Breast augmentation with a lift is a combination of two cosmetic procedures to improve the volume and shape of the breast. It is a surgery that includes both the placement of breast implants, as well as a skin tightening technique (the lift) to bring the breast to a higher position on the chest wall. Aging, pregnancy and weight loss are common factors in which the breasts can lose volume and shape. If a patient has good skin tone and limited sagging, implants alone may suffice. However, sagging that creates a downward breast appearance caused by a loss of skin elasticity must be treated with a lift. Implants can then be placed to create the size desired by the patient. Breast augmentation with a lift creates beautiful, youthful, shapelier breasts.
The surgery begins with the breast lift before placing the implant. During the procedure, excess skin is trimmed away, the underlying tissues are tightened with sutures and the breast is reshaped. This completes the lift portion of the procedure. Sometimes the areola is also reduced and the nipple repositioned. When the lift is done, the breast implant will be placed either on top of the chest muscle or underneath it based on the patient’s condition.
Breast Lift Incision
All breast lift procedures will require incisions due to the removal of skin. There are several incision patterns that can be considered:
- Incision made along the line surrounding the areola;
- Incision made along the line surrounding the areola plus a vertical incision down to the natural crease below the breast; and,
- Incision made along the line surrounding the areola plus a vertical incision down to the natural crease below the breast, then another horizontal line following the direction of the fold under the breast.
Breast augmentation is a common procedure in plastic surgery. Patients can choose between a silicone implant and one that is filled with saline. The type of implant chosen depends on the patient’s aesthetic goals and the chest form. Some surgeons prefer to do a breast lift, and then see how the shape is affected before moving forward with implants. There are cases when patients are content with the results of the breast lift and no longer desire to have the augmentation portion.
Breast Augmentation with Lift Reviews
"Worth Every Penny! I LOVE Them! - Sarasota, FL - Dr. Engel is incredibly skilled and talented. From the very first interaction with him he proved himself to be an excellent physician, an engineer (positioning breast in just the right place especially in my case takes skill), and an artist. He takes his time with you and very thorough in his care each step of the process from consult to post care. I cannot say enough good things about my experience and my results. Thank you Dr. Engel! - - I had a hysterectomy 16 months prior to my BL/BA. After 19 years on birth control pills my breast quickly deflated when I removed the exogenous estrogen of oral contraceptives. They had already begun to change due to age but with major change in hormones and then a resulting weight loss (in part due to the change hormone fluctuations and part due to change in exercise regimen), I was with what was once 34DD/34DDD to a 32C/D. As much as I hate to describe my very own breast this way, they were sad little socks on my chest.Dr. Engel was very thorough with my initial consult. After discussing how my breast had changed most recently bringing me into his office and my wishes we began discussing all the options available. We discussed pros and cons of saline vs. silicone. Then we discussed the different options to lift and the pros/cons. You will see many physicians and eventually even many patients repeating the mantra on Realself, "go for shape, don't worry about scar". I am very glad I learned this mantra and chose my PS by this. I knew going into this I would likely end up with a "lollipop" or "anchor" but more likely the "anchor. He was able to digitally show the difference between the two lifts and I agreed that an anchor would be best due to my desire to have more lift. It is engineering with artistry. I wanted my "big" breast back and at the right level. I booked my surgery the same day as my consult, two and a half weeks later. Dr. Engel has a professional, kind, easy going bedside manner. He said more than once he is a perfectionist. He is. His work is evidence of this and I am fortunate to have it.I could not be more thrilled with the results. I love looking in the mirror now. It is amazing to see my body not only as it was, but better. The scars - I'm only three weeks out and they are so fine and light that I am confident with the recommended scar gel that they will be difficult to distinguish in time. I text my husband at least once a day telling him I love them. Dr. Engel's entire staff from the front office to the nurses were awesome. Very patient with redundant paperwork I needed for my workplace to return to work. And quick to return phone calls and emails. The entire group is fantastic."- S. / RealSelf / May 16, 2016
