When women get older, they may lose fullness in their breasts while others may begin to notice loose, excess skin on their chest. Some women will experience both problems with deflated breasts that sag. If you want to increase breast volume while also removing loose skin, then plastic surgeon Dr. Tyler Frew suggests breast augmentation with a breast lift (mastopexy). This procedure at Tyler Frew MD, Plastic Surgery in Murrieta, CA starts by removing excess skin from the breasts and then inserting saline or silicone implants to achieve the desired size. Breast augmentation with a lift can help to improve multiple issues, such as position, shape, and size, in order to create perkier, younger-looking breasts. Schedule an appointment with Dr. Frew to talk about your unique needs and desires so that he can help you determine whether a combination breast surgery with both augmentation and a lift might best fit your goals.


Patients who wish for more volume in the upper poles or midline of the breasts may benefit from the addition of fat grafting to their breast lift. In these cases, fat will be harvested from an area of the body (commonly the thighs, abdomen, or hips) and grafted to the breasts for a natural, voluminous result.


There are many benefits of a breast augmentation with a lift, including:

  • Correction of sagging breasts and size enhancement all in one procedure
  • Reshaping of the skin around the breasts
  • Repositioning of the areolas
  • Customized surgical procedure plans
  • Desirable results to make you look and feel more confident


There are several factors that may have you considering combining a lift with augmentation. It may be an ideal option if you want to dramatically transform your breasts while improving your skin elasticity. You may have developed sagging breasts due to natural aging, pregnancy, or significant weight loss would, therefore, like to increase your breasts’ fullness. This can all be achieved with a combination breast surgery. Dr. Frew can usually determine whether a breast lift alone could achieve your best outcome or if both a lift and implants are needed to reach your goals.


A combination breast surgery is generally an outpatient procedure with patients under general anesthesia. For this procedure, the breast augmentation is usually the first step. Afterwards, the excess skin is cut away and the tissue beneath tightened. Dr. Frew will go over breast implant options before your surgery. For some patients, the nipple and areola may need to be moved to fit your new breast size and shape.


The necessary recovery time for this particular procedure will be different for each patient, but you’ll probably be well enough to resume your day-to-day activities in about seven days. However, you should avoid exercise and strenuous activities for about 2 – 6 weeks. After your surgery, there may also be mild to moderate inflammation, which can last for around three weeks.


How much does breast augmentation with a lift cost?
The cost of surgical breast augmentation with a lift depends on multiple factors, including whether you choose implants (silicone or saline) or a fat transfer. Additionally, some lift procedures have more complexity depending on the surgical case. During a thorough consultation, Dr. Frew will create a unique treatment plan and then estimate your costs. Tyler Frew MD, Plastic Surgery takes many payment methods, including low-interest medical financing.

Will breast augmentation with a lift correct sagging?
A good reason to get breast surgery that combines augmentation with a lift is that it improves the volume of your breasts while also addressing sag by eliminating loose skin. The breast lift will also help to adjust the position of your native breast tissue so your results are perky and firm. This is important because adding volume to breasts with mild sagging can result in a negative outcome if a lift isn’t performed to address the sag. If moderate to severe sagging is present, a lift should be completed first and then implants or a fat transfer can be added. During your consultation with Dr. Frew, he will listen to your concerns and goals before examining the condition of your chest, after which, he can determine whether you’d benefit from a lift, implants, or a combination of both.

Which incision is best for my surgery?
Incisions patterns for breast surgery have become more advanced, with new techniques being developed to help reduce scarring. The best incision for your surgery will depend on the type of implants chosen and the severity of breast sag. If you have severe breast sag, an anchor-shaped incision is most effective. When developing your surgical plan, Dr. Frew will discuss incision patterns and go over which is best for your needs. No matter which pattern is used, Dr. Frew will make careful incisions and strive for natural-looking results.

How long will my results last?
If you do not have dramatic weight fluctuations or get pregnant, the results from breast augmentation with a lift can last many years. While both silicone and saline implants are designed to last a long time, they should be assessed regularly to check for issues. During surgery, Dr. Frew will set the implants using a technique that reduces breast sagging, which will help your results last longer. It’s important to know that while cosmetic breast surgery can deliver great results, natural aging will continue. After many years, you might begin to see sagging and loose skin again, which can be corrected with another surgery.

How bad is the scarring?
For breast augmentation with a lift, Dr. Frew strives to make all incisions as small and thin as possible and to place incisions in areas that are less visible, like under the folds of the breast or along the areola border. With proper care, the scars from your breast surgery will, in time, fade so that they blend more with your natural skin. Dr. Frew or a member of his staff will discuss scar-care instructions you ‘ll need to follow after surgery to help your scars heal smoothly.


Get the curves you dream of by scheduling a breast augmentation and lift at Tyler Frew MD, Plastic Surgery. Dr. Frew can help you create a personalized treatment plan that fits your concerns and goals so you can see beautiful results. By addressing the position, size, shape, and skin of your breasts, your breast augmentation with a lift can give you a more youthful appearance. Call for a consultation with Dr. Frew at our Murrieta, CA office to find out more about your options.