For patients who experience both volume loss and breast sagging, often after pregnancy, breastfeeding, or significant weight loss, a breast lift alone may restore position but leave the breasts looking flat. Breast augmentation alone can add volume but will not correct drooping. Combining both procedures in a single surgery, known as augmentation-mastopexy, addresses both concerns simultaneously and produces the most complete breast rejuvenation possible.
Who Is a Good Candidate?
The ideal candidate for a combined breast lift with implants:
- Has breast ptosis (sagging) with nipples positioned at or below the breast crease
- Has experienced volume loss after pregnancy, breastfeeding, or weight loss
- Wants to restore both the position and fullness of their breasts
- Is in good general health and at a stable weight
- Is not planning future pregnancies, as pregnancy can alter results
How the Procedure Works
The augmentation-mastopexy is performed under general anesthesia and typically takes 3–4 hours. The surgeon first repositions the nipple-areola complex to a more elevated position, reshapes the breast mound by removing excess skin, and then places the implant, either behind the breast tissue (subglandular) or behind the pectoral muscle (submuscular). Incision patterns vary based on the degree of sagging but commonly include a circular cut around the areola, a vertical line down to the breast crease, and a horizontal incision along the crease.
Risks Specific to the Combined Procedure
Performing both procedures simultaneously is technically more complex than either alone, and carries a modestly higher risk of complications including wound healing issues and nipple position asymmetry. Some surgeons prefer to stage the procedures, lift first, implants second, especially for patients with significant ptosis. Your surgeon will advise on the safest approach for your anatomy.
Recovery and Results
Recovery follows a similar timeline to a standalone breast lift: 1–2 weeks off work, 4–6 weeks before returning to strenuous exercise, and 6–12 months for scars to fully mature. Most patients describe the combined result as transformative, restoring the youthful fullness and position they had before pregnancy or aging. The long-term satisfaction rate for augmentation-mastopexy is very high.
Schedule a free consultation at Svelta Plastic Surgery in Miami to discuss your breast restoration goals with our expert surgeons.