dr. jugenburg

Breast Lift Toronto

Over time, breasts lose their youthful pertness, elasticity and fullness, leaving many women feeling unhappy and discontent with the shape, size and position of their breasts. At some point in time, most women will ask themselves: should I think about getting a Breast Lift?

A new and exciting Breast Lift procedure expertly performed by Dr. Jugenburg at the Toronto Cosmetic Surgery Institute differs from a traditional Breast Lift, which simply elevates a sagging breast, and instead beautifully rebuilds the breast tissue on the inside. The improved outcome is a Breast Lift that has less scarring, sits more naturally, looks fuller and lasts longer, leaving you with a rejuvenated appearance and enhanced self-esteem.

Breast Lift Before and After Gallery

breast reduction and lift

Average Cost:


What is a Breast Lift?

A Breast Lift (otherwise known as a Mastopexy) is a surgical procedure that can be performed using a number of different techniques to correct sagging, deflated breasts (known as breast ptosis.) When performed by Dr. Jugenburg at the Toronto Cosmetic Surgery Institute, this is achieved by meticulously repositioning the nipple and/or breast tissue, and tightening the skin. Having performed numerous surgeries, Dr. Jugenburg is a highly experienced Cosmetic Surgeon with the surgical skill and cosmetic artistry to beautifully restore the appearance of youthful breasts to your body.

The Vertical Sling Technique

  1. The Vertical Sling technique is the latest and most advanced Breast Lift surgery procedure. It is variation of a Vertical Breast Lift (also known as a Keyhole Breast Lift), which elevates and reshapes the entire breast, and can therefore be considered a full Breast Lift.

  2. In the Vertical Sling approach, the chest muscle (pectoralis major) is used to support part of the breast tissue by forming a Chest Muscle Sling, thereby giving an enhanced and longer-lasting Breast Lift.

  3. This is a much more extensive procedure than a Peri-Areolar Breast Lift and is used by Dr. Jugenburg only in women whose sagging breasts (breast ptosis) require more than 2 cm of elevation (moderate to severe ptosis).

  4. During the procedure of this type of Breast Lift, a doughnut shaped piece of skin is removed following the Peri-Areolar method above, but with additional skin removed by also placing a straight incision directly from under the areola to the breast fold (infra-mammary fold). The chest muscle (pectoralis major) is then dissected from the chest wall and part of the breast tissue is folded under and sutured to the muscle. The surrounding skin is pulled upward and/or inward towards the areola and sutured in place.

  5. Dr. Jugenburg’s advanced and meticulous wound closure techniques minimize the appearance of the scars on the breast after the Breast Lift procedure.

What are the Benefits?

A Breast Lift is designed to leave your breasts firmer and uplifted, with the position of your areolae (the darker skin surrounding the nipples) and nipples enhanced. When performing surgery (with or without Breast Augmentation), Dr. Jugenburg understands the aesthetics of a beautiful, youthful breast and aims to carefully incorporate these features into your results.

To learn more about the characteristics of youthful looking breasts click here.

Choosing the Vertical Swing Technique

The novel Vertical Sling Breast Lift performed by Dr. Jugenburg at the Toronto Cosmetic Surgery Institute not only elevates the breasts, but also reshapes them to give the following additional benefits:

  1. Enhanced pertness and fullness.
  2. More youthful appearance.
  3. Longer lasting lift.
  4. Lower risk of complications.
  5. No loss of volume, no decrease in cup size.
  6. Minimal scarring.

The result of the Breast Lift is an appearance that resembles that achieved with implants, even though only the patient’s own breast tissue is remolded.

Get In Touch


Toronto Cosmetic Surgery Institute
Level D – East Wing
100 Front St West
Toronto, ON

Monday-Friday 10AM-5PM
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Breast lift with implants

This image shows the before and immediately after a Breast Augmentation and Breast Lift.  In the after image, the patient is in an upright position on the operating room table.  Her breast are very perky.  This will change over the next three months, as her implants settle with gravity.  As you can see, despite her very droopy looking appearance in the before photo, a significant lift was possible to achieve using only the vertical (lollipop) incision technique.  The additional fullness is the result of adding a small implant.

Will a Mastopexy Work for Me?

