Breast Augmentation With Lift (Augmentation Mastopexy) Surgery With Dr Hertess On the Gold Coast

Dr Isolde Hertess performs breast augmentation with lift for patients on the Gold Coast, and careful planning is essential because this is a more complex procedure than augmentation or lift alone. Your surgical plan is based on your anatomy, your skin quality, your goals, and what can be done safely.

What Is Breast Augmentation With Lift?

Breast augmentation adds volume using an implant, while a lift (mastopexy) removes excess skin and reshapes the breast tissue to change position and contour. When performed together, the aim is to create a breast shape that has more volume and a more lifted position, while recognising that every patient is different and outcomes vary.

An augmentation mastopexy plan usually considers:

• The amount of skin laxity and how much lift is needed
• Nipple and areola position
• Breast tissue volume and shape
• Implant size and shape that suits your body type
• Scarring patterns required

Because two procedures are combined, decisions about implant choice and lift technique need to work together, rather than being planned separately.

Who May Consider Breast Augmentation With Lift?

Breast augmentation with lift may be considered if you:

• Want more breast volume
• Have lost volume and skin firmness after pregnancy or weight changes
• Feel the nipple position sits lower than you would like
• Have noticeable breast asymmetry related to shape and position

This procedure is not suitable for everyone. Your overall health, your tissue quality, and factors that affect healing, such as smoking or vaping, can influence safety and outcomes. If you are considering surgery on the Gold Coast, Dr Isolde Hertess will assess whether a combined approach is appropriate for your body and goals.

Planning Breast Augmentation With Lift With Dr Isolde Hertess

During your consultation, Dr Hertess will assess your breast tissue, skin quality, chest width, and the degree of lift required, then explain what options may be suitable.

Planning usually includes discussion of:

Implant Size and Shape

Implants come in different sizes and shapes, and your selection is guided by your anatomy and the look you prefer. It is usually more helpful to focus on proportions and what suits your frame, rather than aiming for a particular bra cup size.

Implant Placement

Implants can be placed in different positions depending on your anatomy and the surgical plan. Placement can influence shape, feel, and the way the implant sits over time, and these considerations are discussed as part of your individual plan.

Lift Technique and Scarring

A breast lift requires incisions, and the scar pattern depends on how much lift and reshaping are needed. Some lifts may require a smaller scar pattern, while others require additional incisions to safely reshape the breast and reposition the nipple. Scar appearance varies between individuals, and it can remain visible.

Areola Position and Size

In some cases, the areola may be reshaped or repositioned as part of the lift, depending on your anatomy and goals. This is discussed during planning so you understand what will change, where scars may be placed, and what healing involves.

Staging Versus One Procedure

For some patients, a staged approach may be considered rather than performing both procedures at once. This depends on skin quality, tissue stretch, and the overall risk profile. If staging is recommended, the reasons should be explained clearly.

Recovery After Breast Augmentation With Lift

Recovery varies. Swelling, bruising, tightness, and a period of reduced activity are expected while your body heals. In addition, there can be more limits than with augmentation alone, and you will be advised when it is safe to return to lifting, gym training, and physically demanding work.

You will be given aftercare instructions for wound care, support garments if required, and your follow-up appointments. Following this guidance supports healing and helps lower the risk of problems. Your breast shape can continue to change as swelling settles and the tissues soften, so it can take time before the final shape becomes clear.