The journey to restored confidence and feminine contour often begins with understanding your options. For women experiencing both sagging and volume loss—whether from pregnancy, aging, or weight fluctuations—a breast lift with implants offers the most comprehensive solution available in modern plastic surgery.

This dual-approach procedure, medically known as augmentation mastopexy, addresses the two primary concerns that cannot be resolved through exercise or non-surgical treatments: skin laxity causing breast ptosis (drooping) and lost breast volume. By combining the lifting benefits of mastopexy with the volume restoration of breast augmentation, patients achieve results that neither procedure could accomplish alone.

Breast augmentation consistently ranks as the second most popular cosmetic surgery nationwide, after liposuction, while breast lifts place fourth, reflecting widespread demand for these transformative treatments.

At Dr. K Miami Plastic Surgery, Harvard and Johns Hopkins-trained Miami plastic surgeon Dr. Bart Kachniarz specializes in this complex procedure. Dr. K brings extensive hands-on expertise to each individualized treatment plan. This ensures refined techniques and predictable outcomes for every patient seeking comprehensive breast enhancement.

Understanding Breast Lift with Implants: The Complete Solution

Unlike traditional breast augmentation, which only adds volume, or a standard breast lift, which only addresses sagging, augmentation mastopexy simultaneously tackles both issues in a single surgery. This comprehensive approach involves two distinct but complementary techniques.

The Lifting Component (Mastopexy): Removes excess skin while repositioning breast tissue to create a more youthful contour. The areola may be resized or repositioned for natural proportions. This prevents the stretched or disproportionate appearance that often accompanies breast ptosis.

The Augmentation Component: Breast implants—filled with either saline or silicone—are precisely positioned to restore lost volume and enhance breast shape. Surgeons measure implant volumes in cubic centimeters (cc), providing precise customization options across a comprehensive range of sizes.

How This Procedure Differs from Single Procedures

The distinction between combined and individual procedures is crucial for patient selection:

Traditional Breast Lift Only: Best for women who want elevated breasts without increasing size, but cannot address deflation or restore upper pole fullness
Breast Augmentation Only: Increases breast size but does not correct sagging if skin has lost elasticity
Combined Approach: Addresses both issues simultaneously, making it ideal for patients with ptosis who also desire fuller, rounder breast appearance

Some patients may benefit from combining breast reduction with their lift procedure. This achieves smaller, lighter, and more proportionate breasts when excess volume contributes to sagging. This comprehensive approach offers practical advantages including reduced overall recovery time, single anesthesia exposure, and consolidated facility fees, making it both medically efficient and cost-effective compared to staged surgeries.

Benefits of This Type of Procedure

Breast lift with implants delivers transformative results that extend far beyond simple size enhancement. This comprehensive procedure addresses shape, longevity, and symmetry concerns that cannot be achieved through individual treatments alone.

1. Enhanced Shape, Volume, and Projection

The dual-solution approach repositions breasts higher on the chest while adding customized fullness through implant placement. This addresses the common concerns of deflation and drooping that cannot be corrected through exercise alone. This is particularly beneficial for individuals who have experienced changes due to:

Pregnancy and breastfeeding cycles
Significant weight fluctuations
Natural aging processes
Hormonal changes affecting breast tissue

During pregnancy, hormone fluctuations can dramatically alter breast size, with some women experiencing swelling that increases cup size by one or two sizes. Following childbirth, the combination of lost fat tissue and stretched skin often results in breast sagging that requires surgical intervention for optimal correction.

The procedure allows surgeons to customize breast contour, shape, and projection, resulting in firmer, more youthful breast profiles. Patients commonly report smoother upper breast contour, more natural cleavage, and improved clothing fit due to these comprehensive improvements.

2. Longevity and Durability

Modern augmentation mastopexy techniques provide superior long-term results compared to skin-only lifting approaches. Traditional lift techniques often fail over time because skin naturally stretches under tension, causing lifted results to gradually drop. Contemporary methods rely on internal breast tissue support rather than skin tension alone, using the breast’s fascial framework for structural support.

This internal reshaping creates a more stable foundation that:

Resists stretching better than skin-only techniques
Maintains results longer by redistributing weight through stronger tissue structures
Reduces strain on incision lines and helps preserve the lifted position over time

Most patients experience satisfaction with their breast contour for a decade or longer before considering additional intervention. Approximately three-quarters of the final aesthetic result is achieved within three to four months. Complete tissue settling and scar maturation continues through the first year.

