Augmentation with Lift
Combine volume enhancement with elevated contours.
Augmentation with Lift - Our Approach
Augmentation with lift adds volume and raises the breast in the same surgery. By combining cohesive gel implants with a surgical breast lift, we restore a youthful, perkier position while achieving the patient's desired fullness.
InquireThe Ideal Candidate
- Breasts with both volume loss and drooping
- Nipples or areolas that sit low on the breast
- Desire for more fullness and a lifted breast shape
- Stable weight, good health, and realistic expectations about implant maintenance and lift scars
Procedure Quick Facts
Surgical Technique
This combined breast augmentation and lift is performed under general anesthesia. Before surgery, markings guide the new nipple and areola position and the amount of skin to remove, often using an anchor or vertical lift pattern. A space is created for the implant, usually partly under the chest muscle for added coverage. The implant is placed and checked for symmetry, then the breast tissue is lifted and reshaped around it with internal dissolving stitches. Implant size is chosen conservatively so the lifted skin and scars are not placed under excessive tension.
Who Is a Good Candidate for Augmentation with Lift?
Augmentation with lift is best for patients who need both more breast volume and a higher breast position. It may be appropriate when an implant alone would not correct drooping and a lift alone would not provide the desired fullness. Good candidates are at a stable weight, avoid nicotine, and understand both implant maintenance and breast-lift scarring.
Recovery
Recovery after augmentation with lift is similar to breast lift recovery, with the added process of the implants settling. A surgical bra is worn continuously for the first three to four weeks. Swelling and bruising are usually most noticeable during the first week and improve significantly by about three weeks. Many patients return to desk work within ten to fourteen days. Lifting, strenuous exercise, and overhead arm movements are limited for about six weeks. Implants continue to soften and settle into position over three to six months.
Acute Recovery
Surgical bra worn continuously. Pain managed with medication. Limited arm movement; drains removed if placed.
Return to Light Activity
Return to desk work. Swelling and bruising diminish significantly. Incisions healing without tension.
Progressive Activity
Light lower body exercise permitted. Implants begin to settle. Upper body restrictions continue.
Final Results
Full activity resumed. Implants settle into final position over three to six months. Scars mature and fade.
Augmentation with Lift Risks & Considerations
Combining breast augmentation with a lift adds tension where incision lines meet, which can increase the risk of delayed healing or widened scarring. Implant-related risks include capsular contracture, meaning scar tissue tightens or hardens around the implant, implant malposition, and implant rupture. Lift-related risks include changes in nipple or areola sensation, asymmetry, and visible or widened scars. Conservative implant sizing, careful patient selection, and staging the procedures when appropriate help reduce these risks.
- Capsular contracture (scar tissue tightening around the implant)
- Implant malposition
- Delayed healing where incision lines meet
- Nipple or areola sensory changes
- Asymmetry
- Infection
- Implant rupture
- Visible or widened scarring
Alternatives to Augmentation with Lift
If breast position is good and the main goal is more volume, breast augmentation alone may be enough. If volume is adequate but the breasts sit low, a breast lift alone may be the better choice. Fat transfer can add modest natural volume in selected patients, but it will not lift significant drooping or create the same projection as an implant.
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Augmentation with Lift - Frequently Asked Questions
- Why do these two procedures together?
- An implant provides volume, but it cannot correct sagging. A lift is required to reposition the nipple and skin for a balanced result.
- Is the recovery longer than a standard augmentation?
- Recovery is similar to a breast lift, typically requiring one to two weeks before returning to light office work.
- Where are the scars located?
- Scars usually follow the breast lift pattern, which can include a circle around the nipple and a vertical line to the fold.
- Can I choose my implant size with a lift?
- Yes, though the size is carefully balanced with the lift to ensure the tissue can support the new weight for a long term result.
Performed by Dr. Ruben Castro in Newport Beach, California