Introduction Nowadays there is a safe and efficient solution to correct saggy breasts. The procedure is called the breast lift and is also known by the medical term of mastopexy. When mastopexy is performed, the plastic surgeon will re-center the mammary gland and eliminate the excess skin tissue so the breasts can regain a perky and youthful appearance once again. The procedure is preferred and recommended for women who have lost a significant amount of weight, women after a certain age who notice their breasts have been affected by gravity, and women with multiple pregnancies. There are many factors that can alter the appearance of the breasts and cause sagginess, and it is important to make sure you do your best to avoid them after the surgery. However, in preparation for the breast lift, here are three things to ask the plastic surgeon: 1. Is this a good time for me to undergo the procedure? While this might seem like a question to ask yourself and not the plastic surgeon, it makes sense to ask him as he will guide you towards making the best decision possible. What does this mean? The advice is not to have the procedure if you are planning to have more children in the future as an ulterior pregnancy and breastfeeding can alter the aesthetic results. To answer your question, the plastic surgeon will have to ask you himself a few questions, and together you will find the correct answer. Aside from your plans to have more pregnancies in the future, the plastic surgeon will also ask you about your weight. Weight fluctuations are among the factors that could produce significant damage to the appearance of the breasts. This means that weight fluctuations might have triggered the breast ptosis to begin with, and if they keep on occurring, they could also alter the results of the procedure. Because of this, the plastic surgeon will measure your weight and height to determine if your weight is normal and ask you about weight fluctuations in the past and whether you have managed to maintain a stable weight for the last eight months or more. The breast lift is often performed on women who have recently given birth. In their cases, the plastic surgeon will ask when breastfeeding has stopped. As a rule of thumb, it is preferable to wait a few months after breastfeeding before scheduling the breast lift. This will allow the breasts some time to get back to their initial condition so the results will be stable after mastopexy is performed. For patients who are resorting to the breast lift after bariatric surgery or after undergoing considerable weight loss, the plastic surgeon will want to make sure that you have reached your ideal weight and you plan no more weight loss in the future. Also, he will ask you how many months or years you have managed to sustain a stable weight. Undergoing the breast lift when still in the process of weight loss can result in the alteration of the results and even the need to undergo surgery on the breasts again after the weight has stabilized. Aside from these, there are other factors to keep in mind. For example, patients are advised to take two weeks off from work for the recovery period and to have someone around the house to help them with the chores for at least a few days post-op op. The patient will need someone to drive her to and from the clinic on the day of the surgery as driving after undergoing the breast lift is not possible, nor recommended. The plastic surgeon will also tell you that it is preferable to schedule the breast lift outside your menstrual cycle, three weeks after you have stopped smoking, and a month since you stopped taking birth control pills to avoid complications after the procedure. 2. What is the surgical plan for my particular case? Just like any other type of plastic surgery procedure, the breast lift can be performed following different surgical plans. This means that there is no one size fits all when it comes to mastopexy. Patients will be assessed and examined during the pre-operative consultation for the breast lift, and the plastic surgeon will also determine the level of breast ptosis. If the breasts are too small or too big compared to the patient’s anatomy, the plastic surgeon might make recommendations to combine other procedures with the breast lift. Nowadays it is rather common for patients to undergo the breast lift together with implants or a breast reduction. The surgical plan will be designed for each patient after the medical examination and discussing the patient’s goals and expectations. There are different types of incisions that can be performed for mastopexy. When the level of breast ptosis is minor, the plastic surgeon can recommend the periareolar incision. This means that the patient will be left with just a small, circular scar on each breast. The scar is localized around the areola and well masked by the differences in skin color in the area. The periareolar incision is not a suitable option for cases of more severe breast ptosis. If there is a considerable amount of skin tissue to be removed, the plastic surgeon might choose to use the inverted T incision or even three incisions (one around the areola, one vertical towards the inframammary fold and one horizontal in the inframammary fold). It is also a good idea to ask the plastic surgeon about the type of anesthesia that will be used for your surgery. In a vast majority of cases, patients will be administered general anesthetic, but it is worth it to discuss the topic either way. Also, keep in mind that you will need to schedule a meeting with the anesthetist in the days prior to the breast lift. 3. How long will the results last? In a few words, we can consider the results of the breast lift permanent. But if we take into consideration the fact that there are certain factors that will continue to work on the appearance of the breasts, there is nothing permanent about our bodies in general, breasts included. Even if the patient will manage to avoid the major factors that can lead to the alteration of the aesthetic results achieved with the procedure, other factors such as gravity and the passing of time can’t be prevented or influenced. What is important to keep in mind is that for about ten years after the procedure, your breasts will keep their perkiness if you follow the rules and adopt a proper behavior. To make sure the results of your breast lift last as long as possible, ensure that you are wearing a proper sports bra each time you engage in physical exercise and that the bra you are wearing daily offers a suitable level of support and compression. Some patients tend to believe that the breasts sag because they wore a bra in the past. This is just a myth, just like not having to wear a bra after undergoing a breast enhancement procedure. It is true that your breasts will look spectacular, but this has nothing to do about needing support that can only come from a good fitted, good quality bra. To ensure your results are long-lasting, patients should also pay attention during the recovery period, especially the first two to four months post-op. Conclusion The breast lift is the only method we have available nowadays that can be used to correct saggy breasts. When it comes to breast ptosis, we are talking about an abnormal position of the breasts on the chest wall, a deflated appearance, and also an excess of skin tissue. To correct these, we need surgery. The breast lift is performed with the patient under general anesthetic and can last between one and a half hours to four hours, depending on the complexity of each case and whether the procedure is performed as a stand-alone procedure or with other procedures. To make sure you are prepared to undergo such a complex procedure, it is important to discuss with the plastic surgeon all the details. In this article, we have discussed three things to ask the surgeon before mastopexy.