Breast Procedures » Breast Augmentation Combined with Breast Lift

Breast Augmentation Combined with Breast Lift a.k.a. Augmentation Mastopexy 

Even politically correct Seattle has a Victoria’s Secret in every mall so it is no wonder that some women desire a change in both the size and shape of their breasts. Many of these women have had atrophy and sagging of the breast following childbearing and breast feeding or have lost a substantial amount of weight. There are also some developmental abnormalities of the breast that can result in a small and saggy breast in a young woman. A breast lift combined with a breast augmentation can restore the fullness and shape of the breasts.

Quick facts:

  • Costs:  $14,500 – $16,000 depending on the extent and length of surgery and the type of lift done and the type of implants used.  This includes surgeon’s fee, facility fee, implants, post-op bra and Cosmetassure.  This is current at of May 2019 and is subject to change.  If I use surgical scaffolding to help maintain breast shape and/or implant position, the cost would increase $3,00 – $4,000, 
  • Post-operative pain:  moderate.
  • Time off work or school: 1 week.
  • Time off driving:  5 – 7 days or once you are off narcotic pain meds.
  • Time off the gym:  4 weeks.
  • Time off the slopes:  6 weeks.
  • Time off the kite board: 8 weeks.
  • How long an augmentation mastopexy lasts:  10 – 20 years or until you have another baby and/or a significant weight change.
  • Patient satisfaction:  high

And here’s the fine print:

Breast implants can be placed at the same time as a breast lift and through the breast lift incision. Patients who have a lot of extra skin and resultant sagging of the breast usually need a full breast lift which leaves scars around the nipple and on the lower part of the breast.   Patients with just a little sagging can often be treated with just a periareolar lift which leaves a scar just around the aerola.

Breast augmentation done at the same time as a full breast lift is a tricky operation and the revision rate for this particular combination is fairly high. The issue is one of opposing forces. The implants put pressure on the breast tissue and skin to stretch out but the lift wants the breast skin to tighten. I used to recommend doing either the lift first and then doing the augmentation 3 months later but an article in one of my plastic surgeon journals changed my approach.  The authors had done a bajillion of these operations and they critically looked at his revision rate for implants and lift done at the same time and found it to be not a lot higher than doing the procedure using two separate operations.  PRS article on augmentation mastopexy. Patients having this procedure need to accept that the breasts may need a revision to get the nicest result.  And no, revisions are not done free of charge.

At the time of initial consultation, I examine the patient and determine which procedure(s) I recommend.  I perform this procedure in my AAAASF certified Seattle office operating room or at Seattle Surgery Center which is located a block away from office building. Patients go home the same day of surgery and usually take 1-2 weeks off of work. Most patients can return to most activities at one month. The scars usually fade with time so they are not very conspicuous.

To schedule a consultation with me, please call 206 467-1101.

Interested in an out-of-town consultation?

Check out my blog on this topic.