Combining Procedures: The Benefits of Breast Augmentation with Lift | BLOG | Plastic and Reconstructive Surgery

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Andrew Smith, MD, FACS, Plastic and Reconstructive Surgery

Many people are surprised to learn that the most effective solution to breast enhancement may not be a single procedure but a strategic combination of two or more. Breast augmentation with lift, also known as augmentation-mastopexy, is a dual approach that addresses both volume and position, offering elegant, natural-looking results that last.

Whether you're looking to restore volume lost to pregnancy or aging, or you simply want a more youthful, lifted look, combining breast augmentation with a breast lift can offer transformative benefits. In this article, we'll explore why this paired procedure is so popular, who it's best suited for, and what to expect throughout the process.

Why Combine Breast Augmentation with a Lift?

You Get the Best of Both Worlds

Breast augmentation on its own is designed to add volume and shape, typically using implants. A breast lift, meanwhile, repositions and reshapes the breast tissue by removing excess skin and elevating the nipple to a more youthful position.

When performed together, these procedures work harmoniously to add fullness to the upper breast (which a lift alone cannot achieve), correct sagging or drooping, restore balance and symmetry, and create a smoother, more proportionate silhouette.

Many patients opt for a lift with implants because, individually, neither procedure fully addresses both volume loss and sagging. When combined, the results are not only more complete but also more naturally contoured.

A Single Surgery = Streamlined Recovery

Another significant benefit of combining these procedures is efficiency. Rather than undergoing two separate operations (and enduring two rounds of anesthesia and recovery), you'll experience one surgical appointment, one recovery period, and reduced overall downtime, all while potentially lowering the total cost.

This makes the combination an attractive choice for patients who want to minimize disruption to their lives while maximizing their aesthetic outcome.

Who Is a Good Candidate?

A breast augmentation with lift may be right for you if:

• You are experiencing volume loss and sagging, which is common after pregnancy, breastfeeding, or significant weight loss
• Your nipples have begun to point downward or sit below the crease of the breast
• You want to increase breast size while also achieving a more lifted, youthful position
• You are in good general health, a non-smoker, and have realistic expectations for surgery

It's worth noting that this procedure is not the best choice for every patient. When you go in for your consultation, your surgeon will evaluate your breast anatomy, skin elasticity, and cosmetic goals to help you determine the best approach.

The Surgical Process

The combined procedure typically lasts anywhere from two to four hours, depending on the complexity of the case. Since everyone is different, it is difficult to give a detailed account of exactly how your surgery will go. Generally, most patients experience these main stages:

1. Anesthesia – General anesthesia is administered to ensure you are comfortable during the procedure.
2. Breast Lift – The surgeon makes incisions (most commonly around the areola and possibly vertically down the breast) to get rid of excess skin and reposition the nipple and areola.
3. Implant Placement – A silicone or saline implant is inserted either above or below the pectoral muscle, depending on your body type and goals.
4. Tissue Reshaping & Closure – The breast is reshaped around the implant, and incisions are closed with precision to promote proper healing and minimize scarring.

Every surgical plan is customized to the patient, taking into account your body proportions and desired result.

Recovery: What to Expect

Recovery is a process, but most patients find the combined procedure quite manageable.

• Week 1: Expect swelling, tightness, and mild to moderate discomfort. Most patients return to non-physical work within 7–10 days
• Weeks 2–4: Light activities may resume. You'll be asked to wear a surgical or support bra and avoid lifting, reaching, or strenuous movement.
• Week 6 and Beyond: Swelling begins to resolve, and the shape of the breasts settles. You can return to most regular activities, including exercise, with your surgeon's approval.
• 3–6 Months: Final results become more visible as the tissues fully heal and scars begin to fade.

Your surgeon will provide detailed instructions for post-op care to help you recover safely and successfully.

Long-Term Results and Considerations

When performed by a trustworthy, board-certified plastic surgeon, a breast augmentation with lift can deliver natural, balanced, and long-lasting results. Implants typically last 10–15 years, though they don't necessarily need to be replaced unless complications or aesthetic preferences arise. Aging and gravity will continue to play their role, but the overall improvements from surgery often remain noticeable for many years. For people wanting a long-term solution to both volume loss and sagging, this combination remains a top-tier choice.