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
"Really and truly perfect! Thanks a lot to Dr Mobley and his staff"- A.V. / ZocDoc / Oct 19, 2014
"Amazing Mommy Makeover (Breast Aug/Breast Lift/Tummy Tuck/Liposuction) - I nursed 3 children and gained 50 pounds with each pregnancy. I had lost all of the pregnancy weight but I felt I needed help in some areas so I chose to have a mommy makeover (breast augmentation with lift, tummy tuck and liposuction) with Dr. Scott Engel. I am only 4 1/2 months out from my surgery and I am so pleased with my results and couldn’t be happier, my scars are barely visible. I..."- C. / RealSelf / Apr 03, 2019
"Breast Aug with lift and so happy! - My goal in all of this is to help improve my look and self esteem. After having two children my breast have moved downwards so time to try and fix them. Honestly I'm scared to death even though I know I shouldn't be. This website has helped me with my decision a lot. Hope I can get this moving soon."- K. / RealSelf / Feb 28, 2018
"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
"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
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
- Recovery Time
- 2-3 Weeks
- Average Procedure Time
- 3.5 Hours
- Post-op Follow-up
- Procedure Recovery Location