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Studies have shown that feeling good about your appearance is an important part of your overall self-confidence and mental health. Achieving your aesthetic goals in a positive, realistic manner can be a significant boost to your self-esteem. Studies have also shown that the vast majority of people who have reasonable expectations who choose to undergo cosmetic procedures achieve their aesthetic goals and come away satisfied and with an improved quality of life. In Washington, DC, the most popular cosmetic procedure performed today is breast augmentation, the procedure that gives patients fuller, firmer, larger breasts.
But did you also know that there is another combination procedure, the breast augmentation with lift, that has recently become popular? This procedure offers patients living in Chevy Chase and surrounding areas of Maryland a more comprehensive renewal of the appearance of their breasts.
The breast augmentation with lift achieves both a fuller appearance of the bust, along with treating sag and breast ptosis for a lifted, youthful look.
Recovery:
1-2 weeks
Cost:
Starts at $14K
Results:
3-4 months
What Is Breast Augmentation with Lift?
Ptosis is the medical term used to describe breasts that have lost tissue elasticity, and are sagging substantially enough to render the nipple and areola out of alignment with the breast crease. Ptosis can be caused by various factors, including the natural aging process, fluctuations in weight, breastfeeding, pregnancy, gravity, and genetics.
The symptoms of breast ptosis are apparent, but each person experiences ptosis in a variety of ways. There is a scale that measures the different kinds of breast ptosis.The breast ptosis scale describes the appearance of the nipple in relation to the rest of the breast mound and where the breast meets the chest cavity, the inframammary fold (IMF). Grade I or mild ptosis is where the nipple is level with the IMF and mostly above the rest of the breast mound. At its most advanced stage, “advanced ptosis,” the nipple may have dropped to the point of facing downward, and the lower hemisphere of the breast sags far below the IMF. There is another form of breast ptosis which is called parenchymal maldistribution where the breasts have lost their volume and appear deflated.
More About Breast Augmentation with Lift
For individuals who would like to correct the problematic symptoms of ptosis, as well as the problems of stretched skin, large areolas, downward pointing nipples, and asymmetrical breasts, breast lift surgery (mastopexy) is an excellent option. However, it is important to remember that if you are seeking not only to correct the problem of sagging breasts but also to increase the overall size or shape of your breasts (or to fill out the center or the upper concavity of your breasts), you will need to undergo a breast augmentation procedure in conjunction with your breast lift surgery. A breast lift alone will not increase the overall size or fullness of your breasts, but when performed with a breast lift, can lift and enlarge your breasts simultaneously.
The natural aging process can bring about unwanted changes to a woman’s breasts.
These changes may lead to ptosis, the medical term describing breasts that have sagged far enough that the nipple and areola are out of alignment compared to the breast crease. Aside from the aging process, factors such as breast feeding, pregnancy, fluctuations in weight, genetics, and gravity can also decrease breast tissue elasticity. Breast lift surgery can benefit individuals who would like to correct the problematic symptoms of ptosis, as well as the problems of stretched skin, large areolas, downward pointing nipples, and asymmetrical breasts. However, it is important to remember that a breast lift procedure cannot increase the overall size or shape of the breasts, nor can it fill out the center or the upper concavity of a breast.
These results can only be achieved with a breast augmentation surgery, which, when performed in conjunction with a breast lift, will lift and enlarge the breasts at the same time.
Breast Lift Techniques
Crescent lift (“Nipple Lift”)
A simple breast lift to correct cases of mild nipple asymmetry or slightly droopy nipples.
Benelli Breast Lift (“Donut Mastopexy”)
A minimally invasive breast lift performed to correct mild to moderate ptosis, but used more for reducing the size of large areolas.
Vertical Mastopexy Breast Lift (“Lollipop Breast Lift”)
Provides more lift than the Benelli procedure but less than the full mastopexy, and is most appropriate for patients with moderate ptosis.
Full Mastopexy Breast Lift (“Anchor Lift” or “Inverted-T Lift”)
Results in the most substantial lift, and is performed to correct cases of severe ptosis.
If you are considering a breast augmentation with your breast lift and would like additional information about the procedural details of breast augmentation surgery (i.e., implant options, types of incisions), please see our breast augmentation page.
Benefits
You can feel confident knowing that our experienced physicians place your health and safety as their number one priority, and will take every possible measure to ensure that your procedure is successful and that you achieve your ideal results.
