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Female Plastic Surgeon

Breast Lift with Enlargement Perth

A breast lift with enlargement is a procedure that addresses both the position of the breasts on the chest wall and the addition of volume. This combined approach may be considered for a variety of reasons, including changes in breast shape and volume due to ageing, weight fluctuations, pregnancy, or breastfeeding. The procedure aims to create changes that align with the patient’s body proportions and aesthetic considerations.

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Reasons for surgery
Our Philosophy
Methods and Options
Surgical Process
Aftercare and Recovery
Risks

Why You may consider this surgery

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correct-asymmetry-img1 Address Asymmetry
reshape-breasts-img - Breast reduction page icon Address Breast Shape
add-volume-img1 - Breast lift with enlargement page icon 1 Add Volume

Reasons for Having a Breast Lift (Mastopexy) with Enlargement

A breast lift with enlargement is suitable for patients seeking adjustments in both breast position and volume. This procedure may suit individuals who feel that a breast lift alone may not address changes in breast volume. It provides an opportunity to adjust both the position and size of the breasts in a single surgery. Discussions during consultations focus on understanding the motivations behind pursuing this procedure, allowing Dr Anh Nguyen to tailor the approach to each patient’s specific needs and physical characteristics.

This combined procedure is particularly suited for those seeking to address volume loss over time or following life events such as pregnancy or significant weight changes. By carefully evaluating each patient’s anatomy and goals, Dr Nguyen develops a surgical plan that considers both functional and aesthetic aspects.

Dr Anh Nguyen’s Philosophy on Breast Lift with Enlargement Surgery

Dr Anh Nguyen approaches breast lift with enlargement surgery by focusing on the unique needs and anatomy of each patient. The procedure is not solely about altering the breasts’ appearance but also about ensuring the surgical plan aligns with the patient’s goals and overall body proportions.

Dr Nguyen believes in a collaborative approach where the patient’s preferences and concerns guide the planning process. Detailed consultations provide patients with the information needed to make informed decisions, ensuring they feel supported throughout their journey—from the initial discussion to recovery.

Reasons for Combining a Breast Lift with Enlargement

Combining a breast lift with enlargement addresses both the position and volume of the breasts. This dual approach is suitable for individuals experiencing changes in breast shape or volume due to factors such as pregnancy, breastfeeding, or weight fluctuations.

This combination allows adjustments in both the size and placement of the breasts, offering a comprehensive solution for those with aesthetic or functional considerations. The procedure is tailored to suit each individual’s body proportions and personal goals.

Methods for Enlargement

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Implants

Breast implants are a widely used method for increasing breast volume. They are available in various sizes, shapes, and materials, allowing for a customised approach to suit the patient’s anatomy and surgical goals.

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Fat Transfer

Fat transfer uses the patient’s own fat, harvested from another area of the body, to increase breast volume. This technique is suitable for patients seeking a subtle to moderate increase without implants. The amount of available donor fat may influence the final volume achieved.

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Hybrid of Fat and Implants

A hybrid approach combines implants with fat transfer, providing additional flexibility in shaping and achieving specific volume adjustments. This method can be tailored to meet more complex goals.

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Hall-Findlay Anchor Method

The Hall-Findlay technique, characterised by an anchor-shaped scar, is often used for significant breast lifts. It allows for extensive reshaping and is well-suited for combining with enlargement techniques.

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Le Jour Lollipop Method

The Le Jour method, known for its lollipop-shaped scar, is a suitable alternative for those requiring moderate lifting. It may result in less extensive scarring while addressing repositioning needs.

The Surgical Process

The process begins with a detailed consultation to understand the patient’s goals and physical requirements. On the day of surgery, precise markings are made to guide the procedure. The chosen methods for lifting and volume adjustment are performed under general anaesthesia.

Dr Anh Nguyen employs meticulous techniques to carry out the planned adjustments, prioritising safety and care throughout the procedure. Every aspect of the surgery is carefully tailored to the patient’s individual anatomy and goals.

Aftercare and Recovery

Aftercare is a critical part of the breast lift with enlargement process. Patients receive detailed post-operative instructions, including guidance on wound care, managing discomfort, and activity restrictions to minimise complications. Follow-up appointments are scheduled to monitor healing and address any concerns.

