor came in and made me ...”

The first time I walked into the office, it was like coming home to family. Everyone said hi and the nurse was fabulous. Kind and professional. Then the Doctor came in and made me feel comfortable with the procedure. He is kind, professional and funny. I left there feeling like my procedure would be smooth and in very good hands.

– P.M.

“I had a great experience! Dr. Chalekson and his staff are kind, helpful and professional. My surgery and recovery went well, and I was delighted with the outcome. His office staff ...”

I had a great experience! Dr. Chalekson and his staff are kind, helpful and professional. My surgery and recovery went well, and I was delighted with the outcome. His office staff worked with my insurance company and made the process so easy and stress free. I fully recommend Dr Chalekson and would not hesitate to visit him again for any future needs.

– D.M.
Reviews media

How Should I Prepare for My Breast Lift Surgery?

There are a few ways you can prepare for your breast lift in San Luis Obispo. First, ask someone, ideally a friend or family member, to be your caretaker during the first few days of recovery. Since the procedure requires general anesthesia, you will need somebody to drive you home following the surgery. Ask them to watch you for 24-48 hours to make sure you don’t have any complications. Second, make a recovery area somewhere in your home where you can rest. You may be too tired to get out of bed constantly, so keep any essentials like medication, water, or snacks within reach. Finally, find some loose clothing to wear during and after your surgery. To avoid irritating the incision areas, we suggest wearing a zip-up hoodie or buttoned shirt so you don’t have to lift your arms over your head. For more detailed information on preparing for your surgery, please review the following sections.

Meal Preparation

Maintaining a healthy diet and regular exercise regimen is instrumental in preparing your body for the physical demands of surgery. A well-nourished and fit body can significantly enhance your recovery process. To ensure you can continue consuming nutritious meals post-surgery, it’s wise to prepare and store meals in advance. Given the anticipated limitation in arm mobility following your breast lift, cooking will not be feasible. Preparing easily accessible foods that require minimal effort to enjoy and storing them in your refrigerator and freezer is a proactive approach to your post-operative nutrition.

Limit Tobacco and Alcohol Consumption

You will need to stop all alcohol and tobacco product usage at least two weeks before and after surgery. Tobacco use can cause necrosis (tissue death) of the nipple or around the scar incisions.

Fill Prescriptions

Make sure your prescription medications for after your surgery are filled. In addition to us giving you any surgery-related prescriptions ahead of time, you need to have any medications you take regularly in good supply at home. Ask for easy-to-open lids for your bottles.

Last-Minute Shopping

Before your surgery, it’s important to address any pending errands to ensure you have no outstanding tasks during your recovery period. Completing your grocery shopping and securing any additional items you might need post-surgery is essential for a comfortable and stress-free healing process.

Entertainment While You Recover

Consider acquiring some forms of entertainment, such as magazines or books, to keep you engaged while you recuperate.

Safe Recovery Space

Organizing your living space is also crucial for a smooth recovery. Arrange your essentials and frequently used items at a convenient height to avoid the need for reaching or bending, which could be uncomfortable or harmful in the early stages of recovery. Preparing your environment in this manner not only enhances your comfort but also promotes a safer healing journey.

Comfortable Clothing

Having a wardrobe of clean, easy-to-wear clothing is essential for your comfort post-surgery. Opt for garments that do not require overhead motion to put on, such as button-up shirts or tops with front zippers, paired with pants that have an elastic waistband. This clothing choice will facilitate dressing and undressing without strain. Equally important are slip-on shoes that eliminate the need to bend over, further minimizing discomfort.

Supportive Undergarments

Upon discharge, you will be provided with a surgical bra designed for immediate post-operative use. However, it’s important to have additional supportive bras that do not irritate incisions while offering adequate support during your recovery. Our staff is available to provide recommendations tailored to your post-surgical needs, ensuring your utmost comfort and support throughout the healing process.

Child Care Arrangements

If you have children at home, be sure to arrange for their care. If your children are young enough to need frequent lifting, you will need help for up to a month. With older children, you may only need help for a few days. Line up family and friends who could come to your house or who could take your children for certain amounts of time when needed.

Help With Everyday Tasks

You are going to need help with tasks like washing your hair, and you are also going to want someone to drive you to appointments until you can safely operate a vehicle. Finding people ahead of time can be helpful, so you do not have to call someone at the last minute.

The Night Before: Get Rest

The night before surgery is a time for sleep. Do not put off tasks until the last minute. Your body will be best prepared for surgery if you sleep the night before. Additionally, round up any extra pillows in your house. After surgery, you may find you want the extra support for your arms and shoulders, and having a variety of pillows available will be extremely helpful.

Banner media

The Day of Surgery

The start of your surgical day is at midnight. You will not be able to eat or drink after a specific time, which we will provide to you. However, you may have a small sip of water to take any necessary medications, and you may rinse your mouth after brushing your teeth. You may not chew on gum or suck on mints or other candy.

Pre-Surgery Shower

Preparation for surgery includes a shower. Shampoo your hair and be sure to gently wash your upper body, as it will help fight against infection. Do not scrub hard or shave because you do not want any breaks in your skin.

What to Wear to Surgery

Pick a loose-fitting button or zipper top and elastic waistband pants to wear to surgery. Leave your jewelry, hair clips, and contact lenses at home, but do bring along glasses. There is no need for makeup, nail polish, or perfume on this special day.