Combining a breast augmentation surgery with a breast lift offers several advantages, and, according to a recent study in the official medical journal of the American Society of Plastic Surgeons (ASPS), “Breast lift surgery and breast augmentation with implants can safely be performed in a single procedure.” The benefits of combining the two procedures include a lower risk of surgical complications, the convenience of a single experience under anesthesia, and having to undergo only one recovery period after your operation. Additionally, having the procedures performed together can be more cost-effective, and will enable you to achieve optimal results after one operation, rather than sequential procedures.
Making the decision about whether to combine your breast augmentation surgery with a breast lift procedure may seem overwhelming; however, our physicians at Cosmetic Surgery Associates, will conduct a thorough consultation and evaluation of your anatomy, medical history, and surgical goals, in order to expertly guide you and advise you throughout your decision-making process.
Some patients may be concerned about the safety of combining a breast augmentation and a breast lift in the same surgery. However, according to a recent publication in the official medical journal of the American Society of Plastic Surgeons (ASPS), “Breast lift surgery and breast augmentation with implants can safely be performed in a single procedure.”
Not only is it a safe option, but there are also many advantages to performing the two procedures in conjunction with one another, including the convenience and safety of a single dose of anesthesia, a lower risk of surgical complications, and having to undergo only one postoperative recovery period. Performing your breast augmentation and breast lift together can be more cost-effective, and will enable you to see your final results after only one procedure, as opposed to sequential operations.
Determining whether or not to combine your breast augmentation with a breast lift procedure may seem like a daunting task; however, you can rest easy knowing that you are in the extremely skilled and capable hands of three highly experienced plastic surgeons. Dr. Franklin Richards, M.D., Dr. Dean Jabs, M.D., and Dr. Keshav Magge, M.D. of Cosmetic Surgery Associates, make your health and safety their primary concern and will take great care to ensure that your procedure is successful and that you achieve your optimal results.
Consultation
During the initial consultation, one of our physicians will assess your particular case and determine if a breast augmentation combined with a breast lift is right for you. The doctor will look at your medical history, routine medications, and current health status to ensure that this is a safe option for you. He will then perform a physical examination to make the final determination for your candidacy. Before leaving our office, you will be given a chance to schedule your procedure, although there is no obligation to do so. To schedule a consultation, please contact Cosmetic Surgery Associates today and speak with one of our helpful staff members.reported an improvement in self-esteem.
The Procedure
Both the breast augmentation and breast lifts are highly customizable procedures that offer patients a number of options that can be matched to fit their goals and body. A custom treatment plan will be created at the time of the consultation to help you attain the appearance that you desire.
The procedure itself will be performed under general anesthesia on an outpatient basis, meaning that you will be free to leave our office after your surgery. To begin the procedure, the physician will make the necessary incisions to remove excess skin from the breasts. Several types of breast lift operations can be performed in conjunction with a breast augmentation.
After analyzing the degree of your ptosis, the doctor will select the appropriate procedure to meet your needs and surgical goals. Once the breasts have been lifted adequately to a higher position, the doctor will close the incisions and begin the breast augmentation. The type of implant used for the augmentation will be determined during the consultation. The doctor will insert the implant and position it properly within the breast pocket. Any remaining incisions will be closed, and a surgical bra will be worn to help promote adequate healing.
Recovery
Immediately following your breast augmentation with a breast lift surgery, the majority of your results will be visible. These results will continue to improve over the course of the next few weeks, as swelling and bruising subside. Any residual incision scarring will progressively fade from red to an inconspicuous white line. You may gradually return to all of your daily activities but should forgo heavy lifting or vigorous exercise the first few months after your procedure.
The visible results of your breast augmentation with a breast lift will be apparent immediately following your operation, and will continue to improve as swelling and bruising subside over the following weeks. Any scarring from incisions will gradually fade from red to a barely noticeable fine white line. You may slowly resume all of your daily activities but should refrain from attempting vigorous exercise or heavy lifting the first few months after your surgery.
Scheduling A Consultation
If you are strongly considering a breast augmentation with lift, then we recommend setting up a personalized one on one consultation with one of our board-certified plastic surgeons. Our office is conveniently located just 4.9 miles away from Potomac, MD and 10 minutes away from North Bethesda and Rockville. Contact our office today!e to enhance the size, shape, and profile of your breasts, we strongly recommend setting up a consultation with one of our board-certified plastic surgeons to find out if you’re a good candidate for breast augmentation. Our office is only 11 minutes away from Potomac and 10 minutes away from North Bethesda & Rockville. Schedule your consultation appointment today!
