Breast Lift


Breast Lift (Mastopexy) Procedure in Norwalk, Connecticut

Dr. Laurence Kirwan. is one of the most experienced Board Certified Plastic Surgeons in Norwalk, Connecticut, and in the entire country. He is a recognized international leader in Aesthetic Plastic Surgery. He offers a superior level of knowledge, care and understanding to help you achieve the youthful, bright and contoured look you desire.

What is the definition of a “breast lift”?

Breast lifting is a procedure to lift the breast when it sags as a result of loss of elasticity and lengthening of the supporting ligaments of the breast. These supporting ligaments are called Cooper’s ligaments and they arise from the deep fascia of the clavicle and the pectoralis major muscle behind the breast and they branch through the breast tissue all the way to the dermis which envelopes the breast. Pregnancy, breast feeding, large breasts, weight loss, involutional changes with menopause and aging will cause stretching and loss of the youthful elasticity of Cooper’s ligaments. Sagging breasts can alo be developmental and be associated with features such as a ‘tubular’ breast. Dr. Kirwan has published several articles on breast lifting:


Breasts can sag after weight loss, pregnancy (especially with breast feeding) and menopause. Sometimes they develop in adolescence with poor support. Large breasts sag and the treatment for this is a breast lift combined with a breast reduction.


Age is 15 plus and when breast growth has been stable for one year. Surgery requires parental consent, if under the age of legal consent.

Surgical technique

A breast lift has four common elements:

1. The areola is reduced in size.
2. Breast tissue is repositioned or suspended
3. The nipple areola complex is elevated.
4. Extra skin is removed and some breast tissue may be also be excised. The breast tissue is then repositioned and new skin “brassiere” is fashioned. The final scar is either just around the areolar (peri-areolar) or in addition there is either a vertical scar so that it is ‘Lollipop’ shaped or an inverted ‘T’-shape when there is a horizontal limb in the crease beneath the breast (infra-mammary crease or IMC) which joins the vertical scar in the center of the IMC, immediately below the nipple. 

Short scar techniques

(vertical scar and short horizontal scar)

The “old fashioned” way of doing a breast lift involved support of the nipple on a base or pedicle of tissue from the lower part of the breast. Over time this pedicle would fall or “bottom-out” and the nipple would point upwards (“star-gazing”) .

Ivo Pitanguy from Rio de Janeiro pioneered the concept of using the upper breast tissue to support the nipple, whilst removing the lower breast as a “Keel” resection to prevent “bottoming-out”. Other pioneers such as Claude Lassus from Nice, France, have further advanced this technique to either eliminate the horizontal scar beneath the breast or to reduce its length. An alternative is to reposition the breast tissue using it as an auto-augmentation to fill the upper pole of the breast, moving it to the upper part of the breast and retaining its blood supply. In the case of a breast-lift or mastopexy without an implant, Dr. Kirwan is using the lower part of the breast as an “autogenous” (patient’s own tissue) breast implant, to give upper fullness to the breast.


See Breast Auto-Augmentation.

Breast Autoaugmentation, Canadian Journal of Plastic Surgery, Volue 15, Number 2:73-76, Summer 2007


short-scar technique is ideal for the small to medium enlarged breast that needs lifting rather than a size reduction. The technique creates a “perky” shape with less risk of ‘bottoming-out’ over time. Dr. Kirwan now utilizes this technique in his breast lifts and small breast reductions. He also combines the technique with a peri-areolar mastopexy which allows more tissue to be gathered around the areola and reduces the excess skin in the lower part of the breast, reducing the length of a horizontal scar in the IMC.


The final scar is limited either to a “lollipop” configuration alone (around the areolar and a vertical component from the areolar to the IMC or to a lollipop shape plus a short horizontal component which is hidden beneath the breast in the IMC and does not extend like a standard inverted ‘T’ scar to the visible part of the décolletage or the outer part of the chest where it might be visible as a widened scar and be impossible to hide with revealing clothing.

To create a teardrop-shaped breast with thin scars that turn white and are almost unnoticeable.

Surgery takes 3-4 hours. There is no drain. All sutures are absorbable. The patient can go back to work in 7 days. Light exercise is permitted after 14 days. Normal daily activities can be resumed in 21 days. Gym; light schedule four weeks, Regular schedule; six weeks. No contact sports for 3 months.

Liposuction to contour the breast better where it extends under the arms.

10,000+ surgeries performed

FEATURED IN 100+ International Magazines and Newspaper Articles

"My experience before, after and during my surgery was most pleasurable. the expertise and knowledge of Dr. Kirwan and each of his staff members was most impressive. The results of my surgery were amazing! I couldn’t be happier. Thanks again!"


Before & After

Request a Consultation

Consult with the best and most experienced plastic surgeon in Connecticut to discuss all your options before you make your final decision.


Why choose Dr. Kirwan as your cosmetic surgeon?

Dr. Kirwan, because of his extensive experience, international connections and exposure, understands an enormous variety of techniques, which he utilizes to individualize the result for each patient.

Listed as TOP 20 Plastic Surgeons Worldwide by Vogue Magazine.
We are a boutique practice as we believe in offering personalized care to each patient. Every patient is a VIP. You will see Dr. Kirwan himself at every single appointment including follow up appointments.
Uses special techniques to reduce trauma or scarring such as VISTASEAL™ Fibrin Sealant during facelift surgery and endoscopic surgery to perform minimal incision brow lift.
His patients greatly appreciate the compassion, professionalism and excellent care provided by him and his staff. Celebrities trust Dr. Kirwan for cosmetic makeovers.
Recognized for introducing and training other surgeons on his own pioneer procedures such as his breast innovation technique SAMBA™ and many more.

Request a Consultation.

Consult with the best cosmetic surgeon in Connecticut to discuss all your options.

10 Mott Avenue, Suite 1A
Norwalk, CT 06850

Phone: (203) 838-8844
eFax: (203) 774-1177

Plastic Surgery Practice in Norwalk CT with clients from CT, NY, NJ – Manhattan, Northern New Jersey towns, surrounding areas of Greenwich, New Canaan, Stamford, Westport, Darien, Wilton, Weston, Easton, Fairfield, Bridgeport, Trumbull, Ridgefield, Danbury, Monroe, Milford, Bedford, Armonk, Mt Kisco, Bedford Hills, Rye, Harrison, New Haven, Mamaroneck, Larchmont, White Plains, Scarsdale, Westchester County, Fairfield County. New York and from around the world.

*Disclaimer: results are not guaranteed, may not be permanent, and can vary per individual. Before and after photographs of surgical results are of procedures performed solely by Dr. Kirwan.  Some images on this web site are of models, not actual patients.

Privacy Policy | © 2021 Kirwan Plastic Surgery. All Rights Reserved. Website designed by Ismoip