Patients are encouraged to adhere closely to their recovery plan to support healing and reduce the risk of complications. Open communication with the clinic ensures patients have the necessary support throughout their recovery journey.

Risks Associated with the Procedure

Like all surgical procedures, breast lift with enlargement surgery involves potential risks. These include:

  • Adverse reactions to anaesthesia
  • Changes in breast or nipple sensation
  • Infection at incision sites
  • Scarring
  • Asymmetry in breast size or shape
  • Potential need for revision surgery
  • Bleeding (haematoma)
  • Fluid accumulation (seroma)

Dr Anh Nguyen adheres to strict surgical protocols to minimise these risks. Patients are provided with thorough information during consultations to help them make an informed decision about the procedure.

Breast Lift with Augmentation FAQs

What is a breast lift with enlargement?

A breast lift with enlargement is a single operation that combines a breast lift (mastopexy) with breast enlargement, using either implants or your own fat. The lift removes loose skin and repositions the nipple higher on the breast, while the added volume restores fullness through the upper part of the breast.

Dr Anh Nguyen performs this procedure in Perth for women who have lost both firmness and volume, commonly after pregnancy, breastfeeding, weight loss or simply the passage of time. A lift on its own changes the position and shape of the breast but not its size. Implants on their own add volume but will not correct significant sagging. Combining the two aims to address both concerns in the one procedure. It is also known as augmentation mastopexy.

Do I need a breast lift, implants, or both?

This depends largely on where your nipple sits in relation to your breast crease. If your breasts are still well positioned and you would simply like more volume, implants alone may be enough. If the nipple sits at or below the crease, a lift is usually needed as well, because an implant on its own tends to make sagging more noticeable rather than correcting it.

Dr Anh assesses your breast measurements, skin quality, tissue volume and body proportions during your consultation, then explains which options suit your anatomy and what each one can and cannot achieve. Many patients arrive expecting one procedure and leave with a clearer understanding of why another approach may suit their goals better.

Can a breast lift and implants be done at the same time?

Yes. In many cases both can be performed in the one operation, under a single general anaesthetic, with one recovery period. This combined approach is often referred to as augmentation mastopexy.

Doing both together means one hospital admission, one anaesthetic and one set of costs rather than two. It is a technically demanding operation, because the lift tightens the skin envelope at the same time as the implant expands it, so planning and precision matter. Dr Anh will confirm at your consultation whether a combined procedure is appropriate for your anatomy.

Would my surgery ever need to be done in two stages?

Sometimes, yes. Dr Anh may recommend staging the surgery, with the lift performed first and implants added at a later operation several months afterwards, when performing both at once would place too much tension on the tissues.

Staging is more likely to be suggested when a large amount of skin needs to be removed, when a sizeable implant is planned, or where there is any concern about the blood supply to the nipple and areola. Two operations mean two recoveries and a higher overall cost, so the reasoning is discussed openly with you. Where a single operation is safe and likely to produce a good result, that is generally the preferred route.

Why does this procedure have a higher rate of revision surgery?

Because the two halves of the operation pull in opposite directions. The lift reduces the skin envelope while the implant increases the volume sitting inside it, which makes the final shape harder to predict than with either procedure performed alone. Published studies report revision rates of roughly 9 to 23 per cent for single stage augmentation mastopexy.

Revision surgery may involve adjusting a scar, correcting asymmetry or repositioning an implant. Careful measurement, conservative implant selection and sound technique all aim to reduce the likelihood, though no surgeon can remove the possibility entirely. Dr Anh raises this before surgery rather than afterwards, because understanding the chance of a second procedure is part of making an informed decision.

What scars will I have, and where will they be?

How much lift you need decides where the scars sit. If only a small amount of lifting is required, the scar may go around the areola and nowhere else. Once more skin has to come out, a second scar runs from the areola down to the breast crease, and this is the pattern people often call a lollipop. Larger lifts usually need a third scar in the crease under the breast, referred to as an anchor.

Dr Anh uses the Le Jour lollipop and Hall-Findlay anchor techniques and will show you where your scars are likely to sit before you decide to go ahead. Scars are permanent. They typically look red and feel firm for the first few months, then soften and fade over the following year. Scar care guidance, including sun protection and silicone products, forms part of your aftercare plan.

