

Major life milestones, such as pregnancy, breastfeeding, significant weight loss, or the natural shifts of aging, can fundamentally change your anatomy. For many women, these transitions create a dual aesthetic frustration: underlying breast tissue loses its fullness while the surrounding skin stretches and sags. When you are dealing with both a loss of volume and structural dropping, a breast augmentation with lift offers a highly customized approach that simultaneously removes excess skin to lift the breasts while enhancing volume with silicone or saline implants. At our premier Surrey plastic surgery practice, Dr. Jennifer Prince works with each patient to realize their unique goals for a firmer, perkier, more youthful-looking silhouette.

Outpatient surgical procedure combining breast augmentation and a breast lift in a single operation

1 to 2 weeks for daily activities; 4 to 6 weeks for physical activity and strenuous exercise

Fuller, shapelier breasts that sit at a more elevated, youthful position on the chest wall

Generally performed in two to three hours under general anesthesia
A breast augmentation with lift, or augmentation-mastopexy, is an advanced cosmetic surgery designed to treat both breast ptosis (sagging breasts) and volume loss during a single operative session. Many patients believe that simply placing a larger implant will lift a drooping breast, but this is a misconception. In reality, putting heavy implants into a stretched, loose breast skin envelope will only cause the breasts to sag faster and "bottom out."
A breast augmentation with lift provides comprehensive rejuvenation by enhancing your breasts' volume, shape, and position in a single surgical session. The breast lift procedure removes excess stretched skin and secures the natural breast gland higher on the chest wall, while breast augmentation uses silicone or saline implants to restore lost upper-pole fullness and increase breast size. During your initial consultation, Dr. Prince will carefully assess your skin elasticity, review your medical history, and develop a precise surgical plan tailored to your body shape.

Your surgical procedure takes place under general anesthesia in a premier, fully accredited surgery center designed for your safety and comfort. The procedure involves removing excess skin tissue, reshaping the remaining breast tissue, and creating a pocket to place your chosen breast implants.
Dr. Prince uses sophisticated surgical techniques to ensure a long-lasting, harmonious result. To start, she makes precise incisions to lift the internal breast tissue higher on the chest wall. Next, she creates a pocket to hold your chosen silicone or saline implants, focusing on creating a smooth, natural contour while ensuring the weight of the implant is structurally supported by the muscle network.
Because every woman's fat distribution and degree of sagging are unique, your scar pattern depends on your specific breast shape and how much skin needs to be removed. Dr. Prince may use one of three common incision patterns to maximize lift while minimizing scarring:
Once the implant is placed, Dr. Prince repositions the nipple and areola higher on the breast mound while keeping them attached to their original blood supply to protect natural sensation. This step provides a more youthful, symmetrical breast profile by correcting sagging nipples that sometimes hang below the breast crease.

This combined surgery provides structural correction for common concerns women may have about their breasts, often following weight loss, pregnancy, breastfeeding, or age-related tissue descent.
Addressing all of your breast enhancement goals in a single surgical procedure delivers beautiful results that can boost your self-confidence, comfort, and quality of life.
If you are frustrated by both sagging breasts and a loss of volume, you are likely a good candidate for this surgery. Ideal patients are generally healthy, do not smoke, maintain a stable weight, and have realistic expectations about the procedure, recovery, and results.
Major weight fluctuations or pregnancy after surgery can cause your breasts to change and stretch again. Therefore, it is the breast augmentation with lift procedure is best suited for women who have completed their families and stayed at a stable, healthy weight over a period of time.
During your initial consultation, Dr. Prince will thoroughly review your medical history, perform a physical exam, and review all medications and supplements you take to plan a safe procedure personalized to your needs and goals.

Understanding the recovery process after augmentation mastopexy allows you to plan for a smooth healing process. When your surgery is complete, you will be fitted with a soft, supportive surgical bra or specialized sports bra designed to compress the empty tissue pocket, minimize initial swelling, and support your new breast shape.
Most patients experience a tight, firm sensation across the chest for the first few days, which can be safely managed with personalized prescriptions from our healthcare team.
You will be able to return to light daily activities, such as making a light meal or walking around the house, within 48 hours. Most patients feel ready to return to light desk work within a week. However, you must protect your results by avoiding heavy lifting, pulling, or strenuous exercise for at least 4 to 6 weeks.
Our dedicated clinical staff will guide you through every follow-up checkpoint, ensuring your recovery progresses flawlessly.

You will notice an immediate change in the elevation, firmness, and size of your breasts right after surgery. However, your initial contour will appear high, tight, and rounded due to expected post-surgical swelling. Over the next few weeks and months, the tissues will soften, and your implants will settle into their natural, beautifully lifted position. Your final, elegant breast contour will be fully realized around the 3-6 month mark.
The structural changes made during your lift procedure are long-lasting, and modern implants are engineered for incredible durability. While no surgical procedure can permanently halt the natural aging process, your breasts will always sit higher and firmer than they would have without the intervention. Maintaining a stable weight and wearing a supportive bra during high-impact physical activities will help preserve your results for many years to come.
Achieving a natural-looking, symmetrical augmentation-mastopexy result requires a plastic surgeon with refined technical skill and a deep understanding of tissue dynamics.
Dr. Jennifer Prince brings decades of extensive surgical experience to her private practice in Surrey. Her deep background in complex reconstructive plastic surgery allows her to navigate skin laxity, muscle pockets, and tissue transposition with master-level precision.
As a female plastic surgeon, Dr. Prince brings an empathetic, honest, and intuitive perspective to conversations about body image and structural changes. She rejects generic results, listening intently to your personal lifestyle goals to design a procedure just for you.
Dr. Prince and her supportive healthcare professional team provide a high-energy, encouraging environment, ensuring you feel completely safe, fully informed, and genuinely celebrated throughout your entire journey.
If your breasts have experienced true sagging where the nipple points downward or drops below the lower breast crease, placing a larger implant without a lift will not correct the issue. In fact, adding weight to a stretched skin envelope will pull the breast tissue down further, creating an unnatural "snoopy dog" look where the implant sits high on the chest, but your natural tissue sags over it. A lift is required to physically elevate the skin envelope.
While combining an augmentation with a lift does require visible scar lines, Dr. Prince uses advanced, layered closure techniques to ensure they heal as beautifully as possible. Initial pink lines will gradually fade to thin, discreet, flesh-colored markings over the course of a year. The strategic placement of incisions within the areola border or along the natural breast crease makes them incredibly easy to conceal under swimwear and lingerie.
During your initial consultation, Dr. Prince will help you explore premium silicone or saline implants to match your frame. She will evaluate your chest wall width, your existing tissue volume, and your overall aesthetic goals. Because the lift procedure gathers and tightens your natural tissue, patients often find they can achieve their ideal breast size with a more conservative, lightweight implant.
Because Dr. Prince keeps the nipple and areola attached to their original underlying tissue bed (the pedicle) during the lift, the vital blood vessels and nerves remain completely intact. Temporary changes in sensation, such as hyper-sensitivity or mild numbness, are highly common due to internal swelling, but normal feeling typically returns fully within a few weeks to months.
The overall breast lift cost combined with implants varies based on the specific incision technique required, the type of implants chosen (silicone vs. saline), and the complexity of your tissue laxity. During your initial consultation, our team will provide a fully transparent, all-inclusive quote outlining the surgery center fees, anesthesia, implants, and all post-operative follow-up care.