Pocket Lift

The pocket is an internal support made from the pectoral fascia, the strong natural layer covering the chest muscle. Dr. Cassileth uses it to hold the breast tissue in an elevated position from within, so the lift does not depend on the skin.

A traditional lift removes skin and relies on the tightened skin to hold the new position. Skin stretches, and the breast can drop again. The Pocket Lift secures the breast tissue to an internal structure, so the position is held by the breast itself rather than by tension in the skin.

No. Women with heavy or low breasts are often told an implant is the only way to create upper fullness. The Pocket Lift repositions and secures the patient's own tissue in the upper breast instead.

Yes. Dr. Cassileth performs the Pocket Lift as part of breast reduction when the patient wants a smaller breast with lasting upper fullness. It can also be performed on its own for patients who do not need a reduction.

Incisions follow the lollipop or anchor pattern used in a standard lift, depending on how much lift is required. Because the internal support carries the load, there is less tension on the incisions, which supports healing. A structured scar-management protocol begins once the incisions have closed.

A compression bra is worn continuously for six weeks. Patients sleep elevated on their back for the first two weeks and avoid upper-body lifting for four weeks. Full activity resumes at about eight weeks. Because the lift is held by internal support, the early healing window is somewhat longer than a skin-only lift.

A cosmetic breast lift is not covered by insurance. When the technique is performed as part of a breast reduction or reconstructive care, the Patient Advocacy team verifies coverage and provides a written estimate before anything is scheduled.