Surgery Duration and Aftercare

Although you may have been preparing for your breast lift for weeks, your surgery in San Luis Obispo County will last about two to three hours. Once your surgery is completed, you will be in the recovery room for about one hour. At that point, your designated driver will take you home. For your own safety, you should have an adult who will be staying with you that evening and overnight.

Take pain medications as needed. Stay well hydrated with caffeine-free drinks, even if you are not interested in drinking right away. If you find you are not hungry, your appetite will most likely be back the following day. Find a comfortable place to sleep, and sleep as much as you want. Allowing your body to rest will help it to heal quickly.

Feel Confident Before Your San Luis Obispo Breast Lift Surgery

If you have read this short guide and completed almost everything we have listed, you will have your breast lift preparation and surgery in San Luis Obispo County well under control.

Banner media

Schedule a Consultation

Contact Us

How Long Does a Mastopexy Take?

For most patients, a breast lift procedure takes approximately 3 hours to complete. However, for patients who decide to combine their breast lift with another procedure like a breast augmentation, the amount of time can vary.

beach at sunset

What Is the Breast Lift Recovery Process Like?

Immediately following the procedure, you will be placed in a surgical bra, which must be worn for about four weeks. During the first week, you will need some time off of work to take it easy. You may also experience some discomfort due to swelling. This will gradually dissipate over three weeks. Dr. Chalekson will ask you to abstain from moderate or intense exercise for a few weeks to help keep swelling down and avoid disturbing the incision sites. Overall, most patients find that they can return to their day-to-day activities after 4-6 weeks. The following sections provide more information on this topic.

Setting a Daily Routine

Remember that you will struggle to push, pull, grip, twist, or reach after surgery. You will want a simple skincare routine because bringing your hands up to your face will be difficult in the beginning. You will also need clothes and shoes that are easy to slip on. Button or zip-up front tops and elastic waist pants will be the easiest clothing for you to get into. Be sure to have them ready to wear.

Incorporate Walking

Walk when you are able. Even extra walking inside your home helps to keep blood flow going and helps you maintain your strength. We encourage walking a small amount every two to three hours while you are awake.

Wear a Compression Garment

Dr. Chalekson will typically recommend wearing a compression garment or sports bra following your procedure to help provide support, speed up the healing process, and help your skin conform to the new size and shape of your breasts.

Transportation and Errand Arrangements

Be sure you know how you will get around for the first three weeks after surgery. You cannot drive until you can safely operate a vehicle and are off prescription pain medications. You also cannot lift more than a few pounds for the first four weeks and cannot do strenuous activities for about six weeks. This means you may need help with self-care, grocery shopping, and other activities.

Your Healing Timeline

Recovery times will vary from person to person, depending on multiple factors, including overall health and the extent of surgery. On average, many women are able to return to work within a week after surgery, as long as they do not have physically demanding jobs. Your body will continue to heal, and you should notice any swelling and tenderness subside over the next several weeks.

Background media

Will There Be Any Visible Scarring?

The amount of scarring after a mastopexy in San Luis Obispo County will depend on the type of incision used. Incisions are carefully planned to be as discreet as possible and are typically hidden beneath bras or swimwear. The pattern depends on the degree of sagging and the amount of reshaping needed:

  • Donut (periareolar): Around the edge of the areola only, often used for mild sagging.
  • Lollipop (vertical): Around the areola with a vertical line to the breast fold, common for moderate lifting.
  • Anchor: Includes the lollipop incisions plus one along the breast crease, used for more significant reshaping.

Scars are initially pink and slightly raised, but usually soften and fade over time with proper care.

What Are the Risks Associated With Breast Lift Surgery?

Like any form of surgery, there are a few risks associated with a breast lift. This includes:

  • Infection
  • Bleeding
  • Loss of nipple sensation
  • Breast asymmetry
  • Deep vein thrombosis
  • Fluid accumulation
  • Fat necrosis

For this reason, it is best to have your breast lift performed by a board-certified plastic surgeon like Dr. Chalekson, who will closely examine your medical history to help minimize the risk of complications.

Why Choose Chalekson Plastic Surgery | MedSpa for a Breast Lift in San Luis Obispo?

Education is a central part of the care philosophy here. Dr. Chalekson believes patients make the best decisions when they fully understand their options, which is why you’ll find unusually detailed, transparent information throughout this page and during your consultation. With more than 20 years of surgical experience, he combines technical expertise with honest guidance: clarifying misconceptions, correcting “Dr. Google” myths, and helping you choose what is truly right for your body. The goal isn’t persuasion; it’s confidence through knowledge, trust, and results that feel authentic to you.

Stay Connected With Us

Schedule a San Luis Obispo Breast Lift Consult With Dr. Chalekson

If you wish to learn more about the breast lift procedure, or if you wish to determine whether you are a candidate, please be sure to arrange a personalized consultation with Dr. Charles Chalekson. Call us today at (805) 386-7164. Our practice serves Templeton, the surrounding areas of California, as well as patients from out of state.

Banner media

Take the Next Step Schedule a Consultation

If you are considering plastic surgery in San Luis Obispo County, our team can help you understand your options and move toward the outcome that feels right for you. We welcome patients from across California and the United States, including Paso Robles, Atascadero, Templeton, Arroyo Grande, Pismo Beach, Cambria, Santa Barbara, and Santa Maria.

Contact Us
Contact us media
Accessibility: If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact our Accessibility Manager at +1 805 998 7993.
Contact Us