dr. jugenburg

Breast Lift and Breast Reduction

If your breasts are large in size, uncomfortably heavy and sagging, you may be considering either a Breast Reduction or a Breast Lift. But which type of surgery should you choose? The answer will probably be determined by the size of your breasts, how they are affecting your day-to-day life, self-image and/or self-esteem, and how long the results may last.

What Is a Breast Lift?

A Breast Lift (also known as a Mastopexy) is a surgical procedure to elevate and reshape breasts that have sagged as a result of pregnancy, breastfeeding (or nursing), weight loss and/or the natural force of gravity. The surgery may involve repositioning the areola (the dark skin surrounding the nipple) and nipple, as well as lifting the breast tissue and removing skin. It can also reduce the size of the areola. A Breast Lift procedure can be carried out alone or in combination with the placement of breast implants in women whose breast volume needs to be enhanced or restored.

At the Toronto Cosmetic Surgery Institute, Dr. Jugenburg uses a new and advanced technique to perform Breast Lift surgery in women with moderate to severe breast sagging (which is often the case in women with larger breasts), leading to an improved outcome that has less scarring, sits more naturally, looks fuller and lasts longer.

Ideal Candidates for a Breast Lift

If your breasts suffer from one or more of the following conditions you may be an ideal candidate for Breast Lift surgery at the Toronto Cosmetic Surgery Institute:

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

For further information on Breast Lift surgery, please refer here.

What Is a Breast Reduction?

A Breast Reduction (also known as a Reduction Mammoplasty) is a surgical procedure that removes excess tissue, fat and skin from large, heavy breasts to make them smaller, firmer and lighter. It may also involve reducing the size and/or changing the shape of the areolae or nipples. The procedure is typically used in women who complain of back, shoulder and neck pain due to their abnormally large breast size.


While there are several techniques to achieve a Breast Reduction, all reduction methods also produce some degree of Breast Lift. The traditional approach (or Standard Breast Reduction) requires an extensive inverted T incision on the breast, with one incision following the breast fold and another extending directly down from the areola to the breast fold.

However, at the Toronto Cosmetic Surgery Institute, Dr. Jugenburg uses this method only when absolutely necessary, thereby avoiding the extensive scar along the breast fold in most patients. The alternative Breast Reduction technique expertly performed by Dr. Jugenburg is associated with fewer complications and improved results.

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Ideal Candidates for a Breast Reduction

If your breasts suffer from one or more of the following conditions you may be an ideal candidate for Breast Reduction surgery at the Toronto Cosmetic Surgery Institute:

  1. Breasts that are abnormally large compared to your body frame proportions
  2. Heavy, pendulous breasts with nipple/areola complexes that point downward
  3. Significant breast asymmetry (one breast is much larger than the other)
  4. Back, neck or shoulder pain that may be caused by the weight of your breasts
  5. Skin irritation beneath your breasts
  6. Indentations in your shoulders from tight bra straps
  7. Restriction of physical activity or lifestyle due to the size and weight of your breasts
  8. Dissatisfaction or self-consciousness about the largeness of your breasts

For further information on Breast Reduction surgery, please refer here.

Breast Lift or Breast Reduction – Which Surgery Should I Choose?

In general, women with large, heavy breasts may previously have found that a Breast Lift was not the right procedure for them. Traditional Breast Lifts do not last forever, as the effects of gravity on the body take their toll, causing drooping or sagging of the breasts (breast ptosis) to recur over time. This effect is exaggerated in women having a larger breast size (generally, larger than a D-cup). Other factors such as genetics, age, weight fluctuations, pregnancy and breastfeeding, excessive sun exposure, and a history of smoking can also reduce the lifetime of the cosmetic benefits from a Breast Lift. However, the advanced Breast Lift technique used by Dr. Jugenburg, in combination with the use of permanent Gore-Tex sutures to support the remolded breast tissue, may have the possibility of greatly extending the life of a Breast Lift in suitable patients.

If you are having problems with your back, shoulders or neck as a result of your large breasts, you may benefit more from having a Breast Reduction, with the additional cosmetic benefit of the lifting effect that this procedure will create. You may also find that if a Breast Reduction is required due to the problems you are experiencing, health insurance (OHIP) will cover the cost of your procedure. However, OHIP will not cover the Liposuction that Dr. Jugenburg also performs on the breast fat during a Breast Reduction procedure.

A simple way to determine which procedure is right for you is therefore:

  1. If you are happy with the size of your breasts, particularly if your breasts are not abnormally large, and want to improve your breast sagging, have a Breast Lift.