Breast Augmentation Lift

Aging, weight fluctuations and pregnancy can all contribute to volume loss and lax tissues in your breasts, making them saggier and flatter than you’d like. You can increase the size of your breasts and make them perkier with a breast augmentation and a lift in a single surgical procedure, performed under local anesthesia and oral sedation. According to A new technique of internal suture mastopexy for mild to moderate breast ptosis[1], a *breast augmentation lift has been found to achieve satisfying, stable results for patients*. For smaller breasts, it is also considered safer and less invasive than other breast lift methods.


What a scarless breast augmentation and lift can do for you

  • Enhance the size of your breasts
  • Enhance mild to moderate sagging for a fuller and perkier shape.
  • Enhance asymmetry in size and/or shape.
You’ll experience
  • A comfortable surgical procedure that you’ll be awake during, but won’t feel any pain or discomfort at all.
  • Both augmentation and a lift performed at the same time so you won’t have to endure two separate surgeries.
  • Your results sooner because your recovery will be faster than a traditional breast augmentation and lift.
  • Minimal scarring. Your scar will be well hidden by the natural color and texture of your areola.
  • The ability to get back to work within week or two.

You’ll notice an immediate increase in your breast size, and optimal results will appear faster than other more traditional techniques. In addition, your nipples will be raised by up to three centimeters, correcting droopiness for a perkier contour.

Watch this patient as she has a consultation and makes a decision between silicone and saline breast implants as well as the correct size. Follow her through to her surgery and the final results after 3 months.

See how silicone gel breast implants are put in while the patient is wide awake. Dr. Michael Gartner demonstrates his unique method of performing breast augmentation surgery under local anaesthesia.

What makes your scarless breast augmentation and lift at Gartner Plastic Surgery unique

1. Your surgery can only require local anesthesia and oral sedation. That means you won’t need to worry about not waking up or experience the nausea and vomiting associated with general anesthesia. Local anesthesia allows you to recover faster, as well.

2. Dr. Gartner creates a periareolar incision and places internal stitches to achieve the desired amount of lift. Unlike other breast lift techniques, no incision will be made vertically down from the areola to the breast fold, nor will one be made horizontally in the breast fold. The only incision you’ll have is around the areola. That means your scar will be virtually invisible when properly healed.

3. Excess skin is removed via the circumareolar incision to help lift the breast, giving you a perkier contour.

4. Your stitches will dissolve in the days and weeks after your surgery. You won’t need to have them removed.

Are you a candidate for scarless breast enhancement and lift?

When you’re figuring out whether this procedure is suitable for you, consider the following:

  • Your medical history: You should be relatively healthy and not have any medical issues that would make your surgery dangerous, such as bleeding disorders or an active infection. You also shouldn’t be pregnant or breastfeeding at the time of your surgery.
  • The choice to undergo surgery is yours. You want to increase the size of your breasts and make them perkier to satisfy yourself, not someone else.
  • You are willing to follow the care instructions provided to you by Dr. Gartner. These are designed to make your surgical experience a safer one and improve your outcome.
  • You have mild to moderate sagging breasts.
Your consultation

Your initial consultation regarding the surgery is scheduled with Dr. Gartner, a board certified plastic surgeon who has over a decade of experience performing cosmetic breast surgery. He has helped thousands of women transform their body contour, and he will do the same for you. You’ll talk to Dr. Gartner during this private medical appointment about your aesthetic goals. Make sure to be frank and honest during your discussion, as it will allow for a more satisfying result. He’ll go over all of the risks and side effects related to the surgery as well as review your medical history. The scarless breast enlargement and lift is only suitable for some patients. You will be assessed by Dr. Gartner to determine suitability. Some things he’ll examine include the following:

  • how much your breasts sag
  • what size of breast implants you’d like
  • how much projection you’d like to have

Please note that implants that are larger or have a higher profile tend to provide more lift. This is important for patients with more noticeable sagging.

