Breast Augmentation with Mastopexy

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What is Breast Augmentation with Mastopexy?

While breast augmentation can increase your bust line by one or more cup sizes, and mastopexy, or breast lift, can reshape and resize the breasts, the two procedures are not mutually exclusive. Combining breast enhancement with mastopexy will give your breasts a completely new look, which may be exactly what you are looking for.

You should ask yourself these questions when considering any breast surgery:

  • Do I want larger breasts?
  • Do I want higher, tighter, and firmer breasts?
  • Do I want both?

Breast augmentation is performed with mastopexy quite frequently at our practice. To find out if this is the right procedure for you, our surgeons will evaluate your breasts and your goals during the consultation. Upon assessment, our surgeons will recommend what they believe is the best way to proceed in order to achieve the breasts you desire.

Breast Augmentation with Mastopexy Surgery

This dual procedure takes up to three hours to perform and is commonly done under general anesthesia. The type of incision will depend on the amount of skin to be removed and achieve the desired lift. Minimal tightening may only require an incision around the areola, moderate tightening may require an additional vertical scar to maximize reshaping, and substantial tightening requires an anchor-shaped incision that follows the breast’s natural contour.

To accommodate the breast implant, the surgeon will create a pocket. The implant will be placed under the breast tissue, and in some cases, the implant will be placed under the muscle of the chest wall. Finally, the incisions will be closed using stitches. Bandages, tape, and gauze will be applied for support and to assist with healing.

After Breast Augmentation Surgery

Your breasts will be uncomfortable, swollen, and bruised for a few days, although this can be alleviated with oral medications. Your bandages will be removed 1-2 days after surgery, and you will be required to wear a soft support bra all day, every day for 2-3 weeks. In order to remove excess fluid, drainage tubes may be inserted for several days. The stitches will be removed after 1-2 weeks. Swelling and numbness may persist for up to 6 weeks. In rare cases, the loss of sensation can persist for a year or permanently.

Your nipples may experience a burning sensation for up to 2 weeks. Moisturizer can be used if your breasts are dry after surgery. If you choose to moisturize, do not tug at the skin during application. Avoid moisturizing the stitch and suture areas. If you experience any complications following your surgery, you should visit your surgeon immediately

Dr. Haws discusses getting a Mastopexy with or without an implant.

Potential Risks

With any surgery, there are always potential risks and complications. Excessive bleeding and infection following breast surgery are not common and if either occurs it can cause the scars to widen. Breast surgery leaves noticeable and permanent scars, but your bra will cover the scars. Breast surgery can also leave you with unevenly positioned nipples, or a permanent loss of feeling in your nipples or breasts.

One of the more common complications following surgery is called capsular contracture, which occurs when the capsule or scar around a breast implant tightens, causing a woman’s breast to feel abnormally hard. The condition is treatable.

There is a chance that a breast implant will leak or break. With saline, the implant will drain completely within a few hours and your body will absorb the salt water harmlessly. With silicone, you may not detect the leak if the scar tissue around the breast implant remains intact. However, if the scar tissue does break or tear, the silicone gel may move into the surrounding tissue. If your implant breaks, you should contact your plastic surgeon as you will require a second operation to replace the leaking implant.

There is no current evidence that shows a link between breast surgery and breast cancer, but it may alter the way a mammogram is performed in order to detect the breast cancer. Trained radiologists will need to perform special displacement techniques as breast implants may obscure breast tissue on some views.

Schedule a Consultation

Ready to book your procedure with one of our board-certified plastic surgeons? Contact us today to schedule your consultation and begin your aesthetic journey!


Most patients return to work a few days after surgery, depending on the amount of activity their job requires. During the first two to three weeks, your breasts will be very sensitive to direct stimulation. If your breasts are no longer sore after three to four weeks, breast contact should be fine. No heavy lifting, pushing, or pulling with the upper body is recommended for at least two weeks after surgery. We discourage any activity that causes an increase in your heart rate or blood pressure for the first two weeks.

After surgery, the surgical scars will appear pink and firm for six weeks. The surgical scars may appear to widen or remain the same size for several months. They will eventually fade, though they will not disappear completely. If you should experience any serious complications during your recovery period, contact our Nashville, Tennessee office to speak with a breast augmentation surgeon.