Breast Lift (Mastopexy) with Augmentation

A breast lift with augmentation, also known as augmentation mastopexy, is a procedure that combines two of the most popular breast enhancement surgeries to add volume, reshape, and lift the breasts. Aging, pregnancy, genetics, and weight fluctuation can all contribute to sagging breast tissue and loss of fullness in the upper breast, leading to a “deflated” appearance. By removing excess skin, lifting the breast tissue, and increasing breast fullness with the placement of an implant, a breast lift with augmentation surgery can create a youthful, shapely breast contour. You and Dr. Dawes will work together to choose which technique will work best for your breast size, shape, and position.

Is A Breast Lift with Augmentation Right for Me?

Many patients come into a consultation with a specific breast size in mind, but they may end up changing their mind once sitting down with Dr. Dawes. During your personalized consultation, he will ensure you find what size would look good on your body, based on your natural anatomy and desired outcome. You will be able to test out the feeling of different breast sizes using various sized implants. These sizers help many patients choose the most appropriate implant size for their augmentation procedure.

A breast lift and augmentation may be right for you if:

  • You have a sagging breast shape as a result of pregnancy, nursing, weight fluctuation, or genetics
  • Your breasts lack firmness
  • Your breasts are asymmetrical

Recovery Expectations

You can expect moderate discomfort of the breasts, which should gradually improve over 3-4 days. Swelling usually subsides after three weeks, but can persist longer. You will likely have bruising that may persist for up to 3-4 weeks. No heavy lifting, strenuous exercise or upper body aerobics for 4 weeks. The implants may ‘ride high’ on the chest wall. This is normal. It may take several weeks for the implants to ‘drop’ into place as the skin and muscle stretch to accommodate your new breast implants.

Breast Lift with Augmentation FAQs

Do you offer a warranty on breast implants? Would I have to incur the cost of surgery again if they rupture, deflate or I get capsular contracture?
Dr. Dawes purchases extended warranties on all implants he places to protect his patients against unforeseen costs in the event of a manufacturer’s defect. The coverage includes a lifetime product replacement against rupture or deflation, and 10 years against capsular contraction (Baker Grade III/IV), double capsule and late seroma. Patients are also eligible through the implant manufacturer for financial assistance with operating room, anesthesia and surgeon’s fees up to $3500 on rupture or deflation.
Are breast implants guaranteed to last a lifetime?
The average life span of an implant is 10 years. The life expectancy of breast implants can depend greatly on the patient’s body as well as her lifestyle as well as the implant type. There are complications that can arise that require an implant to be replaced, but it is not common and does not happen to everyone. Also, your breasts will continue to age, and factors such as weight gain or weight loss might change the way your breasts look. These issues will likely lead to more surgery.
What are the risks?
Although rare, risks of surgery include capsular contracture, which may necessitate additional surgery to release the scar or removal of the implant. Your implant may need to be removed if it ruptures. Most breast lift with augmentation scars are visible on the bare breast, but are easily hidden by clothing. Some lifting techniques hide the scars in inconspicuous areas, though not everyone is a candidate for this type of procedure and Dr. Dawes will need to evaluate your breasts and goals. Other risks include infection, bleeding, malposition of the breast implant, implant rippling or palpability, and permanently altered nipple sensation.
What kind of pain will I experience following the surgery?
You can expect moderate discomfort of the breasts, which should gradually improve over 3-4 days. Swelling usually subsides after 3 weeks, but can occasionally persist longer. Following the surgery, you will have some mild bruising and swelling of the breasts. Most bruising will resolve in two weeks but swelling can persist for several months. During the first 2 weeks after the surgery, you should avoid any strenuous activities and you will not be able to raise your arms above your head for 3 weeks. A supportive bra should also be worn during this time. For the first 6 weeks, sleeping on the stomach or sides should also be avoided.

All Breast Procedures Offered


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“My role, in part, is to assist patients through the process of determining which surgical or non-surgical options would help them meet their aesthetic goals and realistic expectations”

Jeffrey C. Dawes MD, FRSC

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