Deciding whether to combine breast implants with your mastopexy is one of the most important choices in your breast lift journey. At Silk Plastic Surgery, our board-certified surgeons help you determine whether lift alone or lift with augmentation will best achieve your aesthetic goals based on your anatomy, volume preferences, and lifestyle considerations.
This personalized decision-making process ensures you achieve the breast contour and size that perfectly complement your body and enhance your confidence.
Dr. Page is an excellent surgeon who showed me so much patience and personal care throughout multiple reconstruction and revision surgeries. She and Dr. McKay collaborated on one surgery, both are amazing. My results are great so I would choose this practice again. Her staff are top notch and always answered any questions promptly. I’m convinced that I got the very best care from Dr. Page.
Understanding Your Breast Lift Volume Options
The choice between breast lift with or without implants depends primarily on your satisfaction with your current breast size versus your desire for additional volume. Understanding how each approach affects your final results helps guide this important decision.
Many patients discover during consultation that their volume preferences become clearer once they understand the lifting benefits and see how their existing tissue can be repositioned and reshaped for improved projection and contour.
“The decision between lift alone versus lift with augmentation should be based on your individual volume goals and lifestyle preferences,” explains Dr. Mackay. “Both approaches can create beautiful results, but the choice depends on whether you want your current size lifted or prefer additional volume enhancement.”
Breast Lift with Implants: Comprehensive Enhancement
Combining breast lift with augmentation addresses both position and volume concerns in a single procedure, providing comprehensive breast enhancement that many patients find ideal for their aesthetic goals.
Augmentation-Mastopexy Benefits:
Volume and Position
Addresses both sagging and size concerns simultaneously
Upper Pole Fullness
Implants restore youthful upper breast contour
Enhanced Projection
Creates more dramatic breast projection than lift alone
Single Recovery
One surgery and healing period for multiple improvements
Dramatic Results
Often provides more significant overall transformation
This combination approach works particularly well for patients who have lost breast volume due to pregnancy, weight loss, or aging, and desire both lifting and size enhancement. Clinical studies show that 75% of mastopexy patients choose to include implants for more comprehensive results.
The procedure requires careful surgical planning to optimize both the lifting results and implant placement, ensuring natural-looking proportions and excellent long-term outcomes.
Breast Lift Without Implants: Natural Reshaping
For patients satisfied with their current breast size, lift alone can create dramatic improvement by repositioning and reshaping existing breast tissue into a more youthful, attractive contour.
This approach appeals to patients who appreciate their natural breast size but want to restore the position and shape that gravity and time have affected. The results maintain completely natural breast feel and movement while achieving significant aesthetic improvement.
Lift-Only Advantages:
Natural Results
Uses only your existing breast tissue for authentic feel
No Implant Considerations
Eliminates future implant replacement needs
Shorter Surgery Time
Typically requires less operative time than combination procedures
Lower Cost
Generally less expensive than combination approach with implants
Simplified Recovery
May involve slightly easier recovery without implant placement
Breast lift without implants can create surprising improvement in breast projection and attractiveness, particularly when patients have adequate existing tissue that simply needs repositioning and tightening.
Making Your Volume Decision for Breast Surgery
Several factors help determine whether lift alone or lift with augmentation will best achieve your goals. Our comprehensive consultation process evaluates these considerations to guide your decision-making.
Decision Factors:
- Current Size Satisfaction: Whether you’re happy with your existing breast volume
- Desired Final Size: How much larger you’d like your breasts to appear
- Clothing Goals: How you want your breasts to look in various clothing styles
- Natural vs Enhanced Preference: Whether you prefer completely natural results or enhanced volume
- Lifestyle Considerations: Activity level and long-term maintenance preferences
Our surgeons use advanced consultation techniques including sizing systems and imaging when helpful to ensure you can visualize the differences between your options.
Surgical Planning for Combined Procedures
When patients choose lift with augmentation, careful surgical planning ensures optimal results for both the lifting and volume enhancement components. This requires expertise in both mastopexy and augmentation techniques.
