Breast Augmentation and Lift (Augmentation / Mastopexy)


A mastopexy, or breast lift, with breast augmentation is a combination procedure that lifts sagging breasts while also increasing their cup size. Aside from improving the size and overall appearance of the breasts, a mastopexy with implants benefits patients by keeping breasts firm and perky for many years. Gravity does not have the same effect on implants that it does on natural breast tissue, so implants retain their height and shape more easily.

Candidates for Breast Augmentation and Breast Lift

If you have sagging breasts and a loss of fullness in the top portion of your breasts, you are likely a good candidate for a combined breast augmentation and mastopexy procedure. Also, women with anatomy consistent with tuberous breast deformity are good candidates for augmentation with breast lift. Common findings with tuberous breast deformity are the following: ptosis or breast droop, herniation of breast tissue through the areola making it appear large, and breast base constriction).

Like the rest of the skin and tissue of the body, the breasts sag with age. As we age, the structures that support the breast become stretched and weaker. This sagging can be intensified by pregnancy, genetics, stretch marks, and weight gain or loss. Many women seeking a breast lift with implants want to regain the full, perky breasts that they had as teenagers, while also increasing the size of the breast.

Breast implants will add to the overall results of the breast lift procedure by lifting the breast and increasing cup size in a single step. Many women also benefit from the combined mastopexy and implant procedure because it extends the results of a breast lift. Gravity, pregnancy and changes in weight can all cause breasts to sag, even after breast lift surgery. Implants, however, are less affected by gravity than human breast tissue is. When you undergo the breast augmentation and mastopexy procedure, your breasts will typically remain full and perky for a longer period of time, and may not require future procedures.

The procedure

The combination breast augmentation and mastopexy procedure is performed using methods similar to those of a standard mastopexy, only with the insertion of an implant into the breast beneath the pectoral muscle or mammary gland. Dr. Walden will first make an incision to remove the excess skin that causes your breasts to sag.

Before your surgery, Dr. Walden will discuss with you the type of incision she will make. Three common types of incisions used in breast lifts include: a circular incision around the areola (usually in tuberous breast deformity); a lollipop-shaped incision that circles the areola and then travels down to the breast crease; and a lollipop-shaped incision with an additional semi-circular incision along the breast crease (the incisions form the shape of an anchor), which is the standard method of breast lift. The type of incision used depends on your breast shape and size. The implants will then be inserted and the incisions closed.


The same complications may occur in joint breast augmentation and mastopexy that may occur when the procedures are performed separately. As in separate breast augmentation and mastopexy surgeries, however, complications are rare and usually minimal. Dr. Walden performs all of her operations with great care and precision, ensuring that her patients can enjoy a quick and healthy recovery, with a very low risk of complication.

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