Medical description
Breast lift with implants, or augmentation mastopexy, combines two complementary procedures: reshaping and lifting the breast tissue with repositioning of the areola, and placing an implant to restore volume, particularly in the upper part of the breast. It is intended for breasts that are both sagging and deflated, a common situation after pregnancies, breastfeeding or significant weight loss. Unlike a breast lift alone, which restores shape without increasing volume, and augmentation alone, which does not correct marked sagging, this combination treats both problems. It is a more delicate procedure, as the surgeon must balance the tension of the skin against the weight of the implant. It can sometimes be performed in two stages.
What the procedure can correct
- Breasts that are both sagging and deflated
- Loss of volume in the upper breasts
- Low areolas after pregnancy or breastfeeding
- Loose skin after weight loss
- Asymmetry in shape and volume
The ideal candidate
A woman in good health, at a stable weight, with sagging combined with a lack of volume, who is not planning a pregnancy in the near future. Stopping smoking completely is essential, as the risk of healing problems is higher than for either procedure alone. After examination, the surgeon judges whether combining them in a single stage is reasonable or whether it is preferable to proceed in two stages.
The technique
Under general anaesthesia, the implant is first placed in a pocket in front of or behind the pectoral muscle, most often through the breast lift incision. The surgeon then adjusts the skin and breast tissue around the implant, lifts the areola and removes the excess skin, with a scar around the areola, vertical or in an inverted T depending on the degree of sagging. Closure is done in several layers. A support bra is worn day and night for several weeks.
Your stay, step by step
- 1
Arrival and consultation
Welcome by your coordinator, examination and pre-operative consultation with the practitioner, who confirms the treatment plan.
- 2
Procedure
General · 2.5–4 h
- 3
Monitoring in the clinic
Hospital stay: 1–2 nights. The care team looks after your comfort and post-operative monitoring.
- 4
Check-up before departure
Follow-up visit, care, instructions and prescription before your flight home. Recommended stay: 8–10 days.
- 5
Remote follow-up
Back home, you send your photos and stay in touch with the practitioner through your patient area, for up to 12 months.
Risks and recovery
The usual after-effects include chest tightness, moderate pain, swelling and bruising, slightly more marked than after a breast lift alone. Possible complications combine those of both procedures: haematoma, infection, delayed healing, compromised blood supply to the areola, capsular contracture, displacement of the implant, changes in sensation, asymmetry and recurrence of sagging; a revision is sometimes necessary. Your surgeon will explain these in detail during the consultation.
The information on this page is provided for guidance only and does not replace a medical consultation. Every procedure carries risks; the indication is made by the practitioner after examination, and results vary from person to person.
Frequently asked questions
Why not simply have implants?
An implant alone does not lift a low areola and, in cases of marked sagging, can give the appearance of a breast sliding over the implant. The breast lift repositions the breast tissue and areola so that the volume is properly centred.
Can the procedure be performed in two stages?
Yes, for some very lax breasts or when the tissues are thin, the surgeon may suggest performing the lift and then the augmentation a few months apart. This option aims to limit the risks and refine the result.
When will I be able to fly?
Travelling home is generally possible at the end of the recommended stay, after the post-operative check. It is advisable to wear compression stockings, stay well hydrated and walk around during the flight.
