The Ideal Solution to Sagging.


Overview of Breast Lift Surgery

What may not be apparent to most people is that there are different types of breast sagging (clinically referred to as breast ptosis), and that developing a truly effective treatment plan that meets the unique needs of the individual requires an intimate knowledge of these different types. This surgical approach to a breast lift is unique to Dr. Robert Freund and why so many of his patients are extremely pleased with their results for years on end.

Drawing upon a rare combination of experience, education, training, surgical skill, and an unrivaled eye for aesthetics, Dr. Robert M. Freund has produced consistently exceptional results for patients who undergo breast lift at his New York plastic surgery practice. Not only is Dr. Freund proficient in a wide range of breast lift techniques that can be adapted to the unique needs of each individual patient, but he pioneered the innovative teardrop augmentation mastopexy. In entrusting your body to Dr. Freund, you will receive personalized care of the highest standard at every stage of your treatment.

Types of Breast Sagging

Ideally, a woman’s nipple and areola should be located above the infra mammary fold, the point at which the underside of the breast meets the chest. There are four classifications of sagging based on this standard:

  • Type I
    The areola is located at the same level as the inframammary fold
  • Type II
    The areola falls below the inframammary fold
  • Type III
    The areola falls below the infra mammary fold, and the nipple points downward
  • Pseudoptosis
    The areola is located above the infra mammary fold, but the breast tissue beneath the areola sags below the fold

The most effective technique for performing breast lift surgery depends entirely on the type of sagging that a woman is experiencing.

Breast Lift Surgical Techniques

Surgical Approaches to Lifting Sagging Breasts

The various techniques used to perform breast lift surgery are similar to those used to perform a breast reduction. The endgame of breast lift, however, is to elevate the projection of the breasts on the chest, without affecting volume. An important concept is that if you want to change the volume of the breast, then change the volume. However, never use volume changes to improve the shape of a sagging breast. Many patients and physicians feel that augmenting a sagging breast will lift it as well. In my experience, this maneuver just leaves a larger sagging breast.

Dr. Freund generally uses one of two techniques, depending on the case, to perform a breast lift.

The Göes Technique

For most women suffering from type I and type II sagging, Dr. Freund uses the Göes technique to perform a breast lift. Through an oval-shaped incision that extends from the base of the areola to just above, he raises and sculpts the breast tissue into an aesthetically appealing new shape and then sutures it into position against the chest wall. This new shape is secured with an internal brassiere to ensure durability. The nipple is elevated to the top of the oval, leaving a scar that discreetly blends into the border of the areola. This subtle scar, along with the natural-looking results possible through this method, makes the Göes technique preferable whenever appropriate to the case.

The Lejour Technique

The Lejour technique is well-suited to women who are experiencing type III sagging and pseudoptosis, as well as to those who have type II sagging but wish to have fuller, more youthful looking breasts that are possible with the Göes technique. Dr. Freund makes an incision around the areola and a second incision that extends in a straight line from the base of the areola to the bottom of the breast, in essence creating a lollipop-shaped incision. Through this incision, the breast tissue is raised, sculpted, and stitched to the chest wall, after which the nipple is raised and the surrounding skin is brought together and sutured shut. While the Lejour technique leaves an additional, albeit discreet, scar as compared to the Göes technique, it also improves the projection of the breast to the point that it looks fuller and larger. In many cases, correcting sagging through the Lejour technique produces results that many women thought possible only through the placement of breast implants.

Can Breast Implants Correct Sagging?

In some cases, women with smaller breasts and minor sagging may achieve satisfactory results through the placement of a breast implant, but this is rare. In most cases, adding breast implants to saggy breasts will simply result in bigger sagging breasts. In general, breast augmentation with implants should be reserved for women who wish only to add volume to their breasts, while those who wish to correct sagging are most often best served by breast lift surgery.

This is not to suggest, however, that combining breast lift and breast augmentation as part of a well-thought-out, comprehensive treatment plan is necessarily a bad idea. In the hands of the right surgeon, subtle increases in volume through the insertion of implants during breast lift surgery can lead to durable, natural-looking results. Such is the case with teardrop augmentation mastopexy, a method of combining breast lift and breast augmentation pioneered by Dr. Freund.

Teardrop augmentation mastopexy combines a variation on the Göes technique with the placement of a round saline breast implant beneath the chest muscle. This combination results in a teardrop-shaped breast with outstanding projection. Because Dr. Freund expertly reshapes and repositions the existing breast tissue, lifting it into the hollow portion of the upper chest, a relatively small implant is all that is needed to enhance the results. The results are remarkably beautiful and natural looking.

Patient Testimonials

Superb Plastic Surgeon!
“I have had multiple cosmetic surgical procedures with Dr. Robert Freund and would never to go anyone else. In NYC where there are many outstanding plastic surgeons to choose from, Dr Freund’s sincere compassion, care and artistry are unparalleled…”
The Only Surgeon I’ll Use!
“Dr. Freund is the only doctor I’ll go to for cosmetic surgery. He gave me the most natural, beautiful nose. 7 years later & it still looks as good as new. People still tell me they “wish” they had my nose, not realizing I had it done…”
A Mother of 5 Who Didn’t Want to Look Like a Mother of 5
“Dr. Freund is by far the best plastic surgeon out there and I would never even consider any other. He’s like family to me now. I’ve been going to him since I was 25. From Breast implants, to 2 tummy tucks, to numerous different lipo procedures, then years later…”
Dr. Freund Changed My Lift
“I cannot recommend Dr. Freund highly enough. By age 40 I had sagging empty breasts that I couldn’t get to look right no matter what bras or clothing I tried. I had no self-confidence and felt poorly every time I looked at myself, especially naked…”
Dr. Freund Is a Miracle Worker
“I researched many doctors before choosing Dr. Freund for my breast augmentation. Dr. Freund is truly an authority in his field and after my initial consultation, I knew that I made the right choice. During my consult, Dr. Freund was very attentive,…”


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