Every woman will have her own unique goals and expectations for the outcome of a Breast Lift. Woman who typically seek a Breast Lift surgery are those whose breasts have lost volume and are sagging due to weight loss, pregnancy, breastfeeding (or nursing) and/or aging. The surgery elevates and improves the appearance of breasts that exhibit one or more of the following issues:

  1. A pendulous shape or sagging (while remaining proportionate with the body frame).
  2. Loss of firmness and skin elasticity.
  3. A flat elongated shape when unsupported.
  4. Nipples that fall below the breast fold (infra-mammary fold).
  5. Nipple/areola complexes that point downward.
  6. Stretched skin and enlarged areolae. Asymmetry between the two breasts and/or nipple/areola complexes.

If any of the above concerns affect you, you may be an ideal candidate for a Breast Lift surgery at the Toronto Cosmetic Surgery Institute.

Mastopexy Specialists

At the Toronto Cosmetic Surgery Institute, our unique approach to Breast Lift surgery will ensure that your whole experience, from the moment of your first consultation with us, through to your recovery after surgery, is as positive and comfortable as it can be. Individualized planning, meticulous surgical technique, careful monitoring and post-surgical care all combine to ensure that we offer you the best possible long-term results for your Breast Lift.

Breast Photo Gallery
vertical sling breast lift toronto
breast lift toronto before and after

Our Complete Guide to Surgery:

All Breast Lift procedures involve the placement of incisions on the breasts using one of a number of different techniques. Dr. Jugenburg predominantly uses the Peri-Areolar and Vertical Sling techniques to perform Breast Lift surgeries, due to the enhanced results and minimal scarring he achieves with these methods. The technique that is chosen for your surgery will depend on:

  1. Your existing breast anatomy.
  2. Personal goals.
  3. The amount of breast elevation (ptosis correction) needed.
  4. The elasticity of your skin.

A general anesthetic will be administered to you during your Breast Lift surgery, so that you will be asleep and comfortable throughout the procedure. The procedure will be performed in the Operating Room under absolute sterile conditions to minimize the risk of infection. After the incisions on your breasts have been made, Dr. Jugenburg will meticulously reposition the breast tissue to give an uplifted appearance and fuller projection. When your surgery is completed, you will be taken into the Recovery Room where you will be closely monitored. Once our experienced nurses determine that you are safe to be released, you will either be able to go home under the supervision of an accompanying adult (you will not be able to drive yourself) or may choose to stay in the Fairmont Royal York Hotel for the first night after surgery. The new look to your breasts will take time to settle due to the swelling that occurs with Breast Lift surgery, but once the breasts are fully healed, the optimal result will be seen.

Surgery Scars

Breast Lift surgery leaves scars on the breasts that are permanent and cannot be avoided. In most patients they are minimal and will fade noticeably over time. The incisions are also placed in locations that are easily concealed by clothing; even tops and dresses with plunging necklines. Furthermore, while a traditional Breast Lift procedure typically involves the placement of an inverted T-shaped scar (the Standard of Full-Anchor Breast Lift), Dr. Jugenburg specializes in the Peri-Areolar and Vertical Sling Breast Lift techniques, both of which leave minimal scarring. At the Toronto Cosmetic Surgery Institute, the Breast Lift incisions are therefore limited to the areola, and if a significant lift is required, an additional vertical incision only. The large incision usually placed within, or directly above the breast fold (infra-mammary fold) is thereby completely avoided unless absolutely necessary in extreme cases. For further information on Breast Lift scars and incisions, please refer here.

well healed mastopexy breast lift scar
Well healed mastopexy scar seen 1.5 years after surgery. It is a thin line and the surrounding skin is normally colored. The scar itself is a thin white line
mastopexy hypertrophic scar 1y
In some patients (darker skin or asian background) there is an increased risk of hypertrophic scar. These scars are raised, widened, and darker colored

Breast lift (lollipop) scar seen at 5 weeks after augmentation and lift.

Video showing the progression of breast lift scars over time

Hypertrophic Scars

Some patients can develop hypertrophic scars – scars which become redder, thicker, wider.  These will then require various treatments in order to obtain a good result.

Who is at risk of hypertrophic scars?

Patients who previously had surgery and developed a hypertrophic scar, Asian patients, and patients with darker skin are usually at an increased risk of abnormal scar development.

Demonstration of how a hypertrophic breast lift scar can develop after surgery, despite initially looking perfect.

Demonstration of how a hypertrophic breast lift scar can develop after surgery, despite initially looking perfect.

Surgical Techniques:

The Peri-Areolar Breast Lift Technique

  1. The Peri-Areolar Breast Lift (also known as the Benelli or Doughnut Breast Lift) is a technique that re-positions the nipple and minimizes scarring by limiting it to the areola only.

