Breast augmentation combined with a breast lift, also called augmentation-mastopexy, is one of the most powerful procedures in cosmetic breast surgery. It addresses both volume loss and sagging in a single operation, restoring a youthful, fuller, more lifted shape that neither procedure can fully achieve on its own. At Alpenaura Plastic Surgery in Bend, Oregon, Dr. Jourdan Carboy, MD, offers augmentation-mastopexy for patients across Central Oregon and the Pacific Northwest who have lost both volume and shape after pregnancy, breastfeeding, weight changes, or natural aging.
Many patients who consider breast augmentation alone are surprised to learn that an implant alone cannot fully address breasts that have descended on the chest wall, because implants add volume but do not lift sagging tissue or reposition the nipple. Conversely, a lift alone reshapes and lifts the breast but does not restore lost upper-pole fullness.
By combining the two procedures, Dr. Carboy can produce a result that addresses both concerns at once, with shape, position, and fullness all optimized together.
Good candidates are women who have noticed both deflation and descent of their breasts. This is particularly common after pregnancy and breastfeeding, after significant weight loss, or with natural aging. Patients should be at a stable weight, ideally finished with childbearing, healthy non-smokers, and have realistic expectations.
Augmentation-mastopexy is a more complex operation than either procedure alone, so candidate selection and surgical planning require special care.
Patients in Bend, Redmond, Sisters, Sunriver, Prineville, and across the Pacific Northwest frequently come to Alpenaura Plastic Surgery describing breasts that are smaller and lower than they used to be. They want both volume restored and a lifted, youthful shape.
Dr. Carboy approaches each case with detailed planning, often using sizing systems and visualization tools to help patients understand what is achievable in a single combined procedure versus a staged approach. For some patients, a staged approach is the safest and best option, while for many others, a combined procedure produces an excellent result with one recovery.
Augmentation-mastopexy is performed under general anesthesia as an outpatient procedure. Surgery typically takes three to four hours, depending on the extent of the lift. Recovery is similar to a breast lift alone, with most patients returning to desk work within seven to ten days, light exercise at three to four weeks, and full activity at six weeks.
Final shape and scar maturation continue over six to twelve months. Implants continue to settle into their final position over three to six months.
Alpenaura Plastic Surgery is a trusted destination for augmentation-mastopexy in Bend, Oregon, with Dr. Carboy serving patients across Central Oregon and the Pacific Northwest with careful, individualized planning and refined surgical technique.
Good candidates are women who have noticed both deflation and descent of their breasts. This is particularly common after pregnancy and breastfeeding, after significant weight loss, or with natural aging.
By combining the two procedures, Dr. Carboy can produce a result that addresses both concerns at once, with shape, position, and fullness all optimized together.
Recovery is similar to a breast lift alone, with most patients returning to desk work within seven to ten days, light exercise at three to four weeks, and full activity at six weeks.
Final shape and scar maturation continue over six to twelve months. Implants continue to settle into their final position over three to six months.
Augmentation-mastopexy is performed under general anesthesia as an outpatient procedure.
Most patients return to desk work within seven to ten days, light exercise at three to four weeks, and full activity at six weeks.
Women who have noticed both deflation and descent of their breasts after pregnancy, breastfeeding, significant weight loss, or natural aging.
Performed under general anesthesia as an outpatient procedure.
We understand that choosing a procedure is a deeply personal decision. Here are answers to some of the most common questions about treatment, recovery, results, and the overall Alpenaura experience.
An implant alone cannot fix sagging or reposition the nipple, and a lift alone cannot restore lost volume. When both concerns are present, addressing them together produces the best result.
For appropriate candidates, yes. The decision to combine procedures or stage them depends on factors including tissue quality, the extent of lift required, and the implant size desired. Dr. Carboy will help you decide what is safest.
No. The same lift incisions are used to insert the implant, so adding the implant does not add scars.
Many women retain some ability to breastfeed, but the procedure can affect milk supply. If future breastfeeding is a priority, please discuss it with Dr. Carboy.
Results are long-lasting. Breasts continue to age naturally, and pregnancy after surgery can affect long-term shape, but most patients enjoy their results for many years.
Recovery is somewhat longer than augmentation alone because of the lift component, but most patients return to normal activities by six weeks.
Breast reduction to improve comfort, proportion, and confidence with a lighter silhouette.
Revision breast surgery to refine previous results, address changes, and restore balance.
Breast lift surgery is done to restore a more lifted, balanced, and youthful breast shape.
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