Introduction A breast lift is a reliable procedure to treat sagging breasts. However, some patients need more than a breast lift to restore the aesthetic appearance of their breasts. There are many women who have saggy and small breasts at the same time. There is also a possibility that your breasts will become smaller after the breast lift surgery. In such cases, combining breast augmentation with a lift can deliver you better aesthetic outcomes. If you want to enhance the shape, position, contour, and size of your breasts, your plastic surgeon will likely recommend a combination of breast lift and augmentation for you. The breast lift will treat the sagginess whereas the breast augmentation will increase the size of your breasts. After the procedure, your breasts will not only become firmer, voluptuous, and perkier, but will also appear bigger and prominent. Candidacy for the combined surgery The ideal candidate for the combination of breast lift and augmentation is a woman who has saggy, small breasts and wants to increase the size of her breasts apart from enhancing their shape and position. For majority of patients who have experienced a decrease in breast size, a lift alone is not enough. The combo of breast lift and augmentation will treat both aesthetic flaws at the same time. It is important to note that the breast lift will not augment your breasts. It is meant solely to make your breasts firmer. In fact in most cases, the breasts become smaller after the breast lift. Other eligibility criteria remain the same. For example, you must have good physical health and realistic goals to undergo the breast lift and augmentation at the same time. Combining breast lift and augmentation: How is it performed? During the initial consultation, your surgeon will assess the aesthetic flaws, size, outline, and contour of your breasts. The surgeon will take measurements of your chest dimensions and may use computer simulations to determine how your breasts will look after the procedure. After the assessment, your doctor will recommend you a certain breast implant size that will help achieve your aesthetic goals. The breast implant is made of a silicone shell pre-filled with silicone gel. There are different shapes and sizes of breast implants. Your surgeon will recommend you the best shape after examining your breasts. The surgery is performed under general anesthesia. The first step of the procedure is the placement of the incision on your breast. In the second step, the excess skin will be removed, the breast tissue will be reshaped and tightened, and the areola and nipples will be raised to a higher position. In the next step, the implant will be inserted inside the breasts (underneath or above the breast muscle). The incisions will then be closed and sutured. The same process will be repeated on the other breast. The surgery will be completed in 2-3 hours, depending on the extent of the intervention and your aesthetic goals. Recovery after breast lift and augmentation After the surgery, you will experience swelling, bruising, and some degree of pain in your breasts. The pain can be easily managed with pain relief medications. However, the swelling will take several weeks to disappear gradually. You may be able to resume work after 1-2 weeks. However, if your work involves vigorous physical activities, you should take more days off work. During the recovery period, you will be required to take as much rest as you can. Your doctor will advise you to avoid sleeping on your front side and to steer clear of physical activities like running, stretching, bending, jumping, weightlifting, exercising, and sports for the first month after the surgery. One of the advantages of the combo procedure is that you will have only one recovery period for both procedures. If the surgeries were performed at separate times, the recovery and downtimes would be twofold. Risks of combining breast lift with augmentation Combining breast lift with augmentation will increase the risks and side effects of the procedure to some extent. The common side effects include swelling, bruising, pain, discomfort, nausea, and scarring. The pain, nausea, and discomfort will disappear in 2-3 days following the surgery. The risks of the combo procedure include excessive bleeding, infection, seroma, hematoma, blood clotting, breast implant rupture or leakage, anesthetic reactions, and hematoma. If you are suffering from serious health problems like diabetes and heart disease, the risks will be higher for you. It is important for patients to discuss the risks and complications of the surgery with their surgeons during the initial consultation. Also, be sure to share your complete medical history with the doctor. After the procedure, you will be required to wear compression garments or a support bra. The compression garment is meant to help decrease the risks and aid in quick healing. Make sure to wear the garments for the recommended time period. Also follow your surgeon’s instruction in spirit, so you can recover smoothly and safely. The results achieved with the combination of breast augmentation and lift will gradually transpire. Some of the results may be immediately visible, but complete outcomes will take a few months to be visible. Conclusion Breast augmentation with a breast lift is an effective plastic surgery procedure to treat two aesthetic problems at once, i.e. breast sagging and smaller breasts. The breast lift will make your breasts perkier, firmer, and tighter, whereas the breast augmentation will increase the size and volume of your breasts. After the surgery, your breasts will appear bigger, fuller, perkier, and firmer. This will help enhance your overall aesthetic appearance.