The aim of this study is to systematically analyze and compare the expectations and actual postoperative outcomes of patients undergoing mastopexy procedures. By conducting a comprehensive meta-analysis of current clinical literature, the study seeks to: evaluate patient-reported satisfaction rates following mastopexy; identify the most common discrepancies between preoperative expectations and achieved aesthetic results; analyze the frequency and nature of postoperative complications; provide evidence-based recommendations for improving preoperative counseling and aligning patient expectations with realistic surgical outcomes. Materials and methods: A systematic review and meta-analysis were conducted using PRISMA guidelines. Databases searched included PubMed, Scopus, and Web of Science from 2010 to 2024. Inclusion criteria were studies that reported both subjective (patient satisfaction) and objective (clinical outcome) data pre- and post-mastopexy. Conclusion: Mastopexy demonstrates good safety and satisfaction profiles, but better preoperative counseling is essential to align expectations with surgical outcomes.