Breast Augmentation with Lift

Consultations offered at our three convenient locations in Encino, Glendale and Bakersfield

Most women are under the impression that breast augmentation with breast implants fixes sagging breasts! Unfortunately, this is not true.

Breast implants will increase the size and shape of your breasts but because there is no skin removed, there is little that it can do to provide a desirable lift for the bust. For this specific reason, Dr. Younai often performs breast augmentation in conjunction with a breast lift to provide fuller and perkier breasts. To find out more information about this transformational breast procedure, please contact our office and schedule a private consultation with Dr. Sean Younai today!

What is a Breast Augmentation?

A breast augmentation is a surgical procedure that uses implants to increase the overall size and shape of a woman’s bust. Patients will be given the option to choose from either saline or silicone implants, depending on their aesthetic goals and preferences. Breast augmentation is designed to add volume to the breasts; it does not treat sagging or drooping of the breasts.

Combining a breast augmentation with a lift can be very beneficial to treat both of these concerns within one surgery.

What is a Breast Lift?

A breast lift is another breast enhancing procedure but focuses on the elevation of a woman’s bust. Due to age, pregnancy, breastfeeding, or genetics, a woman’s bust can begin to sag and appear deflated. These are direct causes of skin laxity throughout the breasts and is a common reason for women to seek cosmetic treatment. For this procedure, Dr. Younai will remove an adequate amount of lax skin from the breasts to help reshape and lift them, providing a more youthful aesthetic.

Through a breast lift, women can achieve a more perky bust which will not only improve the body’s figure but can also help women feel more confident about their appearance.

Why Get a Breast Augmentation with a Lift?

Breast implants alone can make drooping breasts look worse.

In a ‘normal’ and youthful breast, the nipple-areola complex is centered on the breast mass. Also, the breast mound is set at or above the breast inframammary fold. Augmentation of breasts with breast implants has no significant impact on the relationship between the nipple-areolar complex and the breast. Enlarging sagging breasts with implants do not help to lift them significantly. In fact, sagging breast tissue will just hang limp off the normally placed breast implant.

This malposition of the nipple and breast tissue makes the breasts look disproportionate. In women with significant breast ptosis, mastopexy or breast lift surgery, when performed along with breast augmentation can correct this noted deformity by centering the nipple and breast tissue on the top of the breast implant.

Ideal Candidates

Ideal candidates for a breast augmentation with a lift are women who would like to increase the size and shape of their breasts, but need excess skin removed to obtain the desired perkiness of their bust. Often times, the women who are seeking this breast enhancing treatment are mothers who have lost volume after pregnancy and/or nursing. Although it is one of life’s many miracles, it can take a toll on a woman’s body. Patients who seek this treatment may also be looking to enhance their bust after a significant amount of weight loss.

No matter the reason, women can receive comprehensive treatment through this procedure to enlarge and lift their breasts.

The women considering a breast augmentation with a lift should be in good health and maintain a stable weight. These women should not be pregnant, nursing, or looking to continue having children. Patients for this procedure should be done building their family before undergoing this procedure otherwise the final results may be negatively impacted. In order to determine candidacy, we ask patients who are interested in this procedure to please contact our office to schedule a consultation with Dr. Younai. His years of experience and expertise in the plastic surgery industry has allowed him to provide the best results possible for each and every one of his Los Angeles breast enhancement patients.


The decision to have a breast lift along with breast augmentation is a complex one. Thus, during the breast enhancement consultation, Dr. Younai will ask the patient what her particular concerns are and about her desired results. The doctor will then review her medical history to ensure that this procedure is a safe option to achieve their goals. Dr. Younai will then carefully analyze and gauge the relative position of the nipple-areolar complex to that of the breast tissue and inframammary fold. The extent of breast sagging should be identified and mastopexy options for different degrees of breast ptosis should be discussed. It is important to discuss the pros and cons of different types and techniques of breast lifting surgery so the patient can make an informed decision.

Surgery Information

A breast augmentation combined with a breast lift is performed under general anesthesia on an outpatient basis, meaning that the patient is free to return home following the procedure. While a breast augmentation and a breast lift can be performed separately, they can also be performed together to provide fully transformational results because they use the same incisions. For each procedure, there are different options to choose from depending on what the patient’s custom needs are.

Dr. Younai can combine any of the options that are offered for these two procedures to “mix and match” the techniques that will help achieve their particular goals.

The options that are offered for both of these breast enhancement procedures are discussed in detail below.

