Breast Augmentation and Lift

Gravity, combined with pregnancy, breastfeeding, or weight loss, can cause a woman’s formerly full and firm breasts to droop, become deflated, and lose their shape. Dr. Andrew Smith combines breast augmentation and lift to help Orange County women have firm, full, more youthful looking breasts. Through this combination procedure, he can restore your body and self-confidence with a single surgery and recovery period.

Learn more about the benefits of having your breasts enhanced with this combined procedure when you request a FREE surgical consultation with Dr. Smith or contact our offices in Irvine and Corona at (949) 653-7000. If you prefer, you can also email us with your questions on breast enhancement procedures such as breast lift, breast reduction, and breast augmentation in Orange County.

When you choose Dr. Smith, you’re choosing a breast specialist who

  • Is the Chief of the Subsection of Plastic Surgery at Saddleback Memorial Medical Center
  • Is one of the top surgeons in Orange County for complex breast revisions and reconstructions
  • Has performed thousands of breast surgeries during his 15+ years of surgical experience

Candidates for Combined Breast Augmentation and Lift Surgery

Women who are candidates for this surgery typically have breasts that have lost volume, shape, and firmness. As a result of aging, pregnancy, nursing, weight loss, or genetics, their breasts also sag or droop. By combining a breast augmentation with a breast lift, Dr. Smith can provide women with the cosmetic results they want. Wish you could visualize the end result more clearly? Now you can, with VECTRA® 3-D imaging. Dr. Smith uses this computer imaging system to simulate the benefits of a breast lift combined with augmentation, even showing you variations such as different implant sizes.

In addition, patients who want larger breasts, but are also concerned about overly large nipple-areolar complexes (pigmented areas around the nipples) can have this area reduced while also having fuller breasts with the combined procedures. A breast lift with a breast augmentation also can provide a solution for patients who want larger, more elevated breasts with smaller areolar area.

Because Dr. Smith typically can perform both procedures in a single surgery session, patients often can save time and money while benefiting from enhancement. Women often already feel pressured for lack of time as they balance their careers with their families. By choosing this combined plastic surgery procedure, Dr. Smith’s patients can enjoy fuller, perkier breasts with a single recovery period.

The Procedure

The procedure is done on an outpatient basis under general anesthesia. Dr. Smith performs most of his surgical procedures at the Laguna Hills Surgery Center. The center is a private facility offering a state-of-the-art environment with the highest levels of safety, comfort and privacy.

This combined procedure takes about 1.5 to 2 hours to perform. The design of the incisions will vary but Dr. Smith makes an effort to minimize post-surgical scarring. During the procedure, excess skin is removed and a pocket is made in each breast where the breast implant is placed. Generally, the breast lift incisions can be used for insertion of the implants. Most sutures that are used are dissolvable and a dressing will be placed after surgery is completed. Patients may shower a day or 2 following surgery.

Postoperative Care

Patients typically go home with a light dressing to cover the incisions and a postoperative support bra. Any non-dissolvable sutures will be removed in about a week. The initial discomfort is usually easily controlled with oral medication. Light activities may be started in 7 to 10 days and relatively full activity may be resumed about 3 to 4 weeks after surgery.


The most common complications after breast enhancement are cosmetic, including dissatisfaction with size or symmetry. These can best be avoided by good communication before surgery. Other issues such as capsular contracture, bleeding, and infection can occur. These will be discussed during your consultation.