This is a cosmetic uplift procedure that reshapes the breast. The internal tissues of the breast (parenchyma) are rearranged to make a more fuller and youthful breast. Unlike breast reduction surgery where tissue is removed and volume is reduced uplift surgery repositions the tissues. The procedure can be combined with implants (Mastopexy Augmentation). Mr Nikkhah routinely performs this surgery in his NHS practice for women who need symmetrisation surgery after microsurgical breast reconstruction.