Purpose: This study investigated the efficacy and patient satisfaction of “bi-ring method” breast surgery in 46 patients with hypermastia and/or mastoptosis. Materials and Methods: A questionnaire survey, objective data measurements, visual analysis system survey, and various scoring scales were used to qualitatively and quantitatively assess the patients’ indicators before and after surgery. Results: Statistical analysis showed the following: symptoms and signs in patients with macromastia improved significantly; all patients’ breast shapes improved significantly and became more symmetrical and durable; all patients had minor hidden scars; the nipples and areolas had good feeling postoperatively, and there were relatively few mild complications. Conclusions: The patients’ overall satisfaction was high, indicating that the “bi-ring method” of breast plastic surgery could not only improve the breast shape and boast concealed scars but could significantly improve the patients’ signs and symptoms of hypermastia, but the nipples and areolas had good postoperative feeling and there were few complications. Thus, this is a reasonable surgical approach that is worthy of promotion.