Breast Lift and Augmentation: Complete Procedure Guide

Date
September 29, 2025

Combining a breast lift with augmentation is a popular surgical option for those looking to improve shape and volume at the same time. This combination allows the patient to obtain a firmer contour and a larger size in a single surgery, reducing recovery times and natural results. The technique involves lifting sagging skin and placing implants to restore or increase volume, adapted to the needs of each person.

After the operation, the patient must follow specific care to facilitate recovery and maintain the achieved shape. Checks are common and complementary procedures such as liposuction or fillers can be added to perfect the final result.

Knowing what to expect and how to prepare helps make the process comfortable and safe for the patient.

Key points

  • Combined surgery offers improved shape and volume with a single procedure.
  • Success depends on precise technique and clear communication with the surgeon.
  • Recovery involves additional care and possible treatments to optimize results.

Combining a lift and breast augmentation

Definition and objectives

This technique combines two procedures: mastopexy or breast lift and the placement of breast implants. Mastopexy corrects sagging or ptosis, repositioning the tissue and areola to a taller, more youthful line. On the other hand, breast augmentation adds volume with silicone or saline implants.

The main objective is to balance shape and size. While mastopexy improves firmness and position, augmentation achieves the desired projection and volume. It is performed in a single surgery to optimize recovery times and aesthetic results.

Ideal candidates

The best candidates are women with moderate to severe breast ptosis and who want to increase breast volume. This includes those who have lost firmness and size after pregnancy, breastfeeding, or significant weight loss.

They are also suitable for patients who want to correct sagging breasts with sagging tissues and who require a comprehensive solution.

However, not all patients need this combination. Women with sagging breasts but good volume can only choose mastopexy, while those who only want augmentation without repositioning can choose only implants.

Detailed medical and aesthetic evaluation is key to determining the best surgical plan.

Details of the breast augmentation and lift procedure

This procedure requires careful planning to achieve symmetry and a natural result. The choice of technique and type of implant is key to a successful and safe outcome.

Surgical techniques for mastopexy with augmentation

In mastopexy with augmentation, the tissue is first lifted to lift and shape the sagging breast. Then, an implant is placed to increase volume. Common incisions include periareolar, vertical and “inverted T” incisions.

The method chosen depends on the amount of excess skin and the shape of the breast. The surgery combines the removal of excess skin with the placement of the implant behind the muscle or breast tissue. This allows the breast to be lifted and firm while increasing its size.

Recovery and Expectations After Combined Surgery

Recovery after combined breast lift and breast augmentation surgery requires care and close monitoring. Changes in breast shape are visible after a short time, but the final appearance stabilizes over time. There are also specific risks associated with this surgical combination.

Recovery process

After surgery, the patient usually experiences moderate swelling and discomfort that can last for several weeks. The plastic surgeon recommends the use of a special support to maintain the position of the implant and the lift.

Rest is essential for the first two weeks. Intense physical activities should be avoided for at least one month to prevent travel or damage. Appointments with the plastic surgeon are necessary to monitor healing and detect possible complications early.

In some cases, physical therapy is recommended to improve arm mobility and relieve tension in the operated area. Most patients can return to work in two or three weeks if the activity is not physical.

Expected results and changes in breast shape

Some swelling or mild asymmetry is normal at first, but these changes usually resolve within the first 3 to 6 months. The scar may be noticeable initially, but it fades over time thanks to the plastic surgeon's technique.

Patients who combine these techniques usually report high satisfaction in achieving both functional and aesthetic improvements. The implant and the lift together offer an optimal balance between volume and shape.

Possible risks and complications

As with any plastic surgery, there are risks such as infections, bleeding or poor healing. In combination surgery, in addition, there may be capsular displacement or contracture around the implant.

Other problems include altered nipple sensitivity, persistent asymmetries, or tissue necrosis when not receiving enough irrigation. Patients who smoke or have medical conditions may be at greater risk.

The plastic surgeon carefully evaluates each case to adjust the technique and minimize complications. Clear communication and observation in the postoperative period are key to intervening quickly if any problems arise.

Complementary procedures and consultation with the plastic surgeon

The combination of a breast lift with augmentation often includes other cosmetic procedures to improve body contour. Detailed consultation with a certified plastic surgeon is essential to establish a clear and safe plan.

Combination with liposuction and tummy tuck

It is common to combine mastopexy with Liposuction or Abdominoplasty to achieve a balanced contour. Liposuction can remove localized fat in areas such as the abdomen or flanks, while tummy tuck (Tummy Tuck) removes excess skin and strengthens the abdominal muscles.

This combination helps to improve the overall silhouette, especially after weight loss or pregnancy. However, the plastic surgeon must carefully evaluate the patient's health status to avoid additional surgical risks.

In some cases, these procedures are performed in a single surgery to reduce recovery time and costs, as long as it is safe for the patient.

The importance of consulting with Dr. Abel Salazar

Before any procedure, Dr. Abel Salazar believes that the initial consultation is the most important step. During this evaluation, it analyzes the patient's medical history, expectations and any possible risk factors in detail. This thorough care allows us to design a safe and realistic surgical plan.

In the consultation, Dr. Salazar clearly explains the available techniques, recovery times and post-operative care. Their communication style is close and honest, building trust and ensuring that each patient makes informed decisions about their surgery. Thanks to this transparent approach, risks are minimized and the satisfaction with the results.

Personalized surgical plans for safe and natural results

Every patient is unique, and that's why Dr. Salazar designs individualized surgical plans. By combining procedures such as breast lift and augmentation, liposuction or tummy tuck, it evaluates key factors such as skin quality, desired volume, anatomy and general health.

Dr. Salazar precisely defines details such as the size of the implant, the location of the incisions and the sequence of the procedures to ensure that the final result is harmonious and safe. Its priority is to balance aesthetics and well-being, respecting the body's natural limits and planning appropriate recovery times.

This careful approach not only reduces risks of complications, but also guarantees long-lasting and proportional results that reflect the artistic and technical vision of Dr. Abel Salazar.

Frequently Asked Questions

How is the recovery process week by week after a breast lift with augmentation?

The first week requires rest, with constant use of a post-surgical bra. Mild to moderate swelling and discomfort can be expected. In the second and third week, the swelling decreases and light activities can be resumed. After a month, most people return to their normal routine, avoiding strenuous efforts.

What are the main differences between breast lifts with and without implants?

Lifting without implants only improves the shape and position of the breast. Augmentation with implants adds volume and changes the shape more markedly. The combination treats size and sagging, providing a more complete result in cases of sagging and empty breasts.

How much pain can you expect after combined breast lift surgery with implants?

Pain is usually moderate and manageable with prescription medications. Patients may feel tension and tenderness in the operated area for the first few days. After a week or two, the discomfort decreases significantly.

What long-term results can be expected with a breast lift and breast augmentation?

The results include increased breast firmness, lift and volume. Surgery can maintain its effect for many years, although factors such as age and weight changes can affect appearance over time. Sometimes, retouching or implant changes are required.

Dr. Abel Salazar
Dr. Abel Salazar
Plastic Surgeon