Breast Augmentation with Lift
Many patients are not just dealing with volume loss. They are also noticing that their breasts sit lower on the chest.
Restore Volume and Reposition the Breast
After pregnancy, weight loss or aging, the breasts often become both deflated and sagging. This combination cannot be fully corrected with implants or a lift alone.
Breast augmentation with lift is designed to address both at the same time by restoring volume, repositioning the breast and creating a more balanced, natural shape.
Dr. Tyler Frew approaches this procedure by first identifying what your anatomy needs, then combining techniques to achieve a result that fits your body rather than forcing a one-size-fits-all outcome.
Dr. Frew Answers Common Questions
Many patients have general questions about breast surgery, especially when trying to understand how different procedures work together.
In the video series above, Dr. Tyler Frew answers common questions and explains how he approaches breast surgery based on each patient’s anatomy and goals.
When You Need More Than One Procedure
Some patients fall into a category where a single procedure is not enough.
This typically includes:
- Loss of upper breast fullness
- Breasts that sit lower on the chest
- Nipples that point downward
- Stretched or loose skin
In these cases:
- Implants alone may add volume but not correct sagging
- A lift alone may improve position but not restore fullness
A combined approach allows both issues to be treated at the same time, creating a more complete and natural result.
How Dr. Frew Determines the Right Approach
Every consultation begins with understanding what has changed.
Dr. Frew evaluates:
- Breast position
- Nipple placement
- Skin quality and elasticity
- Tissue thickness
- Overall proportion to your frame
From there, the plan is built around whether the breast is:
- Primarily deflated
- Primarily sagging
- Or a combination of both
This ensures the procedure addresses the underlying cause, not just the appearance.
How Breast Augmentation with Lift Works
This procedure combines two surgical techniques in a single operation.
- Breast Augmentation – Implants restore volume and improve fullness, particularly in the upper breast.
- Breast Lift – Excess skin is removed and the breast is repositioned to a higher, more natural location.
Together, these steps:
- Restore upper fullness
- Elevate the breast
- Improve contour and projection
- Create a more balanced shape
The exact technique is customized based on your anatomy and goals.
A Natural, Proportional Approach
The goal is not to create an overfilled or overly lifted appearance.
Dr. Frew focuses on achieving a result that is proportional to your body and looks natural in both shape and movement.
Implant size, profile and lift technique are selected together so the final result feels cohesive rather than artificial.
Breast Augmentation with Lift Before and After
Who Is a Good Candidate for Breast Augmentation with Lift?
This procedure is typically recommended when both volume loss and sagging are present.
You may be a good candidate if you notice:
- Breasts that appear deflated and sit low on the chest
- Nipples that point downward
- Lloss of fullness in the upper breast
- Loose or stretched skin
If only one of these concerns is present, a single procedure may be more appropriate. This is why a detailed evaluation is important.
Breast Augmentation vs Lift vs Combination
Understanding the difference helps clarify what you need.
- Breast augmentation adds volume
- Breast lift corrects sagging
- Augmentation with lift corrects both
This combined approach is often the most effective way to restore a youthful, balanced breast shape when multiple changes have occurred.
Results and Expected Changes
Breast augmentation with lift improves both shape and structure.
Patients often notice:
- Restored upper fullness
- Elevated breast position
- Improved contour and projection
- Better symmetry
- A more youthful overall shape
As swelling resolves, the breasts settle into a natural position that aligns with your body.
Recovery After Breast Augmentation with Lift
Recovery is slightly more involved than either procedure alone but follows a predictable process.
Most patients experience:
- Swelling and tightness in the first few days
- Gradual improvement over the first few weeks
- Progressive settling of the implants and breast shape
A support bra is worn during recovery, and activity is gradually reintroduced.
Advanced Light Therapy for Recovery
To support healing, medical-grade light therapy is incorporated into your recovery plan. Targeted wavelengths help reduce inflammation, minimize bruising and support tissue repair after surgery.
Sessions are brief and performed during early follow-up visits. This added support helps promote a smoother, more comfortable recovery.
