Breast
Breast Lift with Augmentation
Combines mastopexy and implant placement in a single operation. Addresses both descent and volume loss together.
Overview
Breast lift with augmentation is the appropriate operation for patients who have both descent and volume loss — most commonly after pregnancy, breastfeeding, or significant weight loss. Performing the lift and the augmentation in a single operation requires careful planning: the implant adds weight and tension to tissue that is being repositioned, which affects long-term skin quality and the stability of the lift. Some patients are better served by staging the two procedures. Dr. Azadgoli evaluates skin quality, breast size, and the degree of descent to recommend the best sequence for each patient.
Who it's for
The right candidate.
Patients with both descent and volume loss — most commonly after pregnancy, breastfeeding, or significant weight loss. A lift alone leaves the breast lifted but deflated; an implant alone in a descended breast looks unbalanced.
Technique
How it's done.
The lift and the augmentation are performed in one operation when the tissue can tolerate both safely. The implant adds weight and tension to tissue that is being repositioned, so candidate selection and technique matter. Some patients are better served by staging — lift first, implant later.
Where this happens
Our own surgery center.
One roof, one team.
Dr. Azadgoli operates at The Practice Healthcare's fully independent, on-property ambulatory surgery center — a Medicare-certified, physician-led facility recognized by Newsweek as one of California's top centers for independent, privately owned surgery.
Consultation, surgery, aftercare, and recovery all happen in one building, with the same team. No outside hospital. No new staff to meet the day of surgery. The same person who checked you in at the consult is there when you wake up.
What to expect
From consultation to recovery.
Outpatient under general anesthesia. Recovery follows the longer-recovery component (the lift). Most patients are back to desk work at one week, exercise at six weeks. Settling over four to six months.
Insurance & coverage
Patient Advocacy handles the paperwork.
Our advocacy team verifies benefits, pursues pre-authorizations, and appeals denials. You don't navigate insurance on your own.
Cosmetic procedures are generally not covered by insurance. For reconstructive or medically necessary work, our advocacy team verifies your benefits and presents the out-of-pocket estimate before anything is scheduled.
How we work with insurance
- 1 Verification by expertsOur advocacy team verifies your benefits before any procedure — so we know exactly what is and is not covered.
- 2 Patient advocacy & follow-throughWe aggressively pursue pre-authorizations, appeal denials when appropriate, and hold carriers accountable to their commitments.
- 3 Financial transparencyYou receive a clear written estimate of potential out-of-pocket costs. No surprises on the day of surgery.
- 4 Collaboration with carriersOur team handles documentation and communication directly with your insurance company.
- 5 Options & supportIf a procedure is not covered, we walk you through cash-pay options, financing, and other pathways to care.
FAQ
Common questions.
Why not just augmentation?
Augmentation alone in a descended breast pushes the nipple position lower and creates a bottom-heavy shape. The lift is needed when the nipple sits below the inframammary fold or the breast tissue has descended significantly.
Should I stage the procedures?
Sometimes. Staging gives the lift time to settle before the implant is added, which can produce a more reliable result in patients with poor skin quality. Dr. Azadgoli will recommend staging when it is clinically appropriate.
Will the scars be worse than a lift alone?
The scars are the same — the lift component determines the scar pattern. Adding an implant does not add scars.
Should this be one operation or two?
Most patients are candidates for a combined operation. Some — particularly with very poor skin quality or substantial weight changes — are safer with a staged approach. Honest assessment up front.
Are the scars worse than a lift alone?
No. The lift component determines the scar pattern; the implant does not add visible scars.
What kind of implants work best in a lift?
Smaller, moderate-profile implants tend to give the best long-term result in lifted breasts. Larger implants add weight that pulls on the lift repair and shortens its durability.
Ready to discuss breast lift with augmentation?
Schedule a consultation with Dr. Azadgoli and her team to explore your options.
Request a consultation