3. Comprehensive Symmetry and Proportion Correction

Enhanced symmetry represents a significant advantage of this combined surgical approach. Natural breast asymmetries—common among women—can often be addressed through tailored lifting techniques and carefully matched implant sizes. This precision allows for correction of:

Uneven breast sizes and shapes
Misaligned nipple positions
Imbalanced chest proportions
Natural developmental differences

The procedure restores balance between the breasts and the rest of the body, often improving confidence and comfort in both casual and formal attire. Surgeons select implant sizes and sculpt tissues with precision, leading to more harmonious body contours and natural-looking results.

Implant Options: Saline vs. Silicone

Understanding implant materials helps patients make informed decisions about their enhancement:

Saline Implants:

Filled with sterile salt water after insertion
Allow for smaller incisions and minor volume adjustments during surgery
Provide firmer feel and may show more rippling
Suitable for patients 18 years and older
Leak detection is immediate through noticeable deflation
Generally less expensive option

Silicone Implants:

Pre-filled with cohesive silicone gel
Offer softer, more natural feel and appearance
Less likely to show rippling or feel firm
Suitable for patients 22 years and older
Require monitoring through MRI or ultrasound for leak detection
FDA recommends first ultrasound or MRI at 5–6 years postoperatively, then every 2–3 years thereafter

Both implant types are FDA-approved and offer excellent safety profiles when properly monitored and maintained.

Shape and Profile Considerations

Implant shape and profile significantly influence the final shape of the breast:

Shape Options:

Round Implants: Provide uniform fullness and enhance upper breast volume for more dramatic cleavage
Teardrop (Anatomical) Implants: Taper naturally to imitate the breast’s natural slope for subtle enhancement

Profile Classifications:

Low Profile: Subtle projection with broader base for natural appearance
Moderate Profile: Balanced projection offering natural-looking results
High Profile: More pronounced projection with narrower base for dramatic enhancement

Selection depends on the patient’s existing breast tissue, chest width, and aesthetic goals. Some surgeons advocate for an anatomically-guided approach where the breast’s natural dimensions and tissue characteristics primarily determine optimal implant size. This method prioritizes natural proportionality rather than selecting based solely on desired cup size.

Implant Placement Options

Strategic implant positioning affects final appearance, complications risk, and recovery.

Subglandular Placement (Above the Muscle): Positions implant directly under breast tissue. Enhances projection and upper pole fullness with shorter recovery period. Suitable when skin and tissue provide adequate coverage, though may increase visibility of implant edges in thin patients.

Submuscular Placement (Under the Muscle): Situates implant beneath pectoral muscle. Preferred for patients with thinner tissue coverage. Reduces risk of visible implant edges and rippling, though may cause temporary muscle animation during healing with longer recovery due to muscle involvement.

The selected placement impacts final breast shape, complication risk, and recovery timeline. Dr. K’s recommendation considers clinical evaluation findings and individual patient anatomy.

Preoperative Preparation

Thorough preparation ensures optimal outcomes and patient safety:

Dr. K evaluates patient goals, breast anatomy, and skin quality during comprehensive consultation. Assessment includes medical history review, current health conditions, and previous surgery documentation. Physical examination determines skin elasticity, nipple position, and degree of breast ptosis.

Essential questions patients should ask include:

How many similar procedures have you performed?
What specific technique do you recommend for my anatomy?
How do you handle complications if they arise?
What revision policies exist if results need adjustment?

Preparation Protocol:

Blood tests and health screenings to ensure surgical fitness
Discontinuation of smoking and certain medications that increase surgical risks
Antimicrobial soap washing several days before surgery
Arrangement for transportation and home support during recovery
Meal preparation and daily obligation management

Most patients undergo surgery within one to six weeks following consultation. Timing varies based on surgical schedule availability and individual preparation needs.

The Procedure

General anesthesia ensures patient comfort and eliminates pain throughout the procedure, which typically takes two to three hours, depending on individual anatomy and surgical complexity.

Precise incisions are made according to the preoperative plan. Excess skin is carefully removed to address sagging, and underlying breast tissue is lifted and reshaped for improved contour and projection. Deep sutures are placed within breast tissue to support and maintain the new breast shape, with the areola repositioned or resized for optimal symmetry.

