Posted on 01 Mar 2017

As you begin exploring your options for contouring the chest, you will undoubtedly come across both breast augmentation and mastopexy (breast lift) as solutions for achieving a more youthful, feminine physique. A woman’s body experiences multiple changes throughout life, especially when giving birth, breastfeeding, and undergoing menopause. Weight fluctuations can also negatively impact the appearance of the bust. The breasts may lose their shape, volume, and projection while the nipples get repositioned to a less desirable location. Both women with naturally large breasts and those with a smaller cup size will experience these changes.

So what can be done? And how can you tell whether a breast augmentation procedure, a breast lift or both is right for you? Below we will explore the different procedures available and the various factors that will determine your treatment plan. Remember that at the end of the day, the only real way to be sure which treatment best addresses your concerns is to meet in private with your plastic surgeon for an in-depth consultation and physical evaluation.


Breast augmentation is performed to restore a rounded, plump breast appearance, enhance self-confidence, and expand your wardrobe choices. Today, there are a wide variety of implant shapes, sizes, and textures to choose from, so augmentation with implants can be highly personalized and natural-looking. Breast augmentation can also be performed using fat transfer from a donor region, such as the belly or hips. 

When undergoing breast augmentation with implants, clients will need to decide on the best implant cup size, the ideal incision point (within the inframammary fold, under the armpits, or encircling the areola) and whether to place the implants below or above the pec muscles. Your surgeon will go over all of these options with you in detail at the time of your consultation.


While breast augmentation helps correct the size and shape of the breasts, it does not address breast sagging. Both pregnancy and the natural aging process can leave the breasts drooping, often below the breast crease. On top of this, the nipples may begin to point downwards, compromising the entire aesthetic of the upper body. Breast lift surgery works to elevate the breasts and the nipples to a perkier, more youthful position on the chest wall. For some, it is the only surgery that is needed to restore a pleasing presentation, while for others, it can be combined with breast augmentation or breast reduction to deliver comprehensive, long-lasting improvements and to provide the exact look the patient is trying to achieve. 


When performed in tandem, breast augmentation and breast lift work together to revitalize your chest from all angles, boosting your cup size while simultaneously addressing breast ptosis and low-hanging nipples. The combination approach can save you money, minimize your risks (since you only have to undergo anesthesia once,) and shorten your total recovery time. Breast augmentation with breast lift often makes the most sense in the context of a mommy makeover, which adds tummy tuck surgery and liposuction into the mix to sculpt the entire figure from head to toe after pregnancy.


Whether you choose to undergo breast augmentationbreast lift, or a combination of the two procedures, know that your results depend strongly on the skill, training, and artistry of your plastic surgeon. Choosing a provider that is board-certified is a must, as is the rapport you build with your doctor. You should feel free to ask hundreds of questions if necessary so that you are empowered to make the best choices for your ultimate health and well-being. Be sure to look at before and after photos for your surgery and read your doctor’s testimonials. Your surgeon will evaluate your breast size, shape, and projection during your consultation and create a treatment plan that addresses your unique body type and ultimate goals. 

Dr. Keith Neaman

Board Certified Plastic Surgeon at Neaman Plastic Surgery | Learn More

Dr. Neaman is a board-certified plastic surgeon that specializes in surgical body contouring. He prides himself on being on the cutting edge of plastic surgery. He takes an informative approach to each consultation, and through open dialogue and communication, he helps his patients decide on a treatment plan that meets their needs.

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