  2. This Breast Lift method is primarily used by Dr. Jugenburg for women whose breasts have very mild sagging and require only 1 – 2 cm of elevation.

  3. During the procedure a doughnut shaped piece of skin is removed from around the areola border. The areola/nipple complex, surrounding skin and breast tissue are re-positioned and sutured in place to give an uplifted and fuller appearance.

  4. An Areola Reduction can be performed by making the inner incision within the areolar border.

  5. The resulting scar after this Breast Lift technique is partially disguised by the uneven surface of the areolar border and the colour contrast between the dark areola and lighter breast skin.

  6. Additional skin can also be removed from above the areola (a Crescent Breast Lift) to create a further lifting effect for the breast tissue and/or nipple.

No Vertical Scar Technique

In some select patients, it is possible to perform a Breast Lift where there is no vertical scar, only the areola and breast fold scar (which is well hidden).  This is ideal for patients whose breasts hang significantly so that their entire areola is below the breast fold.

This Breast Lift technique uses an internal suspension technique to lift the breasts, has no vertical scarring.  It is applicable to ideal candidates only.  To find out whether or not you would benefit from this procedure, you will need to have a consultation with us.

composite mastopexy DSC00013 2 4m

Composite Mastopexy 4m DSC08135

Recovering After Surgery:

During recovery your body will heal as the final, optimal appearance of your breasts is achieved. Immediately after surgery you may feel a little tired from the effects of the anesthetic, and will initially experience some discomfort, swelling of your breasts, and bruising. You will then return to see us for a follow-up and two weeks later to have your sutures removed. Further follow-up visits at the clinic will be arranged for you to allow us to continue to monitor the progress of your healing after the Breast Lift, as the new breasts settle into place.

The length of time it may take for you to recover from your Breast Lift surgery will depend on several factors and varies between women. Most women who have breast lift surgery with Dr. Jugenburg go back to regular activities within 1 day. There may be post operative instructions that include certain restrictions, such as sleeping on your back only during the recovery period and wearing a surgical support bra at all times for 6 weeks after surgery. Thereafter, in order to maintain the new, beautiful appearance of your breasts, long-term proper bra support is also important.

How Long Does a Mastopexy Last For?

Traditional Breast Lifts do not last forever, as the effects of gravity on the body eventually take their toll. While breasts of any size can be lifted, the results may not last as long in women who have a large, heavy breast size. Other factors such as genetics, age, weight fluctuations, pregnancy and breastfeeding, excessive sun exposure, and a history of smoking can reduce the lifetime of the cosmetic benefits from your Breast Lift. However, a new suturing technique used by Dr. Jugenburg may be suitable for you. It involves the use of permanent Gore-Tex sutures to support the re-positioned breast tissue and has the possibility of greatly extending the life of your Breast Lift. In particular, it has the potential to maintain the shape of your newly enhanced and positioned areola/nipple complexes.

Getting a Mastopexy with Implants

Augmentation Mastopexy (or Augmentation Breast Lift) is the ultimate procedure to transform the appearance of deflated, shapeless and sagging breasts and restore timeless beauty to a woman's figure. The procedure is a combination of a Breast Augmentation and a Breast Lift and can benefit women, who in addition to being suitable candidates for a Breast Lift, also have:

  1. Deflated breasts that require an increase in volume.
  2. A natural breast volume that is smaller than desired.
  3. Pronounced volume and/or shape asymmetry between the two breasts.

With these combined procedures, your breasts will not only be restored to a youthful position, pertness and fullness, but will also be enlarged in volume, leaving your figure balanced and your femininity enhanced. Breast implants are available in a variety of shapes, sizes, profiles and textures to perfectly match the individual body type and goals of each woman. You can also choose to have your implants filled with a saline solution or a silicone gel formulation, both of which have been extensively safety tested and are Health Canada approved. Furthermore, with the advanced surgical techniques ably employed by Dr. Jugenburg, your recovery and healing will be straightforward.

