For many women, the desire for fuller, uplifted breasts goes hand in hand with the need to restore youthful perkiness and shape. In such cases, a combined mastopexy (breast lift) and breast augmentation procedure can be a transformative solution. This comprehensive guide will provide you with essential information about this surgical option, its procedural details, considerations, and alternatives.

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Procedural Details and Considerations

A combined mastopexy and breast augmentation procedure is designed to address two primary concerns simultaneously: breast sagging and insufficient volume. Here’s how it typically works:

1. Markings: Immediately before the surgery in the pre-op area, Dr. Powers will create markings for incisions to remove excess skin and reshape breast tissue, as in a mastopexy. Common incision patterns include periareolar (around the areola), vertical (lollipop-shaped), and anchor-shaped (full or Wise pattern). These incisions are also used to place breast implants.

2. Breast Lift: During surgery, Dr. Powers will use these incision patterns to lift and reshape the underlying breast tissue to achieve a more youthful contour. If necessary, they will reposition the nipple and areola to a higher location for a balanced appearance.

3. Breast Augmentation: Implants, filled with saline or silicone gel, are inserted through the same incisions to add volume and achieve the desired breast size and shape. The implant will go in a “dual-plane” under the pectoralis muscle and breast tissue. The choice of implant type and size is discussed with your surgeon during the consultation.

4. Combined Benefits: This procedure not only restores youthful contours but also enhances breast size, providing a comprehensive aesthetic result.

Broader Considerations of Risks and Alternatives to Surgery

Before opting for a combined mastopexy and breast augmentation, it’s essential to consider the broader aspects:

1. Alternatives: Depending on your goals, you may explore alternatives such breast fat transfer, breast augmentation with implants, or stand-alone mastopexy. Your plastic surgeon can help you decide which approach aligns best with your objectives.

2. Risks: As with any surgical procedure, there are risks involved, including infection, scarring, changes in nipple sensation, or implant-related complications. It’s vital to have a thorough discussion with your surgeon about these potential risks and how they will be managed.

3. Recovery: The recovery process may be longer and more involved than for single procedures. Be prepared for an initial period of reduced physical activity and follow your surgeon’s post-operative care instructions diligently.


Choosing to undergo a combined mastopexy and breast augmentation is a significant decision, one that should be made with the guidance of a board-certified plastic surgeon. These professionals have the expertise to assess your unique needs, discuss your goals, and determine the most suitable approach for your desired outcome.

By partnering with a skilled surgeon, you can achieve the best possible results while minimizing potential risks and complications. Your journey towards rejuvenated, beautifully augmented breasts begins with a consultation – don’t hesitate to reach out to a board-certified plastic surgeon to explore your options and embark on this transformative experience.