A breast augmentation with lift is a combination cosmetic surgery that simultaneously enlarges the breasts and raises their profile on the chest. Many women who are dissatisfied with the size of their breasts are also unhappy with their position. Breast shape and projection can also shift significantly due to age-related tissue changes and breastfeeding. As such, a breast augmentation with mastopexy, the formal name for a breast lift, is the perfect cosmetic solution. Michelle Cabret, MD is a leading cosmetic surgeon in the Austin area and regularly performs combination augmentation-lift breast procedures.
Gravity affects our entire body. Unfortunately, that includes our breasts too. When we’re younger, the skin and underlying mammary tissues are able to support the breasts well. However, over time, physiological changes can cause them to sag. Nipples may not project as intended, and we may feel as though our breasts feel somewhat deflated, especially after we’ve had children. A combined breast augmentation and mastopexy procedure can restore the breasts to their most flattering position and reshape them using the highest quality silicone implants.
Dr. Cabret uses her years of medical training and meticulous surgical skills to help her patients look their best, feel more confident, and shape their bodies to their dream aesthetic. If you have been searching for an effective two-in-one procedure to enhance your breasts, look no further! To schedule an appointment with Dr. Cabret to discuss your breast augmentation with lift, call our Austin office at (512) 688-8000.
Changes in the Breasts
Weight loss, pregnancy, breastfeeding and the effects of aging can change the appearance of the breasts. Many women notice the most significant changes happen after having a baby. During pregnancy, anatomical and physiological changes caused by hormone fluctuations signal the breasts to start producing milk, the areolas to darken, and the breasts to increase in size.(1) But after lactation, the subsequent hormone changes can cause the breasts to lose their structural integrity, resulting in a loss of breast volume and ptosis, or sagging. The youthful shape and contour of the breast is affected by the location of the nipple–areolar complex (NAC). When the NAC is lower on the breast, this creates a drooping, downward-pointing appearance, especially without bra support. A combined breast augmentation and mastopexy can restore the youthful appearance of the breasts, increase their size, and reduce the size of and transfer the NAC to a more aesthetically pleasing position on the chest.(2)
Patients from many different backgrounds get breast augmentation surgery to help with their self-image or esteem. In fact, the vast majority of patients who had the surgery would undergo it again. (3) It may be an elective cosmetic procedure or a reconstructive treatment. That’s why it’s one of the most popular and commonly performed surgeries in the United States.
Surrounding the nipple is a darker area of skin, the areola. Breasts come in all shapes and sizes, with some women experiencing larger-than-average areolas, sagging nipples, asymmetrical breasts, and constricted, or tuberous breasts. The internal breast tissue is composed of milk glands and ducts surrounded by adipose tissue (fat). These ducts allow milk to flow out of the nipple during breastfeeding.
The anatomy of the breast is mapped in a unique way. The breast mound itself is divided into two poles, or hemispheres. The area known as the upper pole is located above the nipple, and can be traced at an angle from the suprasternal notch (the very top of the sternum) to the nipple. The lower pole is the area of higher fat density and mammary tissue below the nipple to the area where the lower breast meets the chest wall, the inframammary fold.
Measuring the Breasts
Breast size can be measured in a number of ways, including intermammary distance, suprasternal notch to nipple (SSN) distance in the upper pole, and nipple to inframammary fold distance in the lower pole and projection of the breast. (4) At your individual consultation with Dr. Michelle, she will take the necessary measurements of your breasts to determine the best course of action for your treatment.
Mastopexies are in the top five surgeries offered by members of the American Society for Aesthetic Plastic Surgery (ASAPS). According to their data, breast lifts saw a sevenfold increase in popularity from 1997 to 2016. (5) Breast lift surgery is sought by many women who want more defined breast projection and a more youthful breast profile.
Breast ptosis can be distressing and lead to feelings of self-consciousness. It is measured on a graded visual scale:
- Grade 1: Mild Sagging
- Grade 2: Moderate Sagging
- Grade 3: Significant Sagging
There are also area and shape-specific classifications:
- Pseudoptosis: Lower Breast Sagging
- Parenchymal Maldistribution (Atypically-Shaped Breasts)
Dr. Michelle will assess the degree of sagging in your breasts. She will then combine this information with your desired breast implant size to formulate your tailored augmentation with lift treatment plan.
