Breast Lift With Augmentation


If you’re experiencing sagging and drooping breasts and a loss of breast volume, you might want to consider a breast lift that combines augmentation surgery using implants. When performed alone, the breast lift and breast augmentation will enhance your breast shape, but it may fall short of your desired look if you have both sagging and loss of volume. In this case, the breast lift with implants combined is a popular option to get both a perky and full look.


Known as augmentation mastopexy, a breast lift with augmentation combines two popular forms of breast surgery. A breast lift helps to raise your breasts and reduce sagginess. It also helps to reduce overly large areolas. A breast lift is performed by removing excess tissue and crafting the breast into a tighter, firmer shape and tightening the areolas to garner a perkier, more youthful appearance. Breast augmentation surgery, on the other hand, helps reshape and add volume to your breasts. By combining both surgery techniques, you get the added bonus of a lift with the volume building look of implants. Having both of these surgeries also prevents your nipples from pointing downward.

Performing both surgeries at the same time may be a good idea since you’ll only need one surgery to complete both tasks and you’ll save time and money. Most people choose to have a breast lift plus augmentation with implants if they are dissatisfied with their breast size, have recently lost a lot of weight, or have developed a loss of fat due to pregnancy, breastfeeding, or the natural wear and tear of the aging process. They may also choose to have a breast lift with augmentation using implants if nipples point below the breast crease or if the breasts are uneven in size or shape. If you are experiencing breast sagging, you’ll also want to add a breast lift to make sure your breasts are located high enough on your body that they show the right amount of projection (how far the breasts stick out from the chest).

You will have the opportunity to talk with your surgeon about the optimal procedure for you. By combining both surgeries into one, you’ll consider the right implant for your shape and size and learn about the differences between different incisions and different types and kinds of implants.

For your breast lift, you’ll first need to talk with your surgeon about how much excess skin will need to be removed and how much of your breast tissue can be relocated. This will depend on your specific breast shape. Once you’ve been considered a candidate for the surgery, you’ll learn about which lift will be right for you and your implants. Then, your implant will be inserted through your lift incision. There are four types of lift incisions available but usually, your breast lift with augmentation using implants will be given a lollipop or anchor incision.

Am I a Candidate?

There are several things to consider if you want to have a breast lift with augmentation using implants. If you want perkier, firmer breasts but also want a larger cup size or more volume in your breasts, then a breast lift with augmentation using implants is the right choice for you. Your breasts will continue to grow for many years so you must be over 18 years old to have saline implants and over 22 to have silicone implants.


Make sure you look for a fully-trained and experienced surgeon like Dr. S. Alexander Earle at Pure Plastic Surgery for your breast lift with augmentation using implants. Your plastic surgeon will meet with you in person before doing your surgery. Your surgeon will take breast measurements that include your height and the distance between your nipples and your breast crease. Then, your surgeon will listen to your hoped outcomes and explain to you what is possible. If you are a good candidate for surgery, your doctor will walk you through the expected results you will achieve from surgery.

You’ll also walk through the procedure, learn what to expect from surgery, choose the right lift for your breasts and the right implants, and be given the chance to ask any necessary questions that you may have. (Make sure to bring a list of questions so you don’t forget the important things you want to ask while you’re in the appointment!) 


Prior to surgery, you’ll be given instructions to follow which may mean avoiding eating after midnight and special bathing instruction. Your surgery will take place in an outpatient surgery center and you will be able to go home the very same day. Depending on your exact needs, your surgery should last about one to three hours

You will be given general anesthesia, so you won’t feel any pain at all during your procedure. For the breast lift portion of your surgery, extra skin will be removed from the breasts. Then, lifting and reshaping of the breasts will take place and your areolae will be moved to a higher position if necessary. Your breast augmentation will take place during this time and your implant will be inserted through your breast lift incision

After surgery, you’ll wake up in the recovery room and you’ll be monitored until you wake up from anesthesia and are able to go home. Whoever is driving you home from your surgery will be updated on your progress during your surgery. You’ll want someone available to stay with you at your home at least through the first 24 to 48 hours after your surgery.  


You’ll love the results from a breast lift that’s combined with augmentation. If your breasts appear higher than you previously discussed, remember that it will take three months for your breasts to settle down into their final place. Continue to go to follow-up appointments to make sure your implants are staying in the right place. If healing goes as planned, you’ll notice the results of your breast surgery immediately though it will take about three months to see final results. You’ll want to make sure to follow-up with your doctor to make sure your healing is on track and that everything looks great with your final results. If you have any scarring, it will fade about one to two years after the surgery.


Your recovery time will take about six weeks on average. Make sure to take at least a week off of work as you won’t be able to resume normal activities until the second week after your surgery. During your recovery, your breasts will be wrapped by a special bra that will allow everything to heal properly. No underwire should be worn for at least six weeks! If you have stitches or sutures, your doctor will remove them and check on your healing at a follow-up appointment. Your doctor will give you more exact recovery instructions depending on your specific case. You’ll most likely avoid sexual activity, lifting, or straining for at least a few weeks after surgery.

The side effects that you’ll be looking for are the same that you would have after a separate breast lift or a separate breast augmentation. Look for signs of excessive bleeding and bruising, you’ll have some, of course, but make sure it isn’t anything out of the ordinary. Keep an eye out for redness, pus at the incision site, or the leakage fluid.  You’ll have some puffiness or swelling but look for this on other areas of your body. Keep an eye on your pain level and see if you have nausea or vomiting in excess. As you heal, look out for scar tissue and make sure to attend all follow-up appointments.



“I could not have picked a better doctor. Dr. Earle is a perfectionist and settles for nothing less than perfection. I am incredibly happy with my results.”* - Rosie

“Absolutely amazing! The entire journey has been great. The staff and customer care are exceptional! Best service I have ever received.”* - Destiny

“From start to finish they were nothing short of amazing! Amazing doctor and team! Great results and wouldn't trust another. I felt absolutely comfortable from the minute I met them and knew I was in good hands”* - Natasha