Many women seeking rejuvenation of the breast are typically displeased with two features of their breasts: Lack of breast volume and sagging nipple position. Women notice these changes in breast appearance after significant weight-loss or after raising their children.

A mastopexy-augmentation procedure is recommended for the woman that desires both a lifted breast appearance and enhanced breast volume. The procedure combines breast augmentation and breast lift (mastopexy) in a single operation.

With a mastopexy-augmentation combination procedure, the goal of the mastopexy is to reposition the nipple and areola on the augmented breast in an aesthetically pleasing position. There a several types of breast lifts that can be done in combination with a breast augmentation. For patient with a mild amount of breast sagging, a peri-areolar breast lift can be done. For patients with a moderate amount of sagging, a vertical pattern breast lift is best. For patients with severe sagging, an anchor pattern scar is recommended.

Either silicone or saline breast implants can be placed during a mastopexy-augmentation procedure. The volume of the implant is carefully selected based on the patient's desire, the type of breast lift planned and the quality of the breast tissues.

Fat grafting to the breast can also enhance a breast lift procedure by adding volume to the upper pole of the breast.

The recovery period from a mastopexy augmentation is about the same as with a standard breast augmentation. Most patients return to work, child-care and light exercise after about four days.