"To perspective clients, I’m writing this to help anyone who is considering having plastic surgery. I highly recommend Sarasota Plastic Surgery Center. The doctors and staff are second to none. My story starts 18 years ago, I was in my late 40’s. I had 3 children whom I breast fed and time had taken its toll. A friend told me of a Doctor in Ft. Myers where I had saline breast augmentation. This past October my 36yr old daughter wanted to have breast implants. My daughter was an athlete with a very muscular chest. Her friend who is a police officer had a consultation at Sarasota Plastic Surgery Center. She was treated like royalty and wanted to have her surgery right then and there. She told my daughter about her great experience. My daughter called and made an appointment with Dr. Engel. She was so impressed with how concerned he was with her. He answered all her questions and checked on her numerous times prior and after surgery. During this time I noticed a change in my breast. At first I thought I was imagining things. As days went by I realize I had what I called a “blow out”. My right breast was leaking saline solution. I knew I had to do something so I called Sarasota Plastic Surgery Center where my daughter was scheduled to have her surgery. Thank the good lord there just so happened to have an opening with Dr. Derby the same time. I met with Dr. Brian Derby whom immediately made me feel comfortable with his kind and gentle demeanor. Dr. Derby is a dedicated family man. I could tell right away how much he cared about helping me. Dr. Derby assessed my situation and came up with a plan. He took a lot of time with me and even drew an illustration of how he was going to fix my problem. I was so pleased with his plan I set a surgery date. Before I had my surgery I spoke to one of my doctors about my situation. She then proudly told me that she had surgery at Sarasota Plastic Surgery Center. I was convinced beyond a doubt that I chose the right place. I knew that she, being a doctor could have gone anywhere in the United States or the world to have her surgery but she chose SPSC. My surgery was a success! Not only did Dr. Derby fix my problem he made me look better than ever. God has truly blessed Dr. Derby with an amazing talent. He is an artist and a sculpture and put together the skills of a great doctor. My husband and I are so pleased with what Dr. Derby has done for me. I will be forever grateful to him, and his caring staff. I am very confident in recommending Dr. Brian Derby and his staff at Sarasota Plastic Surgery Center to anyone wanting to change their life in a positive way. Sincerely, A"- A / Office Visit / Aug 04, 2016
"Sarasota Plastic Surgery Center - Sarasota, FL - I was extremely impressed by Dr. Derby and his staff with how quick and easy the whole process was. They made me feel comfortable from day one (I am a very awkward person). It only took a month from the scheduled consultation to the procedure. The were very flexible with the post operation appointments being that I work 60 hours a week. I would recommend any friends and family to see Dr. Derby and his staff!"- J. / RealSelf / Sep 29, 2016
"Dual Plane 295cc Anatomical W/ Donut Lift - Dr. Engel is an artist! He listened to everything I wanted and spent several hours with me making sure we were on the same page. I had interviewed many other PSs all around the US, and no one listened to me the way Dr. Engel did. I am an RN and had done a ton of research on my own, and he was eager to engage with me in all of my neurotic notions :) I cannot thank him and his incredible staff enough. I am in love with my new boobs! - - 35 years old, 5'3" 130lbs. I was looking for a very natural, conservative result. I breastfed 2 children and my breast were sagging and empty. I didn't want the vertical scars of a lollipop lift, and I also wanted my breasts to appear very natural, so the donut lift was my choice. Dr. Engel highly recommended anatomical implants as they also offer a small lift. Ultimately, I left the size up to him with these conditions: as small as possible while also accomplishing the lift needed. I'm so thankful he was able to go with the 295cc because they are the PERFECT size for me."- M. / RealSelf / Mar 07, 2017
"I had an amazing experience - I and my husband both are very happy with Dr Derby. He's amazing person with a down to earth personality. He listens and gives you what you what. He tells it how it is with what to expect when it comes to your body. He knows step by step what your going to go through before you reached it in your recovery. He's very knowledgeable in the field. His beast lift and augmentation has really boosted..."- C. / RealSelf / Apr 20, 2017
This surgery is an outpatient procedure and is performed in a surgical facility. General anesthesia is used. Following the procedure, patients will need to limit movement, especially in the chest area for approximately 48 hours. Because this surgery represents a combination of procedures, the recovery is a bit longer and can take up to 8-10 weeks to recover. Optimal results will be evident within 6-12 months. This is the time period it takes for the implants to settle in their new position and for the scars to heal.
Breast Aug With Lift FAQs
Implants For Breast Sag?
Implants will surely help increase breast size, but it is a breast lift that resolves the sagging. Breast sag is caused by overstretched skin that has lost its elasticity due to natural conditions such as pregnancy, weight loss or aging. Placing an implant does not correct the breast projection, in fact, it could make it worse. A lift corrects any sagging to create a tighter breast appearance.
Breast lifts can last for years, especially when patients adhere to a healthy lifestyle. Any significant weight gain or additional pregnancies could compromise the results of the surgery. This is why it is recommended to have this type of surgery when the patient is at or near their goal weight and do not plan to become pregnant in the future. As for breast implants, while they may not last a lifetime, they are manufactured to last up to 15 years or longer.
Due to the nature of the procedure, scarring is unavoidable. The incisions made during a breast lift are patterned to best meet the aesthetic goals of the patient. Although these incisions can be concealed under clothing, they will still exist. The good news, is that over time and with proper scar care, they do fade and become barely noticeable. Most women find that their new shape and beautiful figure outweigh the scarring.
Plan Your Procedure
- Average Cost
- $7,000 - $9,200
- Recovery Time
- 2-3 Weeks
- Average Procedure Time
- 3.5 Hours
- Post-op Follow-up
- Procedure Recovery Location