Reclaiming breasts you love often requires a dual approach to address both lost volume and the natural effects of gravity. At Your Aesthetic Edge, Dr. Mihail Climov specializes in combining breast augmentation with lift to provide a sophisticated, balanced result that honors your natural contours.

A breast augmentation with lift (augmentation mastopexy) offers a powerful step toward feeling like yourself again. Many women find that after pregnancy or significant weight loss, a standard breast augmentation isn't enough to achieve their goals. You may notice that while you want more volume, your breast tissue has also shifted downward. Fellowship-trained plastic surgeon Dr. Mihail Climov provides a boutique experience where he carefully evaluates your anatomy to create a personalized treatment plan. By combining these two surgeries into one, he helps you achieve a firmer, more youthful appearance with just one recovery period. We invite you to schedule a private consultation at our Houston location to explore your options.

Restores youthful volume while correcting ptosis (sagging) for a lifted look

Combines saline or silicone breast implants with specialized lifting methods

Most patients return to light activities and work within one to two weeks

Provides an enhanced breast shape and significantly improved self-confidence

A breast augmentation with lift, or augmentation mastopexy, is a procedure designed to treat two concerns at once: loss of volume and breast sagging. While a standard breast augmentation adds size, it cannot lift the nipple or remove sagging skin. Conversely, a breast lift improves breast position but does not add fullness. By combining breast augmentation and a lift, Dr. Climov can improve breast shape by placing saline or silicone implants and removing the excess skin that causes a heavy or fallen appearance. The result is a more proportional, youthful silhouette that looks and feels natural.
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On the day of your augmentation surgery, our team ensures an unhurried and calm environment. The procedure is performed under general anesthesia to ensure your absolute comfort. Dr. Climov begins by making strategic incisions to address sagging breasts and reposition the nipple.
Once the breast skin is tightened, he creates a breast pocket for the implant placement. Depending on your goals and anatomy, implants are placed either above or beneath the pectoral muscle (specifically the pectoralis major muscle). This meticulous process ensures that breast volume is restored while the breast mound is lifted to a more youthful position on the chest wall. Throughout the process, Dr. Climov prioritizes patient safety and uses refined techniques to ensure natural-looking results that fit your frame.

Augmentation mastopexy is the gold standard for women who have experienced deflation after breastfeeding or weight loss. It specifically addresses sagging breasts where the nipple has fallen below the breast crease (inframammary fold). It also resolves a lack of upper pole fullness, creating a smoother transition at the top of the breast. By removing excess skin and adding breast volume, Dr. Climov helps you achieve a well-toned and balanced profile.

Augmentation mastopexy has numerous benefits that radiate throughout every area of life. Seeing a firm, lifted, and full profile in the mirror allows you to enjoy fitted clothing and swimwear with a renewed sense of ease. Because Dr. Climov performs these surgical procedures together, you only have to go through one recovery period and one round of anesthesia. This combination procedure is ideal for busy women who want a total transformation without the need for multiple surgeries.
Dr. Climov utilizes advanced techniques to support the breast tissue, sometimes referred to as an internal bra effect. By tightening the surrounding tissue and ensuring proper implant placement, he provides a result that feels secure and stands the test of time. This approach ensures natural-looking results that last for years to come.

Ideal candidates for a breast lift with augmentation are women who are in good general health and have significant sagging as well as a desire for increased breast size. You should have a stable medical history and, ideally, be a non-smoker to ensure the healing process is smooth. Most patients who opt for this surgery are finished with breastfeeding and do not plan on having more children soon, as future pregnancies can impact the breast shape. Dr. Climov will review your goals during your consultation to ensure this augmentation mastopexy procedure is the right fit for your lifestyle.

Recovery is a time to let your own body mend in a supportive environment. For the first few weeks, you will wear a specialized surgical bra to support your new contours and reduce swelling. Dr. Climov personally calls his patients the night before surgery to ease any nerves and remains deeply involved in your aftercare. While you will need to avoid strenuous exercise and heavy lifting, most patients return to light activities within one to two weeks and a normal routine within six weeks.

You will notice a change in your profile immediately, but your final results will truly shine once the swelling has faded and the breast tissue settles over the next three to six months. You can expect a firmer, fuller, and more youthful breast shape that reflects your personal goals and complements your proportions. As long as you maintain a steady weight, your breast augmentation with lift results are intended to last for many years. The results can be transformational, helping you feel at home in your body once again.
Dr. Mihail Climov is a board-certified plastic surgeon who views every augmentation mastopexy as a unique blend of science and artistry. At Your Aesthetic Edge, we believe excellence is felt through personal connection and meticulous care. Dr. Climov personally leads every stage of your experience, from a collaborative and informative initial consultation to the concierge-level support you receive during recovery. His commitment to natural-looking results ensures that your transformation is handled with the highest level of sophistication and grace.
Breast augmentation strictly adds size and volume using breast implants or fat transfer. A breast lift (mastopexy) removes excess skin and repositions the nipple to address sagging breasts. An augmentation mastopexy combines both to give you the size you want and the lift you need.
Because we are removing skin to improve breast shape, there will be visible scarring; however, Dr. Climov is an expert at placing incisions in the inframammary fold and around the areola. With proper care, these marks fade significantly over time and are easily hidden by clothing.
The cost of implants is included in the overall surgical fee, which also covers the facility, anesthesia, and Dr. Climov's expertise. During your consultation, we will provide a transparent treatment plan so you know exactly what to expect.
Yes. If you have existing breast implants and are experiencing implant rippling or breast sagging, a lift can be used to tighten the breast skin and provide better soft tissue coverage. Dr. Climov may also suggest a different implant placement to ensure a more natural appearance.
An internal bra technique involves using your own breast tissue or specialized surgical mesh to provide extra support to the breast mound. This helps prevent future breast sagging and ensures your results remain lifted and beautiful for as long as possible.
Yes. Combining breast augmentation and a breast lift into one surgical procedure is very common. By doing so, you have only one recovery period. Dr. Climov’s fellowship training ensures that this complex procedure is performed with the highest standards of patient safety.