Can I combine breast augmentation surgery with another procedure?

Yes. Breast augmentation surgery is often combined with a breast lift, abdominoplasty, or liposuction.

Mastopexy (breast lift) with breast augmentation is a combination procedure that lifts sagging breasts while increasing their size and enhancing their shape. Aging, pregnancy, weight loss and gravity can all cause breasts to sag. When sagging cannot be corrected by implants alone, augmentation mastopexy may be recommended.

During mastopexy alone, excess skin is trimmed away, the breasts are “lifted” to a higher position on the chest, and the nipple and areola are repositioned and resized. By adding augmentation with implants to the procedure, the breasts can also be made larger and firmer.

Candidates for Augmentation Mastopexy

Good candidates for augmentation mastopexy have sagging breasts that have lost fullness at the top. Candidates must be in good overall health, maintain a stable weight, and have realistic expectations about what augmentation mastopexy can do. Women who choose to undergo augmentation mastopexy are typically unhappy with her breast size, and have one or more of the following:

  • Sagging breasts
  • Breasts that have lost shape or volume
  • Breasts that are flat or elongated
  • Nipples or areolas pointing downward
  • One breast lower than the other

A woman planning to have (more) children should wait to undergo augmentation mastopexy because pregnancy and nursing can counteract the benefits.

The Augmentation Mastopexy Procedure

Augmentation mastopexy is performed on an outpatient basis under general anesthesia, and usually takes 2 to 3 hours. After the implant is placed under the breast tissue and muscle, excess skin is removed, and the nipple is raised to a higher position on the breast mound. When the incisions are closed the skin is re-draped over the breast mound, the result is a fuller and more shapely breast.

Recovery from Augmentation Mastopexy

Following augmentation mastopexy, patients are likely to have bruising, soreness and swelling that may last for several weeks. Breasts are usually wrapped in an elastic bandage or a surgical bra for about a week, a support bra is then worn continuously for a month. Most patients return to work within a week, exercise and other strenuous activity should be avoided until the surgeon believes the patient to be sufficiently healed.