Breast Augmentation Mastopexy.

Introduction to Breast Augmentation Mastopexy

Breast augmentation mastopexy—often referred to as a breast lift with augmentation—is a surgical procedure that combines two distinct objectives: lifting the breast to improve position and shape (mastopexy) while also increasing or restoring breast volume through augmentation. This procedure is commonly considered by patients who experience breast sagging along with volume loss, often related to pregnancy, breastfeeding, weight change, or natural aging.

Because lifting and augmentation address different anatomical concerns, combining them requires careful planning. Breast augmentation mastopexy is not a standardized operation. Surgical strategy depends on breast anatomy, skin quality, nipple position, tissue characteristics, and overall health.

Dr. Sadowski approaches augmentation mastopexy as a structural procedure, balancing lift, volume, and support while prioritizing safety, predictable healing, and proportional results.

Why Choose Dr. Sadowski?

Dr. Sadowski is a double board-certified plastic and reconstructive surgeon and a member of the American Society of Plastic Surgeons. She has built an award-winning practice on surgeries that are transformative to patients, such as breast augmentation mastopexy.  Her practice emphasizes individualized anatomy-based planning, careful surgical execution, and long-term patient care.

Combined procedures such as augmentation mastopexy require thoughtful sequencing, incision planning, and tissue handling. Dr. Sadowski and her staff will help to make your journey smooth and with the tailored results that fit your goals.

What is a Breast Augmentation Mastopexy?

Breast augmentation mastopexy is an operation that simultaneously lifts the breast and increases breast volume. The mastopexy component repositions the nipple–areola complex and removes excess skin, while the augmentation component restores or adds volume to improve breast shape and upper-pole fullness.

This procedure may be considered to:

• Address breast sagging (ptosis)
• Restore lost breast volume
• Improve breast shape and contour
• Improve symmetry
• Enhance proportion between the chest and the rest of the body

In some cases, a breast lift alone or augmentation alone may be sufficient. Determining whether a combined procedure is appropriate is a key part of preoperative planning.

Are there different kinds of Breast Augmentation Mastopexy and what are they?

Techniques for augmentation mastopexy vary based on anatomy, degree of sagging, skin quality, and desired volume change. Key variables include lift pattern, volume approach, and surgical staging.  At our award-winning practice, Dr. Sadowski will walk you through these choices to help you attain your aesthetic goals.

Lift patterns

Lift techniques may involve incisions around the areola, around the areola with a vertical (lollipop), along the breast crease, or a combination of these. The choice depends on nipple position, skin excess, and breast shape. No single lift pattern is appropriate for all patients.

Volume approach

Volume may be added using:

• Breast implants (saline or silicone gel)
• Fat transfer or structural fat transfer in selected cases

Implants provide more predictable volume change, while fat-based approaches may be appropriate for modest volume enhancement or contour refinement.

Single-stage vs staged procedures

In some patients, augmentation and lift can be performed safely in a single operation. In others—particularly when there is significant sagging or a desire for a large volume change—Dr. Sadowski may recommend that you stage the procedures to reduce operative risk and improve predictability.

Am I a candidate for Breast Augmentation Mastopexy?

You may be a candidate for breast augmentation mastopexy if you:

• Have breast sagging combined with volume loss
• Are in good overall health
• Have stable weight
• Do not smoke or vape or are willing to stop nicotine use before and after surgery
• Understand that combining procedures increases surgical complexity and recovery demands

Patients may need additional preparation or may not be appropriate candidates if they have uncontrolled medical conditions, plan significant weight changes, or are pregnant or recently breastfeeding.

What are the benefits of a Breast Augmentation Mastopexy?

Patients may consider augmentation mastopexy for potential benefits such as