Breast Lift with Implants or Augmentation Mastopexy in Melbourne, Victoria
Breast lift with implants, also known as augmentation mastopexy, is a specialised procedure performed by Dr Craig Rubinstein, plastic surgeon. This procedure is designed to help alter the appearance of breasts that have lost volume and have excess skin by combining a breast lift with implants.
The primary goal of a breast lift (mastopexy) is to alter the projection and position of the breasts. The augmentation aspect of the procedure involves the placement of breast implants to change the level of firmness and fullness, particularly in the upper part of the breasts or upper pole.
During the surgery, Dr Craig Rubinstein can also make adjustments to the nipples and areolas. This may include resizing or reshaping the nipples/areolas and repositioning them to a desired location as well as removing excess skin.
By combining a breast lift with implants (augmentation mastopexy), removing excess skin and addressing nipple/areola concerns, this comprehensive procedure may achieve lifted, fuller, and more proportionate breasts with addressed nipple aesthetics.
It is essential to have a detailed consultation with Dr Craig Rubinstein to discuss your specific goals, assess your individual anatomy, and determine the most suitable approach for your breast lift with the implant (augmentation mastopexy) procedure.
What Makes a Suitable Candidate for a Breast Lift With Implants (Augmentation Mastopexy)?
*The term Ptotic breasts refers to breasts that have a downward displacement of the nipple compared to the breast fold and excess skin in the lower part of the breast.
Suitable candidates for a breast lift with implants (augmentation mastopexy) are typically individuals who have:
- Ptotic breasts due to factors such as pregnancy, breastfeeding, weight loss, or natural aging.
- Asymmetrical breast.
- A desire to increase the volume and fullness of their breasts.
- Realistic expectations about the outcomes of the procedure.
- Good overall health and do not have any medical conditions that may increase the risks of surgery.
- Stable weight (significant weight fluctuations can affect the long-term results).
- Fully developed breasts and are not planning to become pregnant or breastfeed in the near future.
- A good understanding of the risks and complications of the procedure.
Breast Lift with Implants (Augmentation Mastopexy) Can Address Ptotic Breasts
Breast ptosis or ptotic breasts is the natural consequence of ageing where the breasts and/or nipples gradually descend.
The rate at which a woman’s breasts drop and the degree of ptosis depends on a number of factors. These include:
- Skin heredity and genetics.
- Significant weight gain or weight loss – BMI shifts.
- Pregnancy and breastfeeding.
- Heavy glandular breasts.
- Having comparatively larger breast implants in the past.
- Effects of smoking on your skin and blood flow.
Post-menopausal women and those with more collagen deficiencies may experience more drastic ptosis due to a loss of skin elasticity.
Degrees of Breast Ptosis
Breast ptosis is commonly categorised into different degrees based on the position of the nipple in relation to the inframammary fold (the crease beneath the breast). The degrees of breast ptosis are as follows:
Grade 1 Ptosis (Mild)
The nipple is located slightly below the inframammary fold, but still above the lower breast contour. The majority of breast tissue is still positioned above the nipple.
Grade 2 Ptosis (Moderate)
The nipple descends to a level near or at the inframammary fold, and the lower breast contour begins to show some ptosis. The majority of breast tissue remains below the nipple.
Grade 3 Ptosis (Advanced)
The nipple is situated significantly below the inframammary fold, and the majority of breast tissue is positioned below the nipple. The lower breast contour shows significant Ptosis, resulting in a more pronounced descent.
It’s important to note that the classification of breast ptosis may vary slightly depending on the system used by the surgeon. The degree of ptosis will help determine the appropriate treatment approach, including whether a breast lift (mastopexy), breast augmentation, or a combination of both procedures is necessary to achieve the desired aesthetic outcome. Consulting with a board-certified plastic surgeon will allow for a personalised evaluation and recommendation based on individual circumstances.
Breast Lift with Implants (Augmentation Mastopexy) Before and After Gallery
To view some of Dr Rubinstein’s previous patients undertaking a breast lift with implants (augmentation mastopexy), please see the full photo gallery.