Dr. K employs a temporary implant technique during surgery, testing various volumes while the patient is positioned upright to assess symmetry and projection. This approach allows for precise volume adjustments, particularly when addressing natural breast asymmetry where each side may require different implant sizes.

After tissue reshaping, surgeons create precise pockets for implant placement, either submuscular or subglandular depending on patient anatomy. Sterile implants are inserted and positioned for optimal symmetry and volume. Before closure, the surgical field is inspected for bleeding or irregularities, with surgical drains placed if needed.

Recovery Timeline

Initial Recovery Protocol involves pain management involves prescribed medications, while surgical bras or specialized compression garments minimize swelling and support healing tissues.

Critical Care Instructions:

Keep incisions clean and dry
Avoid heavy lifting or straining movements
Sleep on back to protect surgical areas
Avoid raising arms above shoulder level, while maintaining light arm and shoulder movements to prevent stiffness
Watch for infection signs like increased redness or unusual swelling

Specialized Garment Requirements: A supportive surgical bra with light dressings must be worn continuously for two to three weeks to maintain the breasts’ new shape during initial healing. Some surgeons extend this requirement to six weeks, removing only for bathing to ensure optimal tissue support during complete internal reorganization. Following initial healing, patients transition to soft, wire-free support bras around weeks four to six.

Complete Recovery Timeline

Phase 1: Acute Recovery (1–2 weeks)

Peak swelling and bruising typically occur
Pain management with prescribed medications
Limited movement and activity restrictions
Return to desk jobs and light activities possible by week two

Phase 2: Intermediate Recovery (2–6 weeks)

Gradual return to normal activities
Continued wearing of supportive garments
Progressive increase in arm and shoulder mobility
Strenuous exercise and heavy lifting still restricted

Phase 3: Full Recovery (6–8 weeks and beyond)

Resume full exercise and normal activities
Implants settle into final, natural position
Appreciation of complete enhanced contour
Some residual swelling or sensitivity may persist for several months

Initially, implants may appear positioned higher on the chest wall, gradually descending into their intended pocket as tissues relax and swelling subsides. The implants typically settle into their final position approximately 6–8 weeks post-surgery.

Risks and Managing Complications

While breast lift with implants is generally safe, understanding potential risks and complications helps patients make informed decisions and recognize when to seek medical attention.

Common Temporary Effects can include:

Swelling, bruising, and discomfort resolving within weeks
Mild pain controlled with prescribed medication
Temporary numbness or decreased sensation in nipples or breast skin
Minor differences in breast shape, size, and symmetry

Scarring is inevitable, typically around the areola and beneath the breast. With proper wound care, incision lines fade significantly over time and remain hidden when wearing undergarments or swimwear. Active scar management begins around three weeks post-surgery, once all incisions have fully closed.

Serious Complications Requiring Medical Intervention

While uncommon, serious complications can occur. These immediate surgical risks include:

Hematoma involves blood collection under skin potentially requiring surgical drainage
Severe Infection may necessitate implant removal and antibiotic treatment
Delayed Wound Healing can prolong recovery and affect final results

Implant-Related Complications:

Capsular Contracture occurs when scar tissue tightens around implant causing discomfort and distortion
Implant Rupture or Leakage requires replacement surgery
Implant Malposition may need repositioning for optimal appearance

Long-term Concerns:

Permanent loss of nipple sensation
Tissue necrosis if blood supply is compromised
Noticeable asymmetry requiring corrective procedures

Regular follow-up care and prompt attention to unusual symptoms help minimize risks and ensure optimal long-term outcomes.

Long-term Maintenance

Long-term success depends on lifestyle maintenance and proper aftercare:

Maintain stable body weight to prevent shape changes
Daily skin care including moisturizing and sun protection
Wear supportive bras, especially during exercise
Schedule annual check-ups with board-certified plastic surgeons
Routine monitoring for early detection of changes

Significant weight fluctuations may alter results, potentially necessitating future procedures. Regular clinical assessments help detect early changes in implant condition or breast shape, allowing for timely intervention when needed.

When Revision Becomes Necessary

Revision surgery may be required for several reasons:

Common Revision Indicators:

Noticeable change in breast shape or position
Persistent discomfort or swelling
Implant rippling or visible deformity
Palpable lumps or hard areas
Implant rupture or capsular contracture

Contemporary revision procedures may utilize specialized biomaterials like acellular dermal matrices. These integrate with patient tissue to provide additional support and address complications such as rippling or capsular contracture.