The combination procedure involves selecting appropriate implant size and type while planning the optimal lifting technique to create natural-looking proportions. Our surgeons’ extensive experience with both procedures ensures excellent coordination of these surgical elements.
Planning Considerations:
- Implant Size Selection: Choosing volume that complements the lifting results
- Placement Technique: Determining optimal implant position for lifted breasts
- Incision Coordination: Utilizing incisions efficiently for both procedures
- Tissue Management: Ensuring adequate tissue coverage and natural contours
Advanced surgical experience is crucial for achieving excellent results when combining these procedures, as the techniques must work harmoniously to create beautiful, natural-looking outcomes.
Recovery Considerations for Each Approach
Recovery experiences differ slightly between lift alone and lift with augmentation, though both procedures ultimately provide excellent results with proper post-operative care.
Lift with Implants Recovery: The addition of implants may involve slightly more initial discomfort and longer activity restrictions, particularly if submuscular placement is used. However, most patients find that having one recovery period for comprehensive enhancement is preferable to separate procedures.
Lift-Only Recovery: Recovery from lift alone typically involves less initial discomfort since no muscle manipulation is required. Activity restrictions focus primarily on protecting the lifting results during healing.
Both approaches require careful attention to post-operative instructions, particularly regarding lifting restrictions and support garment use, to ensure optimal healing and beautiful results.
Long-Term Satisfaction and Outcomes
Both breast lift alone and lift with augmentation provide high satisfaction rates when properly performed and when patients have realistic expectations about their chosen approach.
Research indicates that patients who choose lift with implants often report higher satisfaction scores related to breast size and projection, while those choosing lift alone frequently express high satisfaction with the natural feel and appearance of their results.
Outcome Considerations:
- Longevity: Both approaches provide long-lasting improvement with proper care
- Maintenance: Lift alone requires no implant-related maintenance
- Future Options: Additional procedures can be considered if goals change over time
- Natural Aging: Both approaches age naturally with appropriate care
Why Choose Silk Plastic Surgery for Your Breast Lift Decision
Our surgeons’ extensive experience with both breast lift alone and combination lift-augmentation procedures provides invaluable expertise in helping you make the best choice for your goals. With hundreds of successful mastopexy procedures and comprehensive training in breast surgery techniques, we understand the nuances of achieving optimal results with either approach.
Our detailed consultation process includes thorough education about both options, realistic outcome discussions, and personalized recommendations based on your anatomy and preferences. We’re committed to helping you achieve results that exceed your expectations, whether you choose lift alone or combination enhancement.
- Extensive experience with both lift-only and combination procedures
- Comprehensive consultation process for optimal decision-making
- Advanced surgical techniques for natural-looking results
- Proven track record of high patient satisfaction with both approaches
- Personalized recommendations based on your unique goals and anatomy

About Silk Plastic Surgery
At Silk Plastic Surgery, we blend advanced surgical expertise with a personalized, compassionate approach to help you look and feel your best. Our team includes double board-certified surgeons, who trained at prestigious institutions such as the Mayo Clinic and Emory University. We are dedicated to achieving natural, refined results that enhance your unique beauty. Every detail of your experience is designed to make you feel comfortable, confident, and fully supported from consultation to recovery.
We specialize in a comprehensive range of cosmetic and reconstructive procedures for the face, breast, and body, offering both transformative enhancements and delicate restorative care. Whether you’re seeking subtle refinement or a significant change, our commitment to safety, precision, and artistry ensures beautiful, lasting results. At Silk Plastic Surgery, your goals inspire our work, and your confidence is our greatest success.
Schedule Your Breast Lift Options Consultation in Atlanta
Whether you choose breast lift alone or combination lift with augmentation, achieving beautiful results requires expert surgical skill and comprehensive planning. Our experienced surgeons at Silk Plastic Surgery provide detailed consultation and expert guidance to help you make the best choice for your aesthetic goals.
Contact our Atlanta practice today to explore your breast lift options and begin your journey toward enhanced breast confidence and beauty.