How long is recovery, and when can I get back to normal?

Plan on a week or two off if your job is a desk job. Light activity is usually fine again by about the four to six week mark. Running, and anything that loads the chest, shoulders or arms, tends to wait longer, often until six to twelve weeks have passed. Driving has its own rule of thumb: no strong pain relief on board, and you need to be able to brake hard without flinching.

A supportive garment is worn day and night for approximately six weeks. Swelling settles gradually, and the breasts continue to soften and settle into their final shape over three to six months. Everyone heals at their own pace, so Dr Anh provides a recovery plan based on your surgery, your general health and the demands of your job.

How long do breast implants last?

Breast implants are not lifetime devices. Many remain in good condition for 10 to 20 years, and some for longer, but they may need to be replaced or removed at some point in the future.

There is no fixed date at which implants must come out. Replacement is generally considered when there is a clinical reason, such as a change in breast shape, discomfort, or a suspected rupture. Every implant placed in Australia is recorded in the Australian Breast Device Registry, which supports long term monitoring and follow-up. It is sensible to plan for the possibility of further surgery down the track.

Will surgery affect breastfeeding or nipple sensation?

Many women breastfeed successfully after a breast lift with enlargement, although this cannot be guaranteed for any individual. Changes in nipple sensation are common in the early weeks and usually settle as the tissues heal, though in a small number of cases some change is lasting.

Surgical technique makes a difference here. Keeping the nipple attached to the underlying breast tissue helps preserve both the milk ducts and the nerve supply. If you are planning a pregnancy, mention it at your consultation, as this may influence both the timing of surgery and the plan Dr Anh recommends.

What are the risks of a breast lift with enlargement?

All surgery carries risk. For this procedure the recognised risks include reaction to anaesthesia, bleeding (haematoma), fluid collection (seroma), infection, delayed wound healing, altered breast or nipple sensation, asymmetry, noticeable scarring, capsular contracture, implant malposition and the possible need for revision surgery.

Capsular contracture occurs when the scar tissue that naturally forms around an implant tightens, which can make the breast feel firm, look distorted or become uncomfortable. There is also a rare form of lymphoma, BIA-ALCL, associated mainly with some textured implants; the Therapeutic Goods Administration publishes current Australian information on this, and Dr Anh discusses it as part of the consent process. Some women report a group of symptoms described as breast implant illness, and this can be raised at your consultation too. Dr Anh adheres to strict surgical protocols to minimise these risks and will go through each of them with you, alongside your individual risk factors, before you decide to proceed.

What does it cost, and will Medicare or private health insurance help?

A breast lift with enlargement performed for cosmetic reasons is not covered by Medicare, and private health funds generally will not contribute either. You will receive a written quote after your consultation, once your surgical plan has been confirmed.

The total cost reflects the surgeon’s fee, the anaesthetist’s fee, hospital or day surgery fees, the implants themselves and your follow-up care. Medicare item numbers for breast lift surgery carry strict criteria and cannot be claimed when an implant is inserted during the same operation. Where there is a genuine medical reason for surgery, eligibility is assessed individually. A referral from your GP is required before surgery in any case.

Can I still have mammograms and breast screening afterwards?

Yes, you can. Implants do not rule out a mammogram, and you should keep up with routine screening at whatever interval is right for your age and family history.

Let the clinic and the radiographer know you have implants when you book, so additional views can be taken to see as much breast tissue as possible. Ultrasound and MRI are used when there is a specific question about an implant rather than the breast tissue. Dr Anh encourages patients to keep up with BreastScreen WA or their GP’s screening advice after surgery.

This information is general in nature and is not a substitute for individual medical advice. All surgery carries risks, which Dr Anh Nguyen will discuss with you during your consultation. A referral from your GP, at least two pre-operative consultations and a seven day cooling off period are required before surgery. Individual results vary.

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Dr Anh Nguyen

MBBS (HONS) PGRADDIPSURGANAT FRACS (PLAST)

Dr. Anh Nguyen is a member of several esteemed professional organisations, underscoring her commitment to the highest standards of surgical and patient care. Some of her affiliations and recognitions include:

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Dr Anh Nguyen, Perth Female Plastic Surgeon 5

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(08) 9322 2659

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