Breast Lift Techniques

Depending on the amount of lax skin that needs to be removed and the patient’s particular case, Dr. Younai will perform one of the two different techniques. The techniques he offers are discussed in detail below. Breast implants can be inserted through either incision technique.


The lollipop lift consists of an incision around the areola and straight down to the breast fold. This form of a breast lift is best for women who have moderate skin laxity. The scarring, although slightly visible, will continue to fade with time.


The anchor technique is used when performing a full breast lift. This incision is used to correct severe cases of skin laxity on the breasts. The incision is made around the areola, down to the breast crease, and across the breast fold. An adequate amount of skin will be removed and the breasts will be lifted and perkier. The areola may need to be repositioned for better symmetry.

Breast Augmentation Techniques

When choosing a breast augmentation procedure, there are several different incision types and implant placements that patients can choose from. The options for this procedure are listed below.


Around The Areola Incision

This incision pattern is made around the areola which provides the doctor with good access for precise placement of the implant. Scarring is easily camouflaged with the color of the areola, making the results appear virtually seamless. However, if this technique is performed with a breast lift, a vertical incision will most likely also be necessary to remove excess skin.

Inframammary Fold Incision

The inframammary fold incision is the most commonly chosen by patients because it camouflages well in the natural breast crease. This incision pattern is made in the crease of the breast, or the fold that is under the breasts. When this is performed with a breast lift though, a vertical incision along with an incision around the areola is also necessary to remove excess skin.

This incision is another one of Dr. Younai’s favorites to perform because he has better control of the implant and its exact placement.

Armpit Incision

The armpit, or transaxillary incision, is made inside the armpit. It is an incision type that is becoming less common because it does not always provide the best results possible. The incision is a far distance from where the implant will remain, which makes it a more difficult method for the insertion of the implant. The scarring in the armpit will fade over time but may still be visible when a woman wears sleeveless tops.

Trans-Umbilical Incision

Although more uncommon than the others, patients do have the option to choose the trans-umbilical incision. This incision is very small and is made at the edge of the belly button. Through it, the doctor will insert a long surgical tube until it reaches the breasts. The empty saline implant is then gently fed through the tube and placed into its position within the breast. It is then filled with the saline solution.

This technique cannot be performed with silicone implants.


Under The Muscle

Implant placement underneath the chest muscles can help provide a very natural appearance because the muscle will drape over the implant for a smooth contour. Because the muscle is being affected by this, there may be a lengthier recovery time. However, many women appreciate the natural aesthetic this placement provides.

Over The Muscle

Placing the implants above the chest muscles can shorten a patient’s recovery time and patients have reported less discomfort during healing than those who opted for implant placement underneath the muscle. This procedure can be done with more ease, allowing the doctor to perform the procedure in a timely manner. For this placement, the implant will settle into the body much quicker than when placing the implant under the muscle.

This placement is usually reserved for smaller implants so there is not too much weight or pressure placed on the skin and tissue.


breast-augmentationOnce in the recovery area, the patient will be monitored for a couple hours before being released to go home. Before leaving the office, our staff will provide the patient with a list of recovery instructions that the doctor recommends should be followed to help promote optimal healing and results. The evening after the breast enhancement procedure, Dr. Younai advises his patients to walk, only a minimal amount, to help improve circulation throughout the body and reduce any potential risk of blood clots forming. Patients should wear the compression garment around their breasts constantly throughout the healing stage to help with any swelling and bruising that occurs.

After the procedure, patients should refrain from their daily activities for 4-6 days. More strenuous activities should be avoided completely for about 3 weeks to ensure the best healing possible. If drains were placed in the breasts, Dr. Younai will remove them during the first postoperative appointment. Patients will be asked to return for several more post-op visits over the course of a few months in order for the doctor to monitor and track the healing process.


Patients will be able to see their results instantly; however, the final results can be seen after the swelling and bruising has fully dissipated, typically after about three months. Any scarring that remains after the procedure is very subtle and will continue to fade over time. Our patients that have undergone this procedure in the past have been extremely satisfied with the transformation results and long-term benefits that this surgery provides.


The price of a breast augmentation with a lift varies from patient to patient depending on if there are any additional procedures that need to be performed in order to achieve the desired results. The cost of the procedure can be determined upon evaluation during the initial consultation.

Because this is such an individualized procedure, patients are required to come into the office to meet with the doctor. During this time, the doctor and the patient will build a treatment plan that can then provide a personalized procedure quote. To receive a custom quote, please contact our office to schedule a visit with Dr. Younai.