How to prepare for your surgery

Your recovery will be easier and your results will appear faster if you closely follow the pre-surgery care instructions that Dr. Gartner provides you. Some things you can expect to do include the following:

  • Stopping smoking for at least two weeks before surgery.
  • Avoiding medications and supplements that have shown to increase the risk of bleeding, such as Ibuprofen, Aspirin and vitamin E.
  • Eating a healthy diet so your body is properly nourished.
  • Not doing any vigorous physical activity a day or two before your surgery.
Your surgery

Although every surgery is customized based on the unique needs of each patient, this is general outline of what may be done during yours:

1. Pre-emptive anesthesia is administered: Before your surgery begins, you’ll receive pre-emptive anesthesia to prepare your body for surgery and improve your recovery rate.

2. Local anesthesia is administered.

3. An incision is created around your areola.

4. Through the incision, a pocket is created under the muscle.

5. A sterile sizer is positioned in the pocket and adjusted to achieve the desired size.

6. The sizer is taken out and then replaced with the desired implant.

7. Internal stitches, known as “pleating” sutures, are placed inside the breast to create the desired lift.

8. Excess skin may be removed if necessary.

9. The areola may be reduced in circumference if necessary.

10. The incisions are closed with sutures and dressed. This marks the end of your surgery.

Your recovery
  • Follow Dr. Gartner’s post-surgery care instructions.
  • Minimize physical activity and movement in the early stages of your recovery.
  • Allow for three to four months to pass before assessing your results.
  • Take care of your incisions to minimize scarring.

In the days after your surgery, you’ll experience some swelling, bruising, discomfort and fatigue. Rest is important at this time, although you shouldn’t spend your whole day in bed. Some leisurely movement is important to reduce the risk of blood clots.

How you’ll look while you recover

*You’ll notice an increase in the size of your breasts, but they may appear flattened and high up on your chest.* This is normal. Over the next few weeks, your breasts will gradually “drop and fluff”—an informal term that refers to the settling of your implants that will create a rounder, fuller contour that is more natural in appearance. You may be asked to wear a bandeau around the top portion of your breasts to accelerate this process.

Keeping clean

You can start showering the day after surgery, using mild soap to clean your incisions. You won’t be able to take a bath until about two weeks after your surgery. This will help reduce your risk of infection.

When you can go back to work

You’ll probably be able to get back to desk work within a week.

When you can get back to the gym

While you may be able to start doing low-impact and low-intensity aerobic exercises in about two weeks, you’ll need to wait for about four weeks to six weeks before you start weightlifting.

Your results

Once you’ve recovered, you’ll not only have fuller breasts, but they’ll be perkier, too. The procedure will rejuvenate your body contour, making you look better and more youthful.


Changes in nipple sensation: Temporary changes in nipple sensation may occur and tend to disappear in few months. It is rare that changes are permanent.

Deep vein thrombosis: To reduce the risk of developing blood clots, maintain some physical activity as you recover.

Hematoma and seroma: Blood or fluid that is trapped under the skin may require surgical drainage.

Infection: Follow Dr. Gartner’s incision care guidelines to reduce your risk of infection.

Capsular contracture: Research has found that this may be related to infection. There is a higher risk of developing capsular contracture if you’ve had it before.

Wound separation (dehiscence): Excessive tension and infection on the incision line can cause this.

Rupture and deflation: Implants may rupture or deflate. Removal and replacement will be required if this occurs.

“Bottoming out”: This is when an implant becomes displaced and falls outside of the tissue pocket. Dr. Gartner does not lower the inframammary crease (breast fold) to minimize this risk.

Undesirable results: Rippling, visible implant outline, asymmetry and other undesirable aesthetic results may occur. However, by being honest and open about your aesthetic goals before surgery, you can help reduce the risk of this happening.

*Disclaimer: No guarantees of any kind unless they are money-back guarantees. No claims of permanent results. No "Miracle cures" for medical ailments.*

Copyright © 2015 Gartner Plastic Surgery and Laser Center
All rights reserved. Any subsequent further processing, publication or permanent storage for commercial or other purposes without the explicit prior permission of Think Basis Inc. is prohibited.

Article credits

  • Reviewed By:Dr.MichaelGartner
  • Place:3 Winslow Pl, Paramus, NJ, US, 07652
  • Created: 10 May 2015
  • Published: 10 May 2015
  • Last Modified: 26 Sep 2015
  • Reviewed: 19 May 2015

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