Mastopexy with augmentation (Breast augmentation with a lift) is the combination of two cosmetic procedures designed to enhance the size, shape, and position of the breasts simultaneously. At Aesthetic Enhancements Plastic Surgery, board-certified Plastic Surgeon Dr. Armando Soto offers many variations of this procedure to patients who desire both an increase in volume and improvement in shape and/or position of the breasts. During this surgery, implants are used to increase volume and the breast tissue and skin are re-shaped to create a more attractive and youthful shape, firmness and size. Aging, pregnancy, and weight loss are common natural factors that cause the breasts to sag and lose volume over time. As such, and because this is an area of particular expertise for Dr. Soto, this is one of the more common procedures patients seek to see him for.
The details of your procedure will depend on your preoperative examination, your goals, history, and Dr. Soto's recommendations. Generally speaking, the procedure will involve some combination of breast tissue re-shaping and repositioning (in order to achieve a more attractive and youthful appearance) with placement of an implant or fat for enhanced and targeted volume.
Breast Lift Incision
All breast lift procedures will require incisions in order to reposition the breast and nipple, and remove excess skin. The ideal breast lift for you is one that is safe, and results in a beautiful shape approximating your goals. This, in turn, will depend on your starting anatomy and your goals for the final appearance of your breasts. Breast lift incisions are usually some combination of one or more component incisions:
- An incision made along the borderline of the areola and the breast skin;
- An incision made vertically from the lower border of the areola downward to the natural crease below the breast (similar to a lollipop); and,
- An incision made along the natural crease below the breast.
It is important to understand that not all incision patterns would be appropriate for all patients. Each incision pattern will alter the breast in a predictable and well-defined manner; therefore the choice of the wrong incision pattern introduces a much greater risk that you are unhappy with the shape of your breasts. Conversely, choosing the correct incision pattern for your starting anatomy given your goals will greatly increase the odds that you are very pleased with the outcome of your surgery. This is where you will greatly benefit from Dr. Soto's extensive training and experience in breast surgery.
Breast augmentation is one of the most common procedures performed in plastic surgery. Patients can choose between a silicone implant and one that is filled with saline. The type of implant chosen depends on the patient’s aesthetic goals and their examination.
Breast Augmentation with Lift Reviews
"Awesome Experience - Orlando, FL - Dr. Soto and his staff are always approachable with any questions I have. I loved the results of my breast augmentation and lift immediately after the surgery but when I finally put on my fitted shirts I was ecstatic!! For the first time in years I loved the way I looked. I am so glad I took the referral of a friend and came to see him. I could not have asked for a better outcome."- L. / RealSelf / Feb 06, 2014
"Outstanding Doctor - I cannot say enough good things about Dr. Soto's surgical skills and expertise . I interviewed five surgeons before deciding on Dr. Soto for a breast augmentation and lift. After two pregnancies and breast feeding my breasts were deflated and saggy. Dr. Soto performed a breast lift and augmentation with precision, transforming my breasts to their pre-pregnancy state. Additionally he was able to do so with minimal scarring. Overall he is an amazing surgeon that I trust and whole heartedly recommend."- A. / UCompareHealthcare / Aug 22, 2016
"Pleased With The Outcome – I had a tummy tuck with lipo and a breast lift with augmentation. I am very pleased with the results. I suggest if anyone chooses this type of extensive surgery to stay the night! It makes the pain more manageable and the staff is awesome. Everyone at Dr. Soto's office is sweet, understanding and knowledgeable. Dr. Soto is a great doctor and does everything in his ability to make you look your best. - Diva Padilla, Orlando, FL"- D. / Citysearch / Aug 17, 2011
"My experience with Dr. Armando Soto and his staff has been amazing! From the moment you walk in, you are treated by smiling faces, and his nurses are sweet, energetic, but most importantly helpful and knowledgable. During pre-op and my consultation, Dr. Soto answered all my questions and made me feel confident in my decision. My breast augmentation with lift on one side turned out fantastic! I could not be happier with the results. After having a baby, your body is not the same but now I feel happier and more confident with my new breasts. I cannot wait to wear the shirts and bikinis I have always wanted to wear and it's all thanks to Dr. Soto. I highly recommend him and look forward to coming back for more procedures."- Anonymous / Vitals / Jul 30, 2015
"I highly recommend Dr. Soto for a breast augmentation and lift. After having a baby and breast feeding combined with a previous breast augmentation by another Doctor, my breasts were a bit lopsided and not the size I wanted. Dr. Soto did an amazing job correcting the unevenness of my breasts and lifted them where they should be. They look very natural (he used silicon implants) and they are the perfect size for my body. Dr. Soto's personality and bedside manner are perfect for his profession. He listens a lot and explains everything he is going to do and why. His office staff is professional and the nurse I had for my procedure, Amanda, was so sweet and took excellent care of me before and after surgery."- Anonymous / Vitals / Sep 07, 2017
This surgery is an outpatient procedure and is performed in our on-site, internationally accredited surgical facility. General anesthesia is used. Following the procedure, patients will need to limit upper body movement, especially in the chest area for approximately 48 hours. Recovery is very similar to a breast augmentation, and the benefits are seen early after surgery, although final results will require 6 weeks to 3months. This is the time period it takes for the implants to settle in their new position.
Plan Your Procedure
- Procedure Recovery Location
Breast Aug With Lift FAQs
Implants For Breast Sag?
Implants will surely help increase breast size, and in rare situations may be all that is needed to correct very minor sagging or deflation. However, a breast lift of some kind (Dr. Soto performs the full spectrum of described procedures for breast enhancement) will most likely be necessary if your breasts show true sagging. Breast sag is caused by overstretched skin and connective tissue that has lost its elasticity due to natural conditions such as pregnancy, weight loss, and/or aging. Placing an implant does not correct the breast shape and position that results from these life events, and in fact, it could make it worse by adding weight to a breast that has already exceeded the ability of the skin to support it. A lift corrects any sagging to create a tighter, more youthful breast appearance.
Breast lifts can last for many years, especially when patients adhere to a healthy lifestyle. Any significant weight gain or additional pregnancies could compromise the results of the surgery. This is why it is recommended to have this type of surgery when the patient is at or near their goal weight and does not plan to become pregnant in the future. As for breast implants, while they may not last a lifetime, they are manufactured to last up to an average of 10-15 years or longer.
While it is not possible to achieve the appearance of a lifted breast without undergoing a breast lift, and all breast lift techniques necessarily result in scars, with proper attention to the postoperative care of your scars as recommended by Dr. Soto, it is very likely you will be surprised by the inconspicuous appearance your scars achieve over time. The incisions made during a breast lift are patterned to best meet the aesthetic needs and goals of the patient. The good news is that over time and with proper scar care, they do fade and become barely noticeable. Most women find that their new shape and beautiful figure are well-worth the scars.