Breast Lift & Augmentation

Enhance your feminine curves, your way

Having a breast lift at the same time as augmentation is a very popular option for our patients, particularly for post-pregnancy moms as part of a Boston mommy makeover, or for women who have lost significant weight and would like to restore a more youthful, natural breast profile with only one surgery and recovery.

What improvements can a breast lift with augmentation make?

• Restore fullness and perkiness to breasts that seem “deflated”
• Improve symmetry between the breasts
• Help bras, swimsuits, and clothing fit more attractively
• Balance the upper & lower body to enhance overall proportions

How do I know if I need a breast lift too?

This is a very common question with our breast augmentation patients. We take measurements and we evaluate the position of the nipple as it relates to the breast fold to help determine whether some type of lift is needed. Our Boston plastic surgeons Dr. Fouad Samaha or Dr. Alannah Phelan may recommend a breast lift at the same time as augmentation in the following situations:

• If a significant amount of sagging has occurred; typically with the nipple resting below the natural crease underneath the breast
• If you have excess, stretched skin that cannot adequately support a breast implant
• If our surgeons feel they cannot create an aesthetically pleasing, natural result with implants alone

About Breast Lift with Augmentation Surgery

A combined procedure (augmentation-mastopexy) can be done, or a subsequent surgery procedure can be performed at a later date. These combined procedures require careful planning and decision-making. Due to their technical complexity, a highly proficient plastic surgeon is recommended. Our surgeons have extensive experience in planning and performing these procedures.

Breast lift with augmentation is typically performed at our fully accredited, private surgery center. The procedure takes approximately 1-2 hours to perform, and you will be kept comfortable under general anesthesia administered by a board-certified, physician anesthesiologist.

Our surgeons will make the minimum number of incisions necessary to achieve your desired breast shape after surgery, depending on the degree of sagging to be corrected:

•  A peri-areolar incision provides a “nipple lift,” and corrects minor sagging
• A circumvertical, or “lollipop” incision, may be necessary for more severe sagging, and involves an incision around the areola and vertically down to the breast crease

Your surgeon will remove the excess skin and reshape the breast tissue before inserting the breast implants you chose during your sizing and shaping session. After a brief recovery period, you will be able to go home on the same day of surgery.

Auto-augmentation breast lift

Certain patients may be candidates for an auto-augmentation breast lift, which uses techniques to rearrange the breast tissue in order to narrow breasts that are wide and flat, and add volume to the upper portion of the breast for cleavage. This is a particularly beneficial operation for patients who have lost a significant amount of weight, either after weight loss surgery or by other means. Generally speaking, auto-augmentation is ideal for patients who:

• Have breast ptosis (drooping breasts)
• Are interested in a lift to improve their overall shape
• Like their current breast size in a bra

The incisions follow an anchor pattern, similar to the incisions used for breast reductions and more significant breast lifts. Some patients may require a drain for one week post-op, while others do not require drains. Patients are able to shower after 48 hours. Pain is mild, and most patients use pain medication for a few days or Tylenol only. For six weeks, patients need to wear a soft, supportive bra and avoid lifting and heavy exercise.

Breast Lift with Augmentation Aftercare

Most patients return to work after about a week following a breast lift with augmentation, depending on the nature of their jobs. You will be sore for a few days, but discomfort is typically managed easily with pain medication. You will have to refrain from heavier lifting for a few weeks, so if you have small children, you will likely need additional help with childcare during your initial recovery period.

You can help to ensure that your results look their best for years to come by taking care of your breasts. Wear a supportive bra whenever possible, especially while exercising. Your scars should fade significantly over the first year; honoring your post-operative instructions can help you ensure scars heal flat so they remain as inconspicuous as possible.

Our plastic surgeons and our staff will gladly discuss any questions you have about the procedure and recovery during a personal consultation. We invite you to set up a consultation with practice director and board-certified Boston plastic surgeon Dr. Fouad Samaha or with female plastic surgeon Dr. Alannah Phelan. Contact us today to get started!

Areas Served:

• Quincy
• Boston