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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.


I couldn’t be more pleased and excited about the refresh Dr. Sieber did on my face using a combination of botox and fillers. I had a baby a year ago and my face looked completely deflated. It felt to me that I looked like I had aged 5 years instantly by having a baby over 40. Dr. Sieber looked closely at my face and listened to my desires and fears in terms of the results I was seeking. I really liked that he took a conservative approach and followed up to check in and tweak things once the fillers and I had time to settle in.*

Dr. Sieber is a caring, friendly and talented doctor. I had two long consultations (free of charge) before scheduling my BBL (Brazilian butt lift). The staff and Dr. Sieber made me feel calm and relaxed the day of surgery. The results are amazing. Dr. Sieber understands a woman’s body and totally changed the shape of mine. I could not recommend him highly enough. I now go to him for my Botox and Juvederm.*

Dr. Sieber was fantastic throughout the entire process. From the beginning, he was patient with my questions and never made me feel pressured about making a decision. Once deciding that I was going to move forward with a breast augmentation, he made sure that I understood the process of the procedure and what I could expect post-surgery. I could not be happier with the results!*

Dr. Sieber is the best. I interviewed with numerous doctors. He pays close attention to detail. He called and checked on me and my results on a regular basis. My tummy procedure exceeded my expectation.*

Dr Sieber was very kind, knowledgeable and patient. He was able to answer all of my questions and put me completely at ease during the consultation as well as during the actual procedure. He made sure that I understood each part of the process which went a long way in alleviating my fears…after all, this is my face!*

*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.

450 Sutter St #1432, San Francisco, CA 94108

Proudly serving the San Francisco Bay Area communities, including Mill Valley, Marin County, East Bay, South Bay, and much more.

Dr. Dave Sieber and his staff are so awesome! Dr. Sieber is personable yet professional, his work is impeccable. He listens to his patient and works with them to achieve what they want. He’s like my hair dresser, a magician, you just want to do a happy dance with the results, only these results are lasting. Ok, but seriously, the procedure was very smooth, the staff and the doctors (Dr Sieber and the anesthesiologist) had great communication and made sure I was comfortable with very clear and concise pre op and post op directions. The healing process was very easy and the results are FABULOUS. Side note, Dr. Sieber has really awesome skin, I feel like this is impressive and important because really, would you trust a dentist with bad teeth? I am so elated and satisfied with the results, the size is perfect and they look and feel very natural. They are exactly what I wanted.*

Dr. Sieber is a doctor who is not only extremely knowledgeable about the latest in cosmetic procedures, but a doctor who truly cares about his patients. I highly recommend him!*

Dr. Sieber is a doctor who is not only extremely knowledgeable about the latest in cosmetic procedures, but a doctor who truly cares about his patients. I highly recommend him!*

Dr. Sieber is attentive, responsive, and well trained. I had seen him for Botox and filler and he had done both without any pain or bruising and more importantly the results were fabulous. He has met with me on time at each appointment. He communicates what to expect, made sure I was comfortable throughout the procedure, checked on my healing every day post procedure. He couldn’t be more delightful not more talented. I had seen other plastic surgeons for in office treatments over the past decade and Dr. Sieber is at the top of the list in terms of delivering the desired outcome and high quality care.*

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