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Breast Lift and Volume Enhancement: Augmentation Mastopexy

Useful information for patients on Augmentation Mastopexy procedures - breast enlargement with implants combined with breast lift and reshaping.

What Is Augmentation Mastopexy?

Augmentation mastopexy is a surgical procedure that combines breast augmentation (enlargement) with a breast lift (mastopexy). It is designed to improve breast size, shape, and position in a single operation. 

This procedure is commonly performed to address:

  • Loss of volume in breasts can occur as a result of pregnancy, breast feeding, ageing, and weight loss. Some breasts also droop naturally as part of development.
  • Loose or stretched breast skin

By combining a lift with augmentation, the breasts can be reshaped, elevated, and enhanced in volume.

Breast augmentation is usually performed using breast implants, although fat transfer (lipofilling) may be an option in selected cases. The breast lift reshapes the breast tissue, removes excess skin, and repositions the nipple-areola complex to a more youthful position. Incisions vary depending on the degree of lift required and may include peri-areolar, vertical (lollipop), or inverted-T (anchor) patterns.

When performed by a qualified plastic surgeon, augmentation mastopexy surgeries are considered safe and effective. However, as with all procedures, there are risks that should be discussed with your surgeon.

Who Is It For?

Augmentation mastopexy may be suitable for patients who:

  • Desire both fuller and more lifted breasts
  • Are in good general health
  • Have realistic expectations about surgical outcomes.

Breast implants come in a wide range of sizes and shapes. Excessively large implants may stretch and weigh down your breast tissue, thus counteracting the effect of the mastopexy (lift).

Mastopexy and augmentation can be combined in the same procedure. However, there are instances whereby your surgeon may advise you to undertake them in separate procedures. This is based on their assessment of breast shape, skin quality, and volume.

Some conditions, such as high blood pressure, diabetes, and clotting disorders, may require additional medical assessment before surgery.

Preparation

Before surgery, patients typically undergo:

  • A detailed medical consultation and physical examination
  • Smoking cessation
  • Temporary discontinuation of certain medications (such as blood thinners or anti-inflammatory medications), as advised by the surgeon
  • Optimal/ Stable weight

It is also likely that the medical history will include a measurement of the body mass index (BMI), a discussion regarding future weight management goals (such as the use of GLP-1 receptor agonists), and an evaluation of the patient's family planning or future pregnancy desires, among other topics.

Additionally, the practitioner may perform a physical examination to anticipate (if possible) the potential techniques to be used and the resulting scars.

What Preparation Is Required?

  • Fasting before surgery, following the anaesthetist’s instructions.
  • Any existing diabetes must be well controlled before surgery.
  • Patients with diabetes may require preoperative HbA1c testing and an individualised perioperative blood glucose monitoring and management plan.

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Useful Information

Ensure you consider all aspects of a procedure. You can speak to your surgeon about these areas of the surgery in more detail during a consultation.

Length

How Long Is the Procedure?

Approximately 1.5 to 3 hours

Anesthesia

Do I Need Anesthesia?

General anaesthesia (most common) or local anaesthesia and sedation

Inpatient/Outpatient

Is The Procedure Inpatient or Outpatient?

Day surgery unless combined with other procedures that require an overnight stay

Additional Information

  • Swelling and bruising
  • Temporary breast tightness or discomfort
  • Temporary changes in nipple sensation
  • Scarring (which typically fades over time)

Some side effects can include:

  • Bleeding, infection, or fluid accumulation (seroma)
  • Poor wound healing or scarring
  • Asymmetry
  • Recurrent sagging over time
  • Implant-related risks such as capsular contracture (tight scar tissue around the implant), malposition, rupture, or rare implant-associated conditions (BIA-ALCL, BIA-SCC)
  • Changes in nipple or breast sensation (temporary or permanent)
  • Rippling in relation to the implant
  • Breastfeeding complications

Risks can be reduced by maintaining a stable weight, avoiding nicotine, managing medical conditions, following postoperative instructions and good surgical expertise.

Breasts are usually swollen and tender for the first few weeks. A supportive bra is advised to wear for 1-3 months post-surgery. Most patients take 1-2 weeks off work and can return to exercise after 4 weeks, depending on healing.

Patients will also be advised on the care of your breast scars while they heal and fade.

It is advised to avoid driving for around 10-15 days although this can depend on surgeon preference. Sleeping prone (face down), raising the arms above the shoulders, and performing excessive heavy lifting must also be avoided

Results are long-lasting but influenced by aging, tissue quality, weight changes, and pregnancy. Implants typically last 10-15 years, and future surgery may be required for maintenance. Breast aging continues but from a more lifted and reshaped starting point.

Mammograms and other breast scans can be performed once you have healed, but you should notify the radiographer of your implants and surgery.

Please note: Individual results vary from patient to patient due to factors such as age, skin quality, body type, and overall health. To understand what results you can expect, consult with a qualified aesthetic plastic surgeon.