Four Surgical Techniques for Breast Lift with Implants (Augmentation Mastopexy) Surgery
There are a variety of techniques recognised for augmentation mastopexy. In Australia, these include:
1. The Crescent Breast Lift
This breast lift technique corrects only mild ptosis. It is not usually recommended for breast lift with implants as the surgeon only removes a small crescent of tissue above the areola before raising the nipple into a higher position.
2. The Benelli Breast Lift (Periareolar incision)
Also known as a “Doughnut Lift” or “Doughnut Mastopexy” the Benelli breast lift is best used for mild to moderate ptosis. This is generally around Grade I-II on the ptosis scale. Your surgeon removes a doughnut-shaped piece of tissue from around the areola before reattaching it to the remaining tissue to your areola.
3. The LeJour Lift or Lollipop Lift
The LeJour Lift or Lollipop Lift provides more lift than the Benelli, especially for those with moderate ptosis. Dr Craig removes a doughnut-shaped piece of tissue, similar to the Benelli lift. However, in addition to this, a straight incision is made down to the breast crease to provide more lift.
This more modern technique, pioneered by Dr Madalaine LeJour, is Dr Craig’s preferred method of performing your breast lift as the scar is shaped like a lollipop and does NOT leave a large horizontal scar under the breast.
3. The Anchor Breast Lift (Robbins Method)
The incision pattern is shaped like an anchor, leaving a large horizontal scar under the breast. This is the classic incision method used by many doctors in Australia. The horizontal scar is normally hidden in the breast crease.
Breast Lift with Implants (Augmentation Mastopexy) Procedure
A breast lift with Implants (Augmentation Mastopexy) is performed to address breasts that have dropped lower on the chest and restore the preferred shape and volume. This procedure involves two surgical steps to correct the issues associated with breast ptosis.
The first step is a mastopexy, which corrects the loose skin by removing excess tissue and tightening the remaining skin. The second step is augmentation, which involves placing implants to restore volume and fullness to the breasts.
During the procedure, the breast implant is inserted to fill up the extra skin, particularly in the upper part of the breasts. It is generally preferred to place the implant under the muscle to avoid additional weight on the breasts, which can lead to accelerated breast descent.
Dr Craig Rubinstein will generally recommend you spend 1-2 nights in a hospital, allowing you to rest and recover while having access to medical professionals and your surgeon as needed.
How are Breast Lift Scars Minimised?
All surgery leaves scars, including plastic surgery procedures like breast lifts with implants. Experienced surgeons like Dr Rubinstein are careful about scar placement and minimisation, with many surgical scars generally fading over time after the patient follows correct post-operative instructions.
Dr Rubinstein also employs the use of follow-up treatments using a Fraxel Laser and Healite II to minimise your scars (if necessary), with most scars fading significantly after 12 months.
Your Breast Implant Options
If your breast ptosis requires breast implants – you will need to discuss your breast implant options with your surgeon.
There are many different types of breast implants available, including:
- Different Brands – e.g. Motiva and Mentor
- Filling – Silicone implants vs Saline Implants
- Shapes – Round vs Anatomical (Teardrop)
- Surface Texture – Smooth vs Textured
- Profile or Projection – Low, Moderate or High Profiles
If you choose a breast lift with implants, Dr Craig Rubinstein will discuss with you the best implant options, sizes, and placement for you.
For further information on implants, please visit our breast implants page.
Recovery after Breast Lift with Implants (Augmentation Mastopexy) Surgery
You will be given specific post-operative instructions to follow after your surgery. It is important you follow these instructions in order to aid your recovery and surgical results.
Post-operative swelling, soreness and other associated discomfort may last for about 6 weeks but this can vary from patient to patient. Visible bruising should begin to subside within 2 weeks.
Pain levels will also vary from patient to patient and Dr Rubinstein will work with you to create an individualised pain management plan.
When Can I Return to Work After a Breast Lift (Mastopexy)?
When you return to work will also vary from patient to patient. Many patients can return to work after 2 weeks, depending on the kind of work they do/how physically demanding the job is.
Patients should avoid rigorous activity for at least 3 – 5 weeks. Furthermore, patients should get the all-clear from their surgeon before resuming any physical activity.
