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Breast Lift with Augmentation

Conveniently located to serve the areas of Newport Beach and Orange County, CA

When breasts have lost both position and volume, a lift or augmentation alone may not fully address the concern. Sagging with deflation is common after pregnancy, breastfeeding, weight loss, or simply with age, and many patients find that restoring one without the other leaves the result feeling incomplete. Breast lift with augmentation combines both corrections in a single procedure, lifting the breast to a more youthful position while adding volume through implants to restore fullness and projection.

Dr. Ali Roham approaches this combined procedure with both technical precision and a focus on balanced, natural-looking proportions. His board certification with the American Board of Osteopathic Surgery, along with specialized plastic surgery training, provides the surgical expertise needed to manage the added complexity of performing a lift and augmentation together while achieving results that look and feel harmonious with your frame.

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Why choose Dr. Roham for your Breast Lift with augmentation?

Combining a breast lift with augmentation is one of the more technically demanding breast procedures. Dr. Roham’s surgical training gives him the technical skill to navigate these complexities, and his consultative approach ensures the surgical plan reflects your individual goals. He takes time to evaluate your anatomy, discuss implant options, and explain how the lift and augmentation will work together so you have a clear picture of what to expect before moving forward.

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About Breast Lift

Breast lift with augmentation is a combined surgical procedure that addresses both breast sagging (ptosis) and volume loss in a single operation. The lift component removes excess skin, reshapes the breast tissue, and repositions the nipple-areolar complex to a more youthful height. The augmentation component places an implant to restore or enhance fullness, particularly in the upper pole of the breast where volume loss is often most noticeable.

This combination is especially popular among patients whose breasts have changed significantly after pregnancy, breastfeeding, or weight fluctuations. Rather than choosing between improved position and improved size, the combined approach delivers both, creating a breast that is fuller, firmer, and proportioned to the patient’s overall physique. Dr. Roham tailors the degree of lift and the implant selection to each patient’s anatomy and goals, ensuring the two components complement each other rather than working at cross purposes.

Candidates

The most successful outcomes with this combined procedure occur in patients who meet specific criteria that support both safe healing and satisfying results:

Breasts that have both sagged and lost volume due to aging, pregnancy, weight changes, or genetics
Nipples that sit at or below the breast crease, combined with a desire for fuller volume
Dissatisfaction with breast shape and size that a single procedure alone would not fully resolve
Stable weight with no plans for significant weight changes or future pregnancies in the near term
Realistic expectations about the combined nature of the procedure, including scarring and recovery

Dr. Roham evaluates each patient’s degree of sagging, existing breast tissue, skin elasticity, and volume goals to determine the optimal combination of lift technique and implant characteristics for their situation.

Find out if you’re a candidate for breast lift with augmentation surgery. Call (949) 269-6960 to book your consultation with Dr. Roham.

Benefits

Restored breast position and fullness addressed in a single surgery and recovery period
Improved upper pole volume that a lift alone cannot achieve
Enhanced breast shape, symmetry, and projection for a more youthful silhouette
Customizable results through implant size, shape, and profile selection combined with tailored lift techniques
Increased confidence in clothing fit, swimwear, and intimate apparel

Many patients describe the combined procedure as the turning point where their breasts finally match how they feel about themselves. The ability to address both sagging and volume loss at once often makes this approach more satisfying than staging the procedures separately.

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Types of incisions & implant options

Crescent lift

Addresses minimal breast sagging through a small incision along the upper areola border, making it suitable for patients requiring minor nipple repositioning with virtually invisible scarring. This technique works best for patients with good breast shape who need subtle elevation.

Periareolar (donut) lift

Utilizes a circular incision around the areola to correct mild to moderate sagging while allowing for areola size reduction if desired. This approach provides moderate lifting capability while keeping scars confined to the areola border where they blend naturally with tissue transitions.

Vertical (lollipop) lift

Combines a periareolar incision with a vertical incision extending down to the breast crease, providing greater lifting capability for moderate breast sagging. This technique allows for significant reshaping and repositioning while avoiding horizontal scars across the breast.

