For women who have lost breast volume or noticed sagging from childbearing, aging, or weight loss, combining a breast lift with augmentation can create stunning, natural results. At Esprit® Cosmetic Surgeons in Portland, OR we specialize in combination procedures to restore both shape and fullness.
Though a well-placed implant can sometimes provide a mild lift, most women with significant sagging benefit most from a combined procedure. In this approach, an implant enhances volume, improves proportion, and adds upper breast fullness, while a lift repositions the breast, elevates the areolas, and removes extra skin for a rejuvenated, youthful look.
Vertical Breast Lift and Augmentation: Here is the vertical breast lift and augmentation with implants. The scar is around the areola and down the center of the breast in the shape of a lollipop.
Breast Lift And Breast Augmentation Options
When combining a lift with augmentation, several techniques can be used—like those for a lift on its own. Options include areolar, vertical, and inverted-T lifts, each tailored to create the ideal breast shape and balance.
Areolar Lift And Augmentation
Ideal for women needing a modest lift with added fullness, the circumareolar (or “donut”) lift repositions the areola. First, the breast is augmented through an incision in the crease, then a gentle lift reduces the areola and repositions it using a purse-string suture technique. This approach is perfect for subtle improvement where only a small amount of excess skin needs to be addressed.
The inverted “T” breast lift results in removal of skin from around the areola, down the center of the breast, and from the lower portion of the breast. The areola remains attached to the breast tissue. This technique is used in moderate to severe cases of breast ptosis.
Vertical Breast Lift And Augmentation
This technique is best for women seeking volume enhancement with mild to moderate sagging. A central vertical, keyhole incision allows us to remove excess skin and place an implant, while the deep tissue is sutured to shape the breast. The areola is then repositioned for an elevated, natural look—there is a final lollipop scar.
Full Breast Lift and Implants
For women with marked skin excess—especially in the lower breast—a full breast lift combined with implants provides a powerful transformation. Excess skin is removed, and the implant is inserted through a deeper incision. The breast tissue is then sutured to sculpt the ideal contour, and the areola is repositioned. The result is an anchor or inverted “T” scar that is carefully tailored to your breast’s unique needs
Staged Breast Lift And Breast Augmentation
In some cases, a staged approach is best. With this method, one procedure is completed first—either a lift or an augmentation—then, after 3–6 months, the second procedure is performed if desired. This approach suits women with mild sagging or asymmetry who prefer to assess the changes gradually. For most patients desiring both a lift and implants, however, combining the procedures into a single operation is usually preferred. We will discuss every option with you during your consultation.
Breast Lift Combined with Fat Grafting
For those who desire more upper-breast fullness without the significant volume increase from implants, fat grafting is an excellent option. After completing the mastopexy, we perform liposuction to gently harvest fat from natural donor sites like your abdomen or thighs. This fat is then meticulously injected into the upper portion of the breasts, enhancing cleavage and creating a natural, sculpted look. Dr. Connall’s expertise in fat grafting has helped many patients achieve beautifully balanced results.
Each technique is customized to your unique anatomy and aesthetic goals so that you achieve the most natural and satisfying outcome. Let us guide you through your options to create a look that truly reflects your inner and outer beauty.
If you are have breast ptosis, a breast lift and augmentation may be right for you! Contact Esprit® Cosmetic Surgeons in Portland for more information or to schedule a consultation online or at (503) 783-0544.