Candidates for Breast Augmentation with Lift
Women who are dissatisfied with the shape and profile of their breasts may consider a breast augmentation with mastopexy. Though it’s an effective treatment for many patients, it is not suitable for everybody. Contraindications for this type of procedure include:
Personal Consultation with Dr. Michelle
Dr. Cabret collaborates with her patients one-on-one to determine the ideal size and profile of their breasts. At your consultation, she will ask you to provide your medical history and perform a breast examination. You can tell her what you’d like to change about your breasts and discuss your implant size options. Dr. Cabret only uses silicone implants for combined augmentation-lift procedures. You will also discuss the mastopexy procedure to plan the most aesthetic profile for your breasts. This meeting is an opportunity to find out more about this multifaceted procedure, so feel free to ask questions!
Prior to your breast augmentation with lift, we will give you some important instructions to follow. One of these instructions will be to begin taking oral antibiotics the day before your procedure. This is a 10 day course of medication which you will need to take every day as a precautionary measure to prevent infection.
On the day of your surgery Dr. Cabret will carefully mark the planned area of relocation for the NAC, as well as making additional guidelines for lower breast incisions. You will be placed under general anesthesia for your procedure. The anchor-like shape this mastopexy technique creates is made with incisions that follow the contour of the areola, down the lower pole of the breast toward the inframammary fold, and across the lower contour of the breast along the fold. After these incisions are made and the inner tissues manipulated, she will carefully insert your chosen implant underneath a section of the pectoralis muscle, known as a subpectoral placement. Once she has made the necessary adjustments to the tissue, the NAC is repositioned to the most aesthetically desirable position on the breast mound. The procedure concludes with the closing and suturing of the incision sites.
Patients who undergo breast augmentation with mastopexy will need to take some time off work to recover from their procedure. Unlike some other cosmetic surgeries, no drains are placed. However, patients are required to wear a surgical bra for 3 months. Dr. Cabret will prescribe pain medication for your comfort, in which most patients feel they no longer need after 72 hours.
Due to the nature of the surgery, and the distortion of the true breast appearance from swelling, the breasts will appear high on the chest at first. This will resolve and the breast’s position will settle after 4-6 weeks, depending on the individual. Dr. Cabret stresses the importance of rest and avoiding activities that could cause overexertion. Patients must avoid heavy lifting over 10 pounds until directed otherwise. After two weeks, patients can resume light physical activity. There will be some areolar scarring and a vertical line will be visible on the lower breast, however, these scars will be minimized as much as possible.
Cost of a Breast Augmentation with Lift in Austin, TX
Your breast augmentation with lift procedure will require a treatment plan tailored to your unique needs, so costs will vary. We will provide an estimate for your procedure after your personal consultation. To book an appointment to discuss aesthetic improvements you wish to make to your breasts, please contact Dr. Cabret’s Austin location at your earliest convenience. Call (512) 688-8000, or schedule with us online.
- Alex, A., Bhandary, E., & McGuire, K. P. (2020). Anatomy and Physiology of the Breast during Pregnancy and Lactation. Advances in Experimental Medicine and Biology, 1252, 3–7. https://doi.org/10.1007/978-3-030-41596-9_1
- Ramanadham, S. R., & Rose Johnson, A. (2020). Breast Lift with and without Implant: A Synopsis and Primer for the Plastic Surgeon. Plastic and Reconstructive Surgery. Global Open, 8(10), e3057. https://doi.org/10.1097/GOX.0000000000003057
- Fardo, D., Sequeira Campos, M., & Pensler, J. M. (2022). Breast Augmentation. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK482206/#:~:text=Breast%20augmentation%20is%20a%20surgicaln
- Machida, Y., & Nakadate, M. (2015). Breast Shape Change Associated with Aging: A Study Using Prone Breast Magnetic Resonance Imaging. Plastic and Reconstructive Surgery Global Open, 3(6), e413. https://doi.org/10.1097/GOX.0000000000000289
- Qureshi, A. A., Myckatyn, T. M., & Tenenbaum, M. M. (2018). Mastopexy and Mastopexy-Augmentation. Aesthetic Surgery Journal, 38(4), 374–384. https://doi.org/10.1093/asj/sjx181