Anchor (inverted-t) lift

Incorporates periareolar, vertical, and horizontal incisions to provide maximum lifting and reshaping capability for severe breast sagging. While this technique creates the most extensive scarring, it enables comprehensive correction of significant ptosis and tissue excess.

Silicone gel implants

The most popular choice for this combined procedure. Modern silicone implants use a highly cohesive gel that closely mimics the look and feel of natural breast tissue while maintaining its shape within the shell. They produce a smooth, natural result, which is especially important when paired with a lift where the implant sits within a reshaped tissue envelope.

Saline implants

Consist of a silicone shell filled with sterile saltwater and offer the advantage of smaller incision requirements and straightforward rupture detection. While they may feel slightly firmer than silicone, saline implants remain a solid option for appropriate candidates and can be adjusted during surgery for fine-tuned symmetry.

Round vs. anatomical profiles

Round implants tend to provide more upper pole fullness and cleavage, while anatomical implants create a gradual slope that mirrors natural breast shape. Dr. Roham helps patients weigh these options during consultation based on their anatomy, lifestyle, and the aesthetic they want to achieve.

Recovery

First Week:

Limited arm movement and no heavy lifting to protect both the lift incisions and implant placement
Compression garment or surgical bra worn continuously for support
Pain managed with prescribed medications as swelling and bruising peak
Short walks encouraged to promote circulation while avoiding upper body activity

Weeks 2-4:

Gradual return to light daily activities while avoiding strenuous exercise
Return to desk work possible depending on comfort level
Continued wearing of supportive garments as directed by Dr. Roham
Follow-up appointments to monitor incision healing and implant settling

Months 1-6:

Progressive return to exercise and normal activities as cleared by Dr. Roham
Implants settle into their final position as the lifted tissue adapts around them
Scar maturation begins with proper care and consistent sun protection
Final breast shape and position become apparent as all swelling resolves

Dr. Roham provides detailed recovery guidance specific to your lift technique and implant placement, with regular follow-ups to ensure everything is healing as expected.

Cost

Because this is a combined procedure, pricing reflects the added surgical time, implant costs, and technical complexity involved. We provide transparent, all-inclusive pricing that covers surgical fees, anesthesia, facility costs, implants, and post-operative care so there are no surprise charges.

We offer financing options to help make the procedure more accessible, allowing you to break the cost into manageable monthly payments. During your consultation, you’ll receive a detailed cost breakdown tailored to your specific treatment plan.

Insurance coverage for Breast Lift with augmentation

Breast lift with augmentation performed for cosmetic enhancement is not covered by health insurance, as it is considered an elective aesthetic procedure. Patients are responsible for all associated costs.

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FAQ

Is it better to do a lift and augmentation together or separately?

In most cases, combining the procedures offers the advantage of a single surgery and one recovery period. Dr. Roham evaluates whether the combined approach is appropriate based on the degree of lift needed and the desired implant size, since very large implants paired with significant lifting may sometimes benefit from a staged approach.

How do I choose the right implant size for a combined procedure?

Implant selection takes your existing tissue, degree of sagging, and body frame into account. Dr. Roham uses sizing tools and detailed discussion during consultation to help you choose dimensions that complement the lift rather than working against it.

Will my scars be worse since two procedures are combined?

The incision pattern is determined by the lift technique needed, and the implant is placed through the same incisions. So scarring is essentially the same as a standalone breast lift, not doubled. Most scars fade significantly over 12 to 18 months.

Can I breastfeed after a Breast Lift with augmentation?

Many women retain the ability to breastfeed, particularly when techniques that preserve the nipple’s connection to underlying ducts are used. That said, individual results vary depending on the extent of tissue repositioning and implant placement.

When can I return to exercise?

Light walking starts right away. Lower body exercise can typically resume around two to three weeks, with full upper body activity cleared by six to eight weeks depending on your healing progress and implant placement.

What’s the recovery like compared to getting just a lift or just augmentation?

Recovery is comparable but may involve slightly more swelling and tenderness due to the combined nature of the procedure. Most patients return to desk work within one to two weeks and resume full activity within six to eight weeks.