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What is a breast lift?

Factors such as aging, poor genes, nursing, pregnancy, weight loss and gravity can all conspire to produce a breast that sags, hangs down and has lost its elasticity. The full breast in youth or pregnancy deflates. This can create a sense of frustration and lowered self-confidence in the patient, as clothing fails to achieve a proper fit and the profile is negatively affected.

The breast lift procedure tightens sagging tissue and re-centers a descended nipple position on the breast. The goal of this procedure (also known as mastopexy) is to achieve rejuvenated, perkier breasts with improved symmetry and aesthetics that may no longer require support of a bra.

Mastopexy may be performed in conjunction with augmentation with saline or silicone implants, or with fat grafting to improve fullness and cleavage. Incisions range from under the breast, to peri-areolar, to ‘lollipop,’ to ‘anchor’ shaped incisions, depending on presentation and patient tolerance for scarring. This procedure may also be combined with abdominoplasty or liposuction to rejuvenate and improve the overall contour of the torso.

Top reasons to have breast lift surgery:

  • Rejuvenate your breasts
  • Reduce sagginess and deflation related to development, pregnancy and breastfeeding, and/or significant weight loss
  • Elevate and center the nipple areola on your breast, while also improving shape, size, and/or prominence of nipple areola
  • Reduce stretch marks
  • Improve symmetry of the breasts which may be “off” from development or cancer treatments
  • Treat strain on the back which occurs from pull of the breasts downward
  • Improve cleavage in dresses, tops and bathing suits
  • Inspire and improve self confidence

Optimal candidacy for breast lift surgery in Maryland

The best candidates are non-smoking women in good physical and psychological health who have sagging or deflation due to age, pregnancy, heredity or significant weight loss. These clients should have realistic expectations for improvement based on their private consultation with Dr. Shermak.

Women with autoimmune and rheumatologic disorders may experience improvement in physical ailments associated with sagging of the breasts, and Dr. Shermak has provided excellent physical and emotional benefits to these women. During the initial consultation you will discuss with Dr. Shermak what you would like to achieve so she can determine how to best reach your desired result. This plastic surgery procedure is customized to your desires and needs.

Minimal scarring

Dr. Shermak has many techniques to optimize shape and symmetry, and minimize scarring associated with surgery. With a lesser degree of sagging, scars may only be limited to the border of the nipple areola (also called circum-areolar).

Women with more moderate degrees of sagging might require a lollipop-shaped incision to allow better tightening of the skin in addition to elevating the nipple position.

Women with more significant sagging or size/shape mismatch benefit most from an anchor incision, which provides the most impactful approach for improvement in shape and symmetry. Dr. Shermak will spend time with you reviewing your history and performing a physical examination to offer you options that make the most sense in achieving your goals.

Procedures that offer more comprehensive transformation to the physique

Breast augmentation is often performed with a breast lift. While a breast lift improves tautness of the breast and nipple position, it cannot raise the upper fullness of the breast. Augmentation can best improve upper fullness and cleavage. Some women opt to undergo more conservative augmentation with their own body fat. Implant removal is often paired with a breast lift in women who desire to have existing implants removed, for a multitude of reasons.

Women may choose to combine breast surgery with abdominal surgery such as liposuction and/or a tummy tuck to achieve comprehensive results in their torso. Mommy makeover and massive weight loss body contouring patients are excellent candidates for surgery of the breast and abdomen.

Dr. Shermak will talk to you about your goals of surgery and discuss your options. The combination possibilities are numerous and individualized!

Breast Lift vs Breast Augmentation

Dr. Shermak talking about breast augmentation vs breast lift

Where is surgery performed?

You have options in choosing the location of your surgery. Dr. Shermak has an accredited outpatient surgery center in her office building. This site provides a Nordstrom-style experience with peak patient-centered care, offering the most individualized approach to anesthesia, and the highest safety standards to make your surgical experience as positive and pleasant as possible. Not all plastic surgeons have access to this type of personal and professional environment for surgery. Some patients benefit or prefer to have hospital-based surgery. Dr. Shermak has operating privileges in many local hospitals and can provide the hospital-based surgery for those who prefer or need it.

Recovering from mastopexy

Surgery is performed on an outpatient basis. One may experience temporary discomfort, swelling, or numbness. Most women resume regular, non-strenuous activities and may return to work after 1-2 weeks. Heavy exercise and lifting are discouraged for a month.

After treatment, the breasts may be tender, swollen or bruised. Dr. Shermak will outfit you with a surgical bra/compression garment to ensure your new breast shape is maintained, and to help reduce swelling. If you require pain medication, Dr. Shermak can write you a prescription to ease your discomfort. A skin moisturizer will help to keep the breasts soft and supple as they recover.

Patients come to Dr. Shermak for her reputation

Dr. Shermak is a Board Certified Plastic Surgeon known to her local and national community as an authority in breast surgery (breast augmentation, breast lift, breast reduction, breast reconstruction, breast revision, congenital breast asymmetry, and male breast reduction), acknowledged most recently in the Baltimore Top Docs Survey. Her patients appreciate her warmth, empathy, technical skill, care and time she dedicates to them.

The way you look and feel directly affects your self-confidence. In addition to treating Mastopexy patients, Dr. Shermak takes care of many abdominoplasty, body lift, fat grafting, and facial plastic surgery patients. Please visit these pages to learn more about the other cosmetic procedures offered.

Next steps Schedule a Consultation

We invite you to call Dr. Shermak’s plastic surgery office in Lutherville at 410-324-6592 to schedule your personal, comprehensive breast list consultation. Please take a look at our online library of before and after photos to see the kind of results that are possible with superior breast lift surgery.

1304 Bellona Avenue, Lutherville-Timonium, MD 21093

Dr. Michele Shermak offers some of the top cosmetic procedures Baltimore, MD has to offer
including Baltimore breast augmentation & liposuction

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View Update Virtual Consultation

We are officially open, thanks to Governor Hogan!

We welcome new patients and are looking forward to performing elective surgical procedures, starting the week of May 11.

This is a new day, with new safety protocols. Our goal is to keep everyone safe and respect the continued risk COVID-19 presents. For this reason, we will be instituting the following protocols:

  • We will have Sandy stationed at our entryway with sterilizer and a COVID-19 survey for our new patients to fill out. Sandy will also check your temperature and collect your paperwork at the door – our medical intake form can be filled out prior to your coming to the office, or you can fill it out after you arrive.
  • Please bring a mask for any in-office visits. If you are coming for surgery, please bring a paper mask if you have one. For any other visits, cloth masks or paper masks are fine.
  • We need any patient waiting to be seen to wait in your car until we can safely accommodate you in an exam room. We need to respect social distancing and are spacing our patients out to assure safety.
  • We can only allow the patient to come in to the office for examination. Friends or family will need to wait outside the office.
  • For those assisting our postoperative patients on the day of surgery: we ask that you kindly wait in your car and we will call you in to discuss postoperative instructions.
  • I am continuing to schedule Virtual Consultations which is exciting and new! Check out my Resources section or header at drshermak.com to get started!

I look forward to seeing you soon!


As of July 1st, the staff members at The Plastic Surgery Center of Maryland will no longer routinely be wearing masks following the state guidelines per Governor Hogan.

All of our staff members are vaccinated.

If any patient would prefer that the medical staff member caring for them wear a mask, please let us know and we will gladly do so.

We treat patients with compormised immune systems and we need to be respectful of their needs.

We are asking patients who are not fully vaccinated to please wear masks while in our office so that we may continue to safely accomodate our patients with weakened immune systems.

Thank you!

Virtual Consultation