Over time, the breasts can change due to aging, pregnancy, breastfeeding, weight fluctuations, or loss of skin elasticity. For some women, these changes can lead to significant breast sagging, loss of upper-breast fullness, and a lower nipple position.
When a patient would like to improve both breast volume and breast position, combining Breast Augmentation with a Breast Lift may be considered.
At The SiB Plastic Surgery, each surgical plan is designed individually according to the patient’s anatomy, breast tissue, skin quality, degree of sagging, and desired proportions.
Why Combine Breast Augmentation with a Breast Lift?
Breast augmentation and breast lift surgery address different concerns.
Breast augmentation adds volume and can improve breast fullness, while a breast lift (mastopexy) reshapes and elevates sagging breast tissue and repositions the nipple-areola complex when appropriate.
For patients with significant sagging and volume loss, performing the procedures together may help create a fuller and more elevated breast contour than either procedure could achieve alone.

From Significant Sagging to a Fuller, More Elevated Shape
The case shown demonstrates a patient with noticeable breast sagging before surgery. The treatment plan combined breast augmentation and breast lifting to address both volume and breast position.
During surgical planning, the surgeon evaluates several factors, including the degree of breast ptosis, nipple position, existing breast volume, skin elasticity, breast symmetry, chest proportions, and the patient’s aesthetic goals.
The objective is not simply to create larger breasts, but to achieve a breast shape that appears more balanced and proportionate to the patient’s body.
What Can Breast Augmentation with Lift Address?
This combination procedure may be considered for patients who experience:
- Sagging or downward-pointing breasts
- Loss of breast volume and fullness
- Low nipple position
- Changes following pregnancy or breastfeeding
- Changes after significant weight loss
- Breast asymmetry
- A desire for both increased volume and a lifted appearance
The appropriate surgical technique varies between patients, so an individual assessment is essential.

One Month After Surgery: An Early Stage of Recovery
The images show the patient’s appearance before surgery and approximately one month after the procedure.
At one month, the breasts are still healing. Swelling may remain, the implants and breast tissue may continue to settle, and scars will continue to change and mature over the following months.
For this reason, a one-month postoperative photograph should be considered an early recovery result rather than the final outcome.

Personalized Breast Surgery at The SiB Plastic Surgery
Breast surgery should not follow a one-size-fits-all approach. Some patients may benefit from breast augmentation alone, while others may require a breast lift or a combination of both procedures.
At The SiB Plastic Surgery, the surgical approach is planned according to each patient’s individual anatomy and goals, with attention to breast volume, position, proportions, and overall contour.
For patients concerned about sagging breasts combined with volume loss, a consultation with a qualified plastic surgeon can help determine whether Breast Augmentation with Breast Lift is an appropriate option.
The SiB Plastic Surgery
Enhancing breast volume. Restoring shape. Creating proportions designed for you.
Individual results may vary. Surgical procedures involve risks, recovery time, and potential complications. A consultation with a qualified plastic surgeon is required to determine the appropriate treatment for each patient.

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