If no excess breast tissue exists and the breasts have only descended, then a mastopexy is performed to reduce the skin envelope and improve the shape of the breasts without reducing the size of the breasts.
A mastopexy is always performed as part of a breast reduction. However, for breasts of normal size with a descended nipple and areola, a mastopexy is done as the only procedure, without a reduction in breast size. The nipple/areola is repositioned to its approximate original position, with scars only around areola or expected to be similar to those after a breast reduction. Recovery takes about one week.