What Is a Breast Lift with Implants?
A breast lift with implants is a comprehensive surgical procedure combining two complementary techniques to address both breast position (ptosis, or sagging) and volume loss. Performed by Specialist Plastic Surgeon Dr Scott J. Turner at his Sydney clinics in Manly and Double Bay, this procedure repositions ptotic (sagging) breast tissue while simultaneously enhancing breast volume using breast implants.
The technical term for this combined approach is augmentation-mastopexy.
- The breast lift component (mastopexy) addresses sagging by removing excess skin and repositioning the breast tissue and nipple-areola complex to a more elevated position.
- The augmentation component uses breast implants to restore lost volume or enhance the overall size of the breasts.
This dual-technique approach is particularly beneficial for patients who have experienced changes in breast appearance due to pregnancy, breastfeeding, significant weight fluctuations, or the natural aging process.

Two stage Breast Lift and Implants – Patient underwent breast lift and 9 months later proceeded with second stage breast augmentation. Photos are take at 2 years postoperatively
How a Breast Lift with Implants Differs from Other Breast Procedures
Understanding how different procedures address specific concerns helps you make an informed decision. A breast lift with implants by Specialist Plastic Surgeon Dr Scott J Turner combines two techniques for comprehensive results that neither procedure can achieve alone.
Comparison with Standalone Procedures
A breast lift without implants repositions ptotic breast tissue and nipples to a more elevated position. However, it cannot add volume or fullness, particularly in the upper breast. Patients with adequate natural breast tissue who are satisfied with their size but concerned about drooping may find a standalone lift sufficient.
Breast augmentation increases breast size but cannot correct moderate to severe ptosis. When implants are placed in significantly drooping breasts without a lift, the result can appear unnatural with the implant sitting high while natural breast tissue remains low.
Unlike breast lift with implants, a breast reduction removes excess breast tissue to decrease size while also lifting the breast. This option suits patients experiencing physical discomfort from overly large breasts rather than those seeking additional volume.
One-Stage or Two-Stage Procedure
Dr Scott J Turner offers two distinct approaches for breast lift with implants. Each method has specific advantages, and Dr Turner will determine the optimal approach for your unique needs during your consultation.
Two-Stage Approach: Sequential Procedures
This advanced approach separates the breast lift and implant placement into two distinct operations with a healing period (typically 6 months) between them.
Key Benefits of Two-Stage Approach:
- Superior Predictability: Creates a stable tissue foundation before implant placement, resulting in more predictable final positioning
- Customized Implant Selection: Allows precise implant selection based on the fully healed breast tissue
- Reduced Complication Rates: Lower risk of healing complications by minimizing tissue tension
- Enhanced Nipple Positioning: More accurate final nipple placement without the influence of implant pressure
- Optimal for Complex Cases: Delivers superior results for patients with significant sagging or thin breast tissue
- Long-Term Stability: Generally provides more durable results with reduced need for revisions
- Lower Risk of Implant Displacement: Better support structure for implants once tissues are fully healed
This approach is particularly beneficial for patients with significant ptosis (sagging), thin tissue, advanced age-related changes, or those desiring larger implants.
Single-Stage Approach: Combined Procedure
This approach combines both the breast lift and implant placement in one comprehensive surgical session.
Key Benefits of Single-Stage Approach:
- One Recovery Period: Requires only a single healing period instead of two separate recoveries
- Immediate Volume Enhancement: Provides immediate restoration of both position and volume
- Cost Efficiency: Generally more affordable as it involves a single anaesthetic, hospital stay, and recovery period
- Shorter Overall Treatment Time: Complete results achieved in 3-6 months versus 9-12 months for two-stage
- Fewer Days Off Work: Requires fewer total days away from work and normal activities
- Psychological Benefit: Immediate visual improvement with both lift and volume addressed simultaneously
- Simplified Planning: Less complex surgical scheduling and recovery management
Ideal candidates for this approach have mild to moderate ptosis, good tissue quality and elasticity, desire smaller to moderate-sized implants, and are in excellent overall health.
The Breast Lift with Implants Surgery Process
Dr Turner performs all breast lift with implant procedures under general anaesthesia in a fully accredited hospital with the assistance of a qualified anaesthetist. The procedure typically takes 2-3 hours, depending on complexity.
Stage 1: Breast Lift (Mastopexy)
When performed as a two-stage approach, the first stage focuses on repositioning breast tissue:
- Tissue Assessment: Dr Turner evaluates breast tissue quality, skin elasticity, and nipple position to determine the optimal lift technique.
- Incision Patterns: Depending on the degree of ptosis, different incision patterns may be used:
- Periareolar (around the areola)
- Vertical (lollipop)
- Anchor (inverted-T)
- Tissue Reshaping: Excess skin is removed, and breast tissue is reshaped to create a firmer contour.
- Nipple Repositioning: The nipple and areola are moved to a higher position on the breast.
Stage 2: Breast Augmentation
Once healing from the lift is complete (6 months later), breast implants are placed:
- Implant Selection: Based on your anatomy and goals, Dr Turner helps select appropriate implant type, size, and profile.
- Implant Placement: Implants are positioned either:
- Subglandular (above the muscle)
- Submuscular (below the muscle)
- Dual-plane (partially under the muscle)
- Final Contouring: Any necessary adjustments are made to ensure optimal symmetry and contour.