Understanding Limitations of a Breast Lift

A breast lift is a surgical procedure that helps to reshape your breasts and changes the way they hang off your chest.  It is NOT a cure for gravity.  And is NOT permanent.  Your breasts will begin to sag again after the surgery.  How long will a lift last?  That depends on how heavy your breasts are, how physically active you are, and how strong/supporting your tissues are.  Some women will drop significantly within months (but not to the same level as before) while other will take years before they re-develop significant sagging.

breast lift before and after
Front view of a breast lift patient demonstrating a breast lift in a large-breasted woman. Her breasts are lifted, but as they are still large and heavy, they will always hang lower than a round bubbly augmented breast. Note the effect of a breast lift - to lift her breast and nipple ABOVE the breast fold
breast lift before and after
Side view demonstrating the change after a breast lift. Patient's breast is still hanging like a natureal teardrop breast (she does NOT have upper pole fullness like an augmentation patient)

Surgery Complications and Risks

Although complications following Mastopexy are infrequent; the following may occur:

  1. Bleeding, which in rare instances could require hospitalization and blood transfusion. Blood clots may form under the skin and require drainage.
  2. Skin irregularities, lumpiness, hardness, and dimpling may result; some problems disappear with time and from massage, but skin irregularities, hardness, lumps, dimpling, or other problems, may persist and additional treatments may be necessary.
  3. Infection is rare but may occur and treatment with antibiotics and /or drainage may be required. In rare instances surgery may be required for severe infection (ex: necrotizing fasciitis)
  4. Wound dehiscence (wound opening) may occur and is generally allowed to heal on its own.
  5. Outpatient nursing may be required to assist with the wound care. You may be required to travel to a local clinic for daily wound care.
  6. Infection or loss of blood supply can lead to partial or complete nipple/areola loss, requiring potential reconstruction.
  7. Numbness of the skin over treated areas is common and persists for months. In extremely rare cases it may be permanent.
  8. Abnormal scarring or scar position is rare but is possible.
  9. Dizziness may occur during the first week following Mastopexy surgery particularly upon rising from a lying or sitting position. If this occurs, extreme caution may need to be exercised while walking. Do not drive a car if dizziness is present.
  10. Deep Venous Thrombosis, Pulmonary Embolism and Fat Embolism may occur. If left untreated they may be fatal.

Breast Lift Frequently Asked Questions


  • The best candidates are women who have all the information, fully understand what the surgery involves and its limitations, and who have a realistic expectation. Besides fundamentally improving confidence, self-esteem and body image, common reasons for a Breast Lift alone are:

    1. Breasts that are pendulous, but of satisfactory size
    2. Breasts that lack substance or firmness
    3. Nipple/areola complexes that point downward (especially if they are positioned below the breast fold)
    4. Asymmetry between the two breasts and/or nipple/areola complexes
  • Health is the important factor, not age. Any woman, may be a good candidate for a Breast Lift providing she is healthy, in good physical shape, and understands the risks associated with a Breast Lift procedure.

  • After pregnancy and breastfeeding, your breasts will either revert to their pre-pregnancy state or possibly leave you with a deflated and sagging appearance. It normally takes about 3 months for these changes to happen, and for that reason you should wait and not rush into surgery too early. Dr. Jugenburg recommends that you wait until your breasts have stabilized (until they are not changing any longer) before planning your surgery. If you were to otherwise have your breast surgery earlier, it would be like trying to hit a moving target.

  • Breast Lift (Mastopexy) surgery can be performed by either simply lifting the nipple (the Peri-Areolar technique) or reshaping and lifting the entire breast (the Vertical Sling technique). In both cases, incisions will be made on the breasts to remove excess skin and reshape and/or raise the breast tissue where necessary. Permanent scars will be left where each incision was made, but in most women these will be minimal.

  • Dr. Jugenburg will do his best to minimize the scarring. You can learn more about incisions and scars related to Mastopexy surgery here.

  • The Peri-Areolar technique is a surgical Breast Lift procedure designed to raise the nipple and minimize scarring by limiting it to the areola only. This procedure is ideal for women whose breasts have very mild sagging (breast ptosis) and where only 1 – 2 cm of lift is required.

  • Vertical Breast Lift surgery is a full Breast Lift procedure where the entire breast is reshaped and lifted. This is a more extensive procedure than a Peri-Areolar Breast Lift and is used in women who require more than 2 cm of lift to correct their sagging breasts (breast ptosis).

  • The new Vertical Sling technique is the latest and most advanced variation of a Breast Lift. In this approach, the breast tissue is reconstructed on the inside, thereby creating a perkier, fuller look (similar to that achieved with breast implants) and longer-lasting results.

  • Yes, improvements to breast asymmetry are always addressed during Breast Lift (mastopexy) surgery.

    Please note that perfect symmetry is not natural and achievable. In some cases breast implants may be recommended.

    For further information on correcting asymmetry with implants, please refer here.

  • Mammograms may be recommended prior to any surgery depending on your specific situation.

  • The procedure is typically 1 - 1.5 hours, but will vary between patients depending on the extent of work required and the desired outcome.