We are all our own worst critics, but you have the right to undergo surgery to create the look you envision, and restore your confidence in your figure, ready to show it off in swimsuits, plunging necklines, or in intimate moments. You are worth it!

Your breasts and your confidence

Perky, youthful breasts are an attractive feature. Over time, due to pregnancy, breastfeeding, or just normal aging, the breasts may lose volume and sag. In some women, the nipple itself can get lower and even point downward. With a breast augmentation and lift, you can restore your breasts to appear youthful, naturally full, and lifted. The nipple can be rotated up so that it is centered on a plump, reshaped breast mound. This is one of our most commonly performed surgeries.

Why choose us?

You are a unique individual, and our team of talented plastic surgeons and support staff is focused on ensuring your safety, comfort, and confidence – and achieving results that bring you greater joy and confidence. Your journey to a more aesthetic figure will be under the care of our close-knit group of physicians, nurses, aestheticians, and support staff. We are focused on delivering the highest level of care and support. We perform every breast lift with augmentation with the care we would provide to our own family members, and with honesty and integrity. Our board-certified plastic surgeons bring years of experience to this procedure, focused on bringing you happiness, relief, resolving any negative self-image issues, and confidence restored.

Do I need a breast lift with augmentation?

Over time, you may develop stretched chest skin, with your breasts sitting lower on the chest wall, and are considering a breast lift. A breast lift does not increase breast volume, but lifts the breasts on the chest, and reshapes the breast tissue. It is common for us to remove some of the breast tissue in the lower pole that would weigh down the breast in the future. This often allows us to place a conservative size implant that is not too heavy. The nipple structure can be moved to be on the center of the restored breast mound. Adding the implant will help provide fullness in the upper pole and cleavage area. Combining the two often allows women to wear certain tops and dresses and not need a bra.

Internal Bra

In some cases, an internal absorbable surgical mesh is placed to support the breasts in their new location. The mesh is not permanent and does not harm the breast tissue. For more volume, implants can enhance breast size to provide fullness to the upper breast. The addition of the internal bra in particular helps support the added weight of the implant so that the breast does not start stretching back to its previous position. The mesh provides great short-term results, but most importantly gives longevity to the new breast shape. If implants are not placed with a lift, they can be added later if more volume and fullness is desired.

 Our board-certified plastic surgeons at Austin Plastic Surgery Institute can provide you with a private consultation in their office to see what type of augmentation and/or lift surgery would best serve your aesthetic goals. If you have lost volume in your breast from a significant weight loss or left with drooping breasts post-baby, our plastic surgeons can perform a breast augmentation with a lift in tandem. Contact our Austin, Texas practice today to learn more about all our breast enhancement operations and create a treatment plan based on your specific needs.

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How does a breast lift with augmentation work?

During a breast lift with augmentation, the pocket is made for the implant, followed by the lifting surgery. The size of the implant can’t be too large, to avoid excessive weight pulling the repositioned breast which could cause asymmetry and malposition. A new opening is created to reposition the nipple areolar complex. The nipple remains connected to the breast tissue to preserve its blood supply and sensation. For excessively large areolas, the diameter is made smaller so that it will be proportionate with the breast.

Breast lift incisions

Breast lifts are performed with varying incision patterns. Some common incision patterns include:

Donut

Incisions around the areola (called circumareolar, or Benelli lift) is rarely used as it can result in a flattening of the breast and a widening of the areolas.

Lollipop

A “circumvertical, “short scar,” or “lollipop” pattern results in a closure around the areola and a  vertical closure down the breast to the natural fold below the breast. These scars heal very well and preserve round, youthful breast shape. In some cases, a small horizontal incision is made in the crease of the breast.

Anchor

Full circumareolar, vertical, and horizontal incision (referred to as anchor, inverted “T”, or Wise pattern) is used where there is more skin laxity or a very low nipple position.

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Breast augmentation

Breast augmentation with a lift can be performed as a single procedure. Rarely, two separate procedures could be needed. The surgical “pocket” for the implant is created, followed by the lift, which will be based on the current breast condition. If you have chosen to have an augmentation with lift, the  implant will be placed during the lift procedure, typically placed beneath the pectoralis muscle. This brings additional support to the breast and works like an internal bra, for a more stable, long-lasting enhancement.

What is the surgery?

Breast augmentation with a lift is performed under general anesthesia in an accredited surgical facility. Because this is a combination surgery, the recovery time can last a bit longer than a lift or augmentation alone. Most patients return to work within a few short days, but exercise and aerobic activities must be avoided for four to six weeks. It will take a few months for the breasts to settle fully into their new position and assume a soft, natural look. Women who have lived with sagging, deflated breasts are thrilled to be living with youthful, lifted breasts!

Breast augmentation with lift FAQ

Will implants help sagging?

Breast augmentation enhances breast size but does not treat extensive sagging. If there is moderate to severe sagging, be leery of any surgeon who recommends augmentation with large implants to resolve the appearance of the breasts. Patients who are happy with their natural breast size but want to correct the sagging, can undergo a breast lift procedure without placing implants. Our surgeons may place internal surgical mesh to create the most beautiful, stable shape. The mesh is absorbable and is not permanent.

Which incision is best?

During your consultation, the incision placement will be discussed after your breasts have been thoroughly assessed. Women with mild sagging are typically candidates for a “lollipop” incision pattern. Larger breasts, or severely sagging breasts may be best treated with the anchor-shaped incision to create the most ideal outcome.

Long-lasting results?

Breast lifts are designed to last a very long time. If you maintain a healthy weight and do not get pregnant, the results are long-lasting. With time, aging skin and gravity may cause some natural sagging many years in the future and may inspire you to undergo a revision if you so choose.

What about scarring?

Unlike breast augmentation alone where the incisions are hidden in the breast crease, it is harder to conceal the incisions from a breast lift procedure, although they are carefully placed and will not be visible, even in a plunging bikini top or neckline. The scars fade very well, eventually appearing as a fine white line. Every effort is made during surgery to minimize scarring by not placing too large an implant and minimizing tension on closing incisions. With proper scar care and an avoidance of sun exposure, the scars will fade and become thinner over time. Most women feel that the beauty of the results far outweigh the scarring left behind.

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