A More Complete, Balanced Result
Breast augmentation with lift is designed for patients who need more than one correction to achieve their desired result.
By addressing both volume and position, this procedure creates a more complete and natural outcome.
Dr. Frew takes a personalized approach to ensure each element of the procedure works together to support long-term shape, balance and confidence.
Breast Augmentation with Lift FAQs
What is breast augmentation with a lift (augmentation mastopexy)?
Breast augmentation with a lift combines implants with mastopexy to restore fullness, elevate the breast, and improve nipple position in one surgery. It is typically used when both volume loss and sagging are present.
How much does breast augmentation with a lift cost?
The cost depends on the surgical plan, implant choice, anesthesia, facility fees and the complexity of the lift. Because this procedure is highly customized, pricing is best determined during your consultation.
Will breast augmentation with a lift correct sagging?
Yes. The lift portion addresses sagging by repositioning the breast and nipple, while the implant restores volume. When both concerns are present, combining the procedures usually creates a more complete correction than either one alone.
Which incision is best for my surgery?
That depends on how much lifting and reshaping is needed. Common options include periareolar, vertical, and Wise pattern techniques, with the final choice based on your anatomy, skin quality and degree of ptosis.
How long will my results last?
Results are long-lasting, but no breast surgery stops aging, gravity, weight fluctuation, or future pregnancy-related changes. Long-term shape depends on tissue quality, implant choice, and life changes over time.
How bad is the scarring?
Scars are expected with any lift, but they are placed strategically and usually soften over time. The extent of scarring depends on how much lifting is needed and which incision pattern is used.
Why combine a lift and augmentation instead of doing them separately?
When both sagging and volume loss are present, combining them can correct both problems in one operation. That said, augmentation mastopexy is more complex than either procedure alone, so careful planning and patient selection matter.
Where are implants placed during a lift?
There is no single best option for everyone. Silicone implants are often chosen for their feel, while saline remains a good option for some patients. The literature does not clearly establish one as universally superior across all outcomes, so the decision should be based on your anatomy and preferences.
Which implant type is best: silicone or saline?
Both can look natural when sized and placed correctly. Silicone gel often feels more natural. Saline allows smaller incisions and easy volume adjustment. Your consultation will match type and size to your goals.
Will a lift with implants look natural?
It can look very natural when implant size, profile and lift technique are selected to fit your frame. The goal is not just more volume, but a balanced shape and position that work together.
How long do results last?
Breast augmentation with lift results are meant to be long-lasting, but they are still affected by natural aging, gravity, pregnancy and weight changes over time.
How do you choose implant size with a lift?
Implant size is chosen based on your frame, breast dimensions, tissue quality and how much fullness you want after the lift. The goal is to choose a size that restores balance without overloading the tissues.
Will I need mesh or an internal bra?
Not always. Internal support materials may be considered in select cases, especially when tissue support is limited or when added reinforcement is needed, but the literature does not support their routine use for every patient.
What happens if I get pregnant after surgery or my weight changes?
Pregnancy and major weight changes can stretch the skin and alter breast shape, which may affect long-term results. That is why stable weight and completed childbearing are often preferred before surgery.
Elite Surgical Skill in Breast & Body Aesthetics
Dr. Tyler Frew is a board-certified plastic and reconstructive surgeon specializing in aesthetic surgery of the breast and body.
He is known for delivering natural-looking results through advanced techniques in breast enhancement, tummy tuck, liposuction, and mommy makeover procedures.
Dr. Frew combines surgical expertise with compassionate, patient-focused care, helping each individual restore confidence and achieve their personal aesthetic goals.
Start Your Journey
The Balikian Experience
Patients trust Dr. Tyler Frew for his warm, personalized approach, advanced surgical techniques and results that look natural and refined.
Learn More About Our Breast Procedures
Richard V. Balikian, MD, FACS
Double Board-Certified Facial Plastic Surgeon
Balikian Facial Plastic Surgery: Richard V. Balikian, MD, FACS
Tyler Frew, MD
Board-Certified Plastic Surgeon