It is also important to avoid heavy lifting or strenuous work until you are fully recovered as activities like this can affect your pain levels, incisions, healing and recovery time.
Will a Breast Lift with Implants (Augmentation Mastopexy) Affect Breast Feeding Later in Life?
A breast lift with implants (augmentation mastopexy) may have the potential to affect your ability to breastfeed in the future, but it depends on various factors. The impact on breastfeeding can be influenced by the specific surgical technique used, the location of the incisions, and individual factors such as the ability of the milk ducts to function properly.
In some cases, the surgery may involve making incisions around the areola or altering the breast tissue, which can potentially disrupt the milk ducts and affect milk production. However, it is important to note that every individual’s anatomy and response to surgery can vary.
If you have concerns about breastfeeding after a breast lift with implants (augmentation mastopexy), it is recommended to discuss this with your plastic surgeon. They can provide personalised information and guidance based on your specific circumstances and help you make an informed decision.
It is also possible that you may experience a slight loss of nipple sensation, however, these side effects are rare when using “under-the-muscle” implants.
Will a Breast Lift with Implants (Augmentation Mastopexy) Affect Breast Screening in the Future?
A breast lift with implants may have an impact on breast screening in the future, but it is generally manageable with proper techniques and communication.
Breast implants can sometimes affect the visibility of breast tissue during mammograms, making it more challenging to detect certain abnormalities. However, radiologists are experienced in screening women with breast implants and have techniques to ensure accurate readings.
It is important to inform your mammography technician about your breast implants before the screening. They can use special imaging techniques, such as additional views or displacement techniques, to ensure the best possible visualisation of the breast tissue.
Additionally, choosing an experienced plastic surgeon who follows proper surgical techniques and uses appropriate implant placement can minimise potential interference with breast screening.
Regular breast self-examinations and routine breast screening, as recommended by your healthcare provider, remain important for early detection of any breast abnormalities, regardless of whether you have undergone a breast lift with implants.
Cost of a Breast Lift with Implants (Augmentation Mastopexy) – How Much is a Breast Lift with Implants Surgery?
The cost of a breast lift can vary based on a number of factors, such as the surgeon’s experience, geographic location, the complexity of the procedure, the type of implants used, and the surgical facility fees.
Dr Rubinstein never recommends shopping for low-cost surgery as it is unlikely that a FRACS (Fellow of the Royal Australasian College of Surgeons) level plastic surgeon will be performing the procedure.
It is recommended to do your research and consult with a board-certified plastic surgeon who can evaluate your specific needs and provide a personalised cost estimate for the procedure. They will take into account factors such as the extent of the lift required, the type of implants chosen, and any additional procedures that may be involved.
During your consultation, your surgeon will discuss the cost breakdown and any payment plan options that may be available.
It’s essential to prioritise finding a skilled and reputable surgeon rather than basing your decision solely on cost.
Further Reading – Medical References
About Dr Craig Rubinstein
Dr Craig Rubinstein FRACS (Fellow of the Royal Australasian College of Surgeons) is an experienced Melbourne Specialist Plastic Surgeon for breast and abdominoplasty surgery.
Dr Rubinstein offers women personalised abdominoplasty surgery and all forms of cosmetic breast surgery.
BOOK A CONSULTATION 1300 599 990
Next Steps in Your Surgical Journey
Want more information about your Procedure?
- Download a Free Procedure Guide on your chosen surgery.
- Visit the FAQs and read patient reviews to learn more about your intended procedure.
- For more information about pricing visit our cost page.
- You can also talk to our Patient Care Team from 9 to 5 pm Monday to Friday on 1300 599 990
About Your First Consultation
- Dr Rubinstein’s Consultation fee is $300.
- A referral from your GP or specialist is essential.
- A referral helps when claiming Medicare or Private Health Insurance coverage.
- Please contact the Patient Care Team at Coco Ruby Plastic Surgery to book your consultation.
What to Bring to Your Consultation
- You are more than welcome to bring a friend or relative to help discuss the information and your choices.
- Ensure you also take a lot of notes and thoroughly examine the documents provided.
- Please be aware you may need to undress for a physical exam so wear simple clothes.