As women age, they can lose breast volume while others may begin to notice loose, excess breast skin. Some women experience both problems that lead to deflated breasts that sag. If you would like to increase the size of your breast while also eliminating loose skin, board-certified plastic surgeon Dr. Smita Ramanadham suggests a breast augmentation surgery plus a breast lift (mastopexy). This procedure at our practice in New Jersey begins by removing excess skin from the chest and then adding silicone or saline implants to reach your desired breast size. Breast augmentation with a lift improves multiple concerns, such as position, size, and shape to create more youthful, perky breasts. Make a complimentary cosmetic consultation with Dr. Ramanadham to discuss your unique concerns and goals so she can help you decide if a combination breast surgery with both augmentation and a lift best fits you.


There are several reasons why you may be considering breast augmentation combined with a lift. It is a great approach if you desire to fully rejuvenate your breasts and improve the elasticity of your skin. You may be experiencing sagging of the breasts caused by pregnancy, aging, or significant weight loss; therefore, you would like to enhance breast fullness — this can all be achieved with a combination breast surgery. Dr. Ramanadham will be able to determine if a lift alone will get your desired outcome, or if both a lift and implants are better to attain your goals.


A combination breast surgery is usually done at an accredited surgical facility as an outpatient procedure where you will be placed under general anesthesia. For this procedure, the breast lift is usually the first to be performed. The excess skin is removed and the tissue beneath is smoothed. Dr. Ramanadham will go over the options available for breast implants before your surgery so your implants will be ready for placement. In certain instances, the nipple and/or areola may be moved to fit your new breast shape and size.


Recovery time for this particular procedure will be different from patient to patient; however, you will probably be able to return to your normal activities in about seven days. You will need to abstain from exercise and strenuous activities for 2 – 6 weeks. There will also be some inflammation after your surgery that may last for a few weeks. Breasts will settle into their new, transformed position in about 3 – 6 months where at that time you will be able to see your results.


  • How much does breast augmentation with a lift cost?
    The cost of a breast augmentation with a lift will be determined by multiple factors, particularly whether your augmentation is performed with implants (saline or silicone) or a fat transfer. In addition, the complexity of the lift will help determine your cost. In your initial consultation, Dr. Ramanadham will develop a unique surgical plan and then estimate your costs. Our practice takes many payment methods, and we can help you find low-interest medical financing.
  • Will a breast augmentation with a lift correct sagging?
    A good reason to receive breast surgery that combines augmentation with a lift is that it increases the size of your chest while also addressing sag by removing loose skin. The breast lift will also adjust your natural breast tissue so the results are firm and perky. This is crucial since augmenting breasts with even mild sagging may create a less than ideal outcome if a breast lift is not done to address the sag. To address sagging, a breast lift should be completed and then a fat transfer or implants can be added. In your initial consultation with Dr. Ramanadham, she will understand your concerns and goals before examining the condition of your chest. Following this, she can offer her recommendation on whether you should get a lift, implants, or a combination of both.
  • Which incision is best for my surgery?
    Incisions patterns for breast surgery have become more advanced with new techniques being developed to help minimize the appearance of scarring. The actual incision type that is best for your surgery will be chosen based on the type of implants and severity of breast sag. To correct moderate to severe breast sag, an anchor-shaped incision pattern is most effective. When creating your surgical plan, Dr. Ramanadham will explain incision options and which fits your needs. No matter what pattern is used, Dr. Ramanadham will make incisions carefully for natural-looking results.
  • How long will my results last?
    If you do not have massive weight changes or get pregnant, your breast augmentation with a lift should last a very long time. Although implants can last for years, they should be assessed regularly to ensure their safety. In the surgery, Dr. Ramanadham sets your implants with a technique that protects your breasts from sagging. This will help with the long-term outcome. It is important to know that while cosmetic breast surgery will give a great result, the natural aging process still occurs. Eventually, you might begin to see sagging and loose skin again, but this can be improved with another procedure.
  • How bad is the scarring?
    Dr. Ramanadham performs breast surgery so that all incisions are as small and thin as possible. She does her best to make incisions in areas that are less visible, like in the breast folds or on the areola border. If you properly care for them, the scars created by your breast augmentation with a lift will, in time, lighten and fade so they blend more with your normal skin. Dr. Ramanadham or someone on her staff will talk to you about scar care management instructions you need to follow after your procedure so your incisions heal smooth and flat.


Obtain the results you want by combining a breast augmentation and lift at our New Jersey facility. Dr. Ramanadham will help you create a unique treatment plan that addresses your needs and wants so you can see beautiful results. By addressing the shape, size, skin, and position of your breasts, your breast augmentation with lift can lead to a younger appearance. Make a complimentary cosmetic consultation with Dr. Ramanadham at our office to find out more information about your breast surgery options.