Mastopexy Augmentation

San Francisco Mastopexy Augmentation

After breastfeeding, massive weight loss, or simply aging, the breasts lose their youthful appearance. The reasons for this are multiple and many women seek out a breast lift to remove excess breast skin and reposition the breast into a higher position on the chest wall. Although breast lifts work great for moving a low breast up, they do not help restore lost volume of the breast, especially in the upper portions. For increased upper pole fullness, a breast implant can be placed at the same time to restore lost volume of the breasts.

Dr. David Sieber utilizes 3D Vectra Imaging during his consultation with you. This technology is able to make an image of your body so that you’re able to see how the lift and breast implant changes the shape of your breast. Often times deciding on an implant size can be a very difficult part of the consultation process. 3D imaging takes the guesswork out to streamline this process for you.

There is more information on the types of mastopexies or information on breast augmentation at the pages listed here.

Mastopexy/Augmentation Improvements

Mastopexy/Augmentation is ideal for improving:

  • Sagging breasts
  • Breast asymmetry (one breast larger than the other)
  • Loss of volume in breasts

To find out more about Mastopexy/Augmentation with Dr. David Sieber at Sieber Plastic Surgery, call us today at: 415-915-9000 or schedule a consultation here.

Quick Facts:

  • Length: 3 hours
  • Anesthesia: general
  • Inpt/Outpt: outpatient
  • Side effects: swelling, numbness, hypersensitivity
  • Recovery: 3-7 days

Mastopexy/Augmentation Technique

Dr. Sieber will see you in the preoperative area and will mark your breasts for the lift as well as for the pocket into which the breast implant will be placed. Once you are asleep, Dr. Sieber will begin the surgery by placing the breast implants into a precise pocket beneath the chest muscles. Next, excess skin will be removed and the breast tissue will be closed around the breast implant.

Preparing for Mastopexy/Augmentation

As with any major surgery, all medications and supplements which cause an increased risk of bleeding should be stopped 2 weeks prior to surgery. Please see our list of medications and supplements to avoid. As always, make sure to check with your doctor before stopping any medications.

Recovery from Mastopexy/Augmentation

Swelling is very common after surgery and will slowly resolve over the first 2-3 weeks. Initially after surgery, your breast implants may seem high on your chest wall. As the muscle relaxes and the swelling goes down, the implants will drop into a more natural position. This process may take 1-3 months. You will experience some discomfort after the surgery which is typically well controlled with the prescribed medications. Most patients take 3 to 5 days off from work to recover after surgery.

You will be in a surgical bra immediately after surgery. Most patients wear this for comfort. A soft sports bra may be worn instead.

After surgery, you will need to refrain from any rigorous activity for the first 2 weeks, and avoid lifting anything heavier than 10 lbs. At 4 weeks you may begin weight lifting, but should refrain from any chest exercised for 6 weeks after surgery. Recovery from a mastopexy/augmentation is longer than for a breast augmentation. Because of the additional incisions there will be more scarring. It will take 12 months for your scars to totally heal. Dr. Sieber will have you on a scar therapy program during this healing.


Q: How do I know if I need a mastopexy or a mastopexy/augmentation?

A: Dr. Sieber will be able to help you come to this conclusion based on your pre-existing anatomy as well as your goals for surgery. Through the use of 3D imaging, you will also be able to see the differences in your own body of the two procedures.

Q: How do I know what size implant is best for me?

A: Dr. Sieber will take very detailed measurements of your breasts during the consultation. Using these measurements as well as the 3D imaging in the office, Dr. Sieber will work with you to find an implant that not only fits your anatomy, but one that is also size you’re happy with.

Q: I’m scared of the scars I see on some women who have breast lifts. Are all of those necessary?

A: When it comes to breast lift surgery, there is a trade off between scars and breast shape. The additional short scars allow Dr. Sieber to sculpt your tissue into a much better breast shape. Using his advanced training, Dr. Sieber will leave you with the finest scars possible.

*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results.


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*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results. All images feature models except for before and after images.

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