Breast Augmentation with Lift

Breast augmentation combined with mastopexy (lift) at V CLINIC Brno addresses both volume loss and ptosis (sagging) in a single 2–3 hour procedure under general anaesthesia. The surgeon places silicone implants to restore fullness while simultaneously repositioning the nipple and removing excess skin to correct sagging. This combined approach is particularly appropriate for women post-breastfeeding or after significant weight loss who have lost both size and shape. One night hospitalisation is included, and final shape is visible at three months.

When a patient has both insufficient volume and sagging — a combination most commonly seen after pregnancy, breastfeeding, or significant weight loss — breast augmentation alone will increase size but will not address the position or shape, and mastopexy alone will lift the breast but will not restore volume. The combined breast augmentation with lift procedure addresses both dimensions simultaneously, making it the appropriate intervention for this common presentation. At V CLINIC Brno, the procedure integrates silicone implant placement with a mastopexy (breast lift) technique. The surgeon selects the implant profile, size, and positioning method (sub-muscular, sub-glandular, or dual-plane) to suit the patient's anatomy, and simultaneously performs nipple areola complex repositioning to place the nipple at the correct anatomical height. Excess skin is removed through periareolar and inframammary incisions. Where there is increased risk of fluid accumulation, drainage tubes are placed and removed at the follow-up appointment. The combined procedure takes 2–3 hours under general anaesthesia and requires one night of hospitalisation. Post-operatively, patients wear an elastic support bra for six weeks and restrict sports during this period. Final breast shape is visible at three months — faster than augmentation alone because the lift component removes the excess tissue that would otherwise take longer to retract. The procedure is not recommended within six months of breastfeeding cessation. For patients with sufficient natural breast tissue who want lift only, the standalone mastopexy is available as a separate procedure.