Augmentation mastopexy

What does each part of the operation do?

A breast lift (mastopexy) reshapes existing tissue and repositions the nipple by removing and rearranging excess skin. An implant adds volume. An implant alone does not reliably correct significant skin excess or a low nipple position.

The two components have different effects on the tissues: a lift reduces and reshapes the skin envelope, while an implant adds volume within it. Planning needs to balance these effects and the ability of the tissues to support the result.

Consultation and alternatives

Assessment considers breast size and shape, asymmetry, tissue thickness, skin quality, nipple position, previous surgery and your goals. Future pregnancy, weight change, breastfeeding plans, breast symptoms and relevant screening are also discussed.

Alternatives may include a lift without implants, breast reduction when volume is excessive, or no surgery. An implant is not an automatic answer to upper-breast fullness concerns. Implant dimensions and overall tissue support matter more than choosing a cup size.

Combined or staged surgery

A lift and augmentation may be performed together in selected patients. In other circumstances, separating them into stages allows healing and reassessment before deciding on the next step. Tissue quality, the degree of lifting, implant choice, previous scars and the overall surgical plan influence that decision.

Staging requires separate operations and recovery periods. A one-stage operation does not guarantee that no later adjustment will be needed. The reason for the proposed approach should be clear before you decide.

Anaesthesia, recovery and scars

Surgery generally involves general anaesthesia. The hospital arrangements, expected stay, dressings and any support garment are discussed for the planned operation.

Swelling, bruising, discomfort and changes in sensation are expected during early recovery. Arrange assistance with lifting and household or caring tasks. Work, driving and exercise restrictions depend on healing and the demands of your activities.

Lift scars may run around the areola, vertically towards the breast crease and along the crease, depending on the design. Scars are permanent and can become raised or widened. Breast shape and scar appearance continue to change as swelling settles and tissues heal.

Risks and longer-term limitations

Risks include bleeding, infection, wound-healing problems, changes in nipple sensation, reduced ability to breastfeed, nipple or skin loss, asymmetry, recurrent drooping and unsatisfactory scars or shape. Revision surgery may be needed.

Implants introduce additional risks, including capsular contracture, rupture, displacement, rippling and the possibility of future removal or replacement. Rare implant-associated cancers and other implant-related concerns form part of informed consent. Implants are not lifetime devices. Read the breast augmentation page for further context.

Future weight changes, pregnancy and ageing may alter the result. Complete symmetry or a particular appearance cannot be guaranteed. Contact the treating team promptly for increasing swelling, redness, fever, wound changes or worsening pain after surgery.

Frequently asked questions

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