Case #1009
Breast Lift with Augmentation
A woman in her 20s born with tuberous breasts was unhappy with their size and shape. Dr. Azadgoli performed a mastopexy augmentation with 220cc low profile Motiva implants placed subfascially.
A woman in her 20s was born with tuberous breasts and was unhappy with their size and shape. Dr. Azadgoli performed a mastopexy augmentation (lift with implants) to correct the tuberous shape, using 220cc low profile Motiva implants placed in the subfascial plane.
Why this approach
The decisions that shaped this surgical plan.
- Congenital anatomy informs every step. The technique was selected to correct the underlying structural difference rather than mask it cosmetically.
- Both sides treated in the same session — symmetric planning, identical tissue handling, and matched final contour are easier to achieve in one operative window than in two.
- A concurrent lift was the right complement to the main procedure for this anatomy — done concurrently to consolidate recovery.
Pre-op preparation
What to do before surgery. Specific to this case.
- Stop NSAIDs, aspirin, and high-dose fish oil two weeks before surgery; the surgical team provides a full medication list at the pre-op visit.
- Full nicotine cessation 6 weeks pre- and post-op. This includes vapes and nicotine replacement products; the constriction effect is the same.
- Arrange button-front or zip-front tops for the first three weeks — overhead reaching is restricted. A drain holder or apron is provided.
- A driver is required the day of surgery and a responsible adult should stay with you the first 24 hours.
Recovery timeline
Milestones specific to this case. Individual recovery varies.
- Day 1–7
Bilateral healing takes a slower start. Expect more chest-wall fatigue through day 5 and a stricter no-lifting rule for the first 10 days.
- Week 2
Patients off prescription pain medication, walking 1–2 miles daily, and back to most light household activity.
- Week 4
Light cardio and most desk-work activities cleared. Lifting limit increases to 15 lb. Scar massage typically starts now.
- Week 6
Most physical restrictions lift. Return to strength training, full-impact cardio, and overhead lifting.
- Month 3
Most patients consider this the "final result emerges" milestone. The remaining 10 percent of refinement plays out through month 6.
Continued care
Recommended aftercare, skincare, and MedSpa services for Breast Lift with Augmentation.
- Compression bra continuously for 6 weeks
- Sleep elevated on your back for 2 weeks
- No upper-body lifting for 4 weeks; full activity at 8 weeks
- Combined lift + implant means a longer initial healing window — scar care begins at 3 weeks
- Medical-grade silicone sheeting on the lift incision pattern
- SkinCeuticals C E Ferulic for scar healing
- SPF 50+ on incisions for 12 months
- Fractional laser for scar refinement after 3 months
- LED light therapy weekly for the first 8 weeks
- Lymphatic massage starting week 2
- Aftercare
Bilateral HBOT protocol — 10–15 sessions over the first 6 weeks.
Bilateral procedures heal more reliably with sustained HBOT.
- Skincare
Aggressive sun protection on incision lines through the first 12 months.
Younger skin pigments scars more reliably under sun exposure.