Most breast implants maintain their integrity for approximately 10–15 years before replacement becomes advisable. The FDA emphasizes that breast implants are not lifetime devices. FDA data shows 20% of augmentation patients require reoperation within 10 years, with the likelihood of complications increasing over time.

Some may require earlier intervention based on clinical findings. Natural aging processes continue affecting breast tissue despite surgical enhancement, with gravity, hormonal changes, and life events potentially causing renewed sagging over time.

Am I a Candidate?

The most successful outcomes occur in patients who:

Have significant breast droop (ptosis) with nipples pointing downward or falling below the breast crease when unsupported
Experience loss of upper breast volume, particularly after pregnancy or weight loss
Maintain good overall skin quality with adequate elasticity
Have fully developed breasts and stable weight
Are not currently pregnant or breastfeeding

A simple self-assessment involves considering whether you desire both elevated breast positioning above the breast crease and increased breast volume. When both goals align, the combined procedure typically offers the most comprehensive solution.

Women who have undergone partial mastectomy or other breast surgeries may also benefit from this combined procedure to restore breast symmetry and volume. Patients with minimal sagging may achieve satisfactory results with a lift alone. Those with significant volume loss typically benefit most from the combined approach.

Health and Lifestyle Prerequisites

Successful candidates maintain specific health and lifestyle standards:

Medical Requirements:

Freedom from untreated chronic conditions like diabetes or heart disease
No medical contraindications that could complicate surgery or recovery
Stable mental outlook and ability to follow pre- and post-operative instructions

Lifestyle Considerations:

Non-smoking status (smoking negatively affects wound healing and increases surgical risks)
Commitment to maintaining stable body weight
Regular exercise and balanced diet habits
Understanding of realistic expectations and potential outcomes

Women planning future pregnancies should discuss potential impacts on breastfeeding capability. Certain surgical techniques may affect milk ducts and nipple sensitivity. However, many patients successfully nurse following the procedure.

What is the Cost of Breast Lift & Implants in Miami?

Breast lift with implants in the United States generally ranges from $5,000–$18,500, with average costs around $10,500. Total fees reflect multiple factors:

Surgeon’s experience and board certification
Geographic location and facility standards
Implant type selection (silicone typically costs more than saline)
Procedure complexity and surgical time required
Facility fees, anesthesia costs, and medical testing
Post-surgery garments and prescription medications

Financing Options and Payment Solutions

Cosmetic breast lifts with implants are rarely covered by insurance since they are elective procedures. Coverage may be available only with documented medical necessity, such as reconstruction after mastectomy.

Available Payment Options:

Major credit cards and healthcare-specific credit (CareCredit)
Monthly payment plans with competitive interest rates
Third-party financing with extended payment terms
Complete financing programs making procedures accessible without large upfront payments

Dr. K Miami Plastic Surgery offers comprehensive financing programs that enable patients to proceed with surgery while managing costs comfortably within their budget. Transparent cost estimates and written payment agreements help avoid unexpected expenses.

Evaluation Checklist

Review before-and-after photos of similar procedures
Assess patient feedback across multiple platforms
Discuss complication rates and revision policies
Understand aftercare and follow-up protocols
Evaluate communication style and transparency

Schedule a Consultation: Start Your Transformation with Miami’s Premier Boutique Plastic Surgery

Ready to enhance your confidence with a breast lift and implants? The combination of advanced surgical techniques, personalized care, and Dr. K’s artistic expertise creates the foundation for natural, long-lasting results tailored to your unique goals.

Dr. K Miami offers free initial consultations to discuss your personalized treatment plan and provide transparent pricing tailored to your needs. Virtual consultation options are available for out-of-town patients or those preferring initial discussions from home, making expert surgical planning accessible regardless of location.

With his extensive training at Harvard Medical School and Johns Hopkins, plus thousands of successful breast procedures, Dr. K brings unmatched expertise to your transformation journey. Our boutique Miami clinic provides the personalized attention and premium care you deserve throughout your entire experience.

Transform your confidence with South Florida’s premier plastic surgery experience, where medical excellence meets personalized care in achieving your aesthetic goals.

Breast Lift with Augmentation Miami