Augmentation
Mastopexy
A breast lift restores position; an implant restores fullness. Augmentation mastopexy does both in one procedure — ideal when breasts have lost volume and dropped after pregnancy, breastfeeding, or weight change.
What Is Augmentation Mastopexy?
✓ Medically reviewed by Dr. Andre Y. Levesque, MD · Board-certified plastic surgeon (ABPS) · Last reviewed November 30, 2025
Augmentation mastopexy — a breast lift with implants — combines two procedures into one operation. The lift (mastopexy) removes stretched skin and raises the nipple-areola complex to a youthful position; the implant restores the upper-pole fullness that a lift alone cannot provide.
Dr. Andre Y. Levesque performs augmentation mastopexy in Austin, TX. It is the right choice when a breast has both dropped (ptosis) and lost volume — a very common combination after pregnancy, breastfeeding, or weight loss, where a lift alone would leave the breast perky but empty on top, and an implant alone would only make a sagging breast larger.
Because it balances two opposing forces — adding an implant while tightening skin — augmentation mastopexy is one of the more nuanced breast procedures. Dr. Levesque plans implant size and lift pattern together so the final breast is full, lifted, and natural, with the nipple centered over the most projecting point.
The scar pattern depends on how much lift is needed — from a small periareolar scar for mild sag to a vertical or anchor pattern for more significant droop. Scars follow the natural breast contours and fade over the first year.
Full, Lifted, and Natural — In One Operation
The art of augmentation mastopexy is balancing two forces that work against each other: an implant adds volume and stretches the envelope, while the lift removes skin and tightens it. Get the balance wrong and the result looks either flat or overfilled. Dr. Levesque plans both components together so they complement each other.
He selects the smallest implant that restores the upper-pole fullness you want, then designs the lift to place the nipple-areola over the most projecting point of the new breast. The result reads as a naturally youthful breast rather than an obvious augmentation.
What to Expect
From your first consultation to your final result, here's how the process works at Levesque Plastic Surgery.
Consultation
Dr. Levesque assesses your degree of sag and volume loss, discusses implant size and the lift pattern that fits your anatomy, and shows you what to expect for scars and shape.
Surgery Day
The procedure takes 2.5–3.5 hours under general anesthesia at an accredited center. The breast is lifted, the nipple repositioned, and the implant placed. Most patients go home the same day.
Recovery & Results
Most take about a week off desk work and resume full activity by 4–6 weeks. Shape settles over 3–6 months and scars fade over the first year.
Augmentation Mastopexy Before & After
All photos are of Dr. Levesque's own patients, presented with permission. Hover each card to see the after.
Am I a Candidate?
Here's a general guide — Dr. Levesque will assess your candidacy personally at consultation.
Good Candidates Typically Have:
- Breasts that have both sagged and lost volume, often after pregnancy or weight change
- Nipples that sit at or below the breast crease
- A desire for upper-pole fullness that a lift alone cannot provide
- Deflated, 'empty' upper breasts with loose lower skin
- Good overall health and a stable weight
- Realistic expectations about scars in exchange for shape and lift
Factors That May Affect Candidacy:
- Planning future pregnancies — which can undo the result
- Active smoking — increases wound-healing and nipple-viability risk
- Very minimal sag — an augmentation alone may be enough
- Preference to avoid all lift scars — a discussion of trade-offs is needed
What Does Augmentation Mastopexy Cost?
Because augmentation mastopexy combines a lift and an implant, its cost reflects two procedures performed together — though doing them in one operation is more economical than staging them separately.
Cost depends on the implant selected, the extent of the lift, surgical time, and facility and anesthesia fees.
Dr. Levesque provides a transparent, all-inclusive quote at consultation. Financing through CareCredit, Alphaeon, Cherry, and PatientFi is available.
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What Patients Say
Dr. Andre Y. Levesque, MD
Augmentation mastopexy is one of the most rewarding breast procedures because it solves the exact complaint so many patients have after children: breasts that are both empty on top and sagging. A lift alone leaves them flat; an implant alone makes a droopy breast bigger. Doing both, well, restores a youthful shape.
Dr. Levesque's priority is balance — enough implant to fill the upper pole, enough lift to place the nipple correctly, and closure that lets the scars fade. The result should look like your own breast, years younger.
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