Keshav Magge, MD, FACS
Board-Certified Plastic Surgeon
Honored as a Top Doctor by Bethesda Magazine and Washingtonian in both 2024 and 2025, Dr. Magge is recognized for his exceptional surgical skill, artistic precision, and patient-centered approach. A leading plastic surgeon in Bethesda, Maryland, he completed a fellowship in Craniofacial and Pediatric Plastic Surgery at Children’s National Medical Center in Washington, D.C., where he gained advanced expertise in facial rejuvenation and aesthetic surgery innovations.
Meet Dr. Magge
A. Dean Jabs, MD, PhD, FACS
Board-Certified Plastic Surgeon
Dr. Jabs is an award-winning, board-certified plastic surgeon recognized nationally for his expertise in creating natural-looking results and his warm, compassionate approach to patient care. Trained in NY at Columbia University, he served in the US Army and has special expertise in facial rejuvenation. He has over 35 years of experience and has consistently been voted a top plastic surgeon by Washingtonian and Bethesda magazine.
Meet Dr. Jabs
Franklin D. Richards, MD, FACS
Board-Certified Plastic Surgeon
Dr. Richards has been recognized as a Top Doctor by several prestigious organizations, including Castle Connolly, Consumers’ Research Council of America, and Washingtonian magazine. A leading plastic surgeon in Bethesda, Maryland, Dr. Richards is the past Chief of Plastic Surgery at Johns Hopkins Suburban Hospital. His expertise is in achieving natural results in facelift and eyelid surgery, with additional interests in cosmetic surgery of the breast and abdomen.
Meet Dr. Richards
Complementary Procedures
Breast Reduction
Breast reduction surgery can relieve pain from heavy breasts and make movement and exercise more comfortable. It also helps achieve a proportionate shape for improved confidence and ease in everyday life.
Breast Lift
The breast lift is a popular procedure for women who want to address signs of aging or post-pregnancy changes to their bodies. During the procedure, excess skin and breast tissue are removed, and the remaining tissues are carefully lifted to achieve rounded, youthful-looking breasts.
Breast Revision
Breast revision is beneficial for many women, whether you are no longer satisfied with the results of a previous breast surgery or have suffered complications like implant rupture or capsular contracture. It can also be used to address bodily changes caused by aging or to repair the breasts after a mastectomy.
The staff was amazing and made me feel comfortable every step of the way.
Get it DONE! The staff was amazing and made me feel comfortable every step of the way. My results are amazing, and I conquered the biggest hurdle in this journey - picking the correct Doctor and team. No regrets. Thank you, CSA.
– verified patient
I have been going to CSA for over a year, and it’s always such a nice visit.
I have been going to CSA for over a year, and it's always such a nice visit. Super professional, and I always feel taken care of.
– verified patient
I AM SO HAPPY I FOUND COSMETIC SURGERY ASSOCIATES.
I had such an amazing overall experience at Cosmetic Surgery Associates. The staff is very pleasant. I had my first invasive cosmetic procedure done back in September, and the final results are amazing. I LOVE IT. I'm so much happier with my body now. HIGHLY RECOMMEND. Prior to my surgery, I had been thinking about this for a while, and I'm so happy I made the decision to go through with it. I AM SO HAPPY I FOUND COSMETIC SURGERY ASSOCIATES. HIGHLY HIGHLY RECOMMEND!!
– verified patient
Their equipment, skill level, and expertise are superb.
This practice is truly outstanding! Their equipment, skill level, and expertise are superb. The staff is extremely friendly, kind, and professional; they make you feel comfortable as soon as you walk in the door.
– verified patient
Every single person in their office makes you feel so welcomed and comfortable the moment you step into the office.
Every single person in their office makes you feel so welcomed and comfortable the moment you step into the office. The day of my surgery, the staff took amazing care of me and went above and beyond to calm my nerves, talk me through it, and made it such a great experience. I highly recommend this office. I can't thank them enough for all that they did for me!
– verified patient
My experience there was beyond 5 stars.
My experience there was beyond 5 stars. From taking the appointment to post surgery. Even now after 10 months, the follow ups are outstanding. The whole staff took great care of me and the results are what I expected. Thank you for everything. Don't think twice and use this clinic if you want best in class service and the best result.
– verified patient
All of the staff were highly knowledgeable, and I received consistent direction and guidance from all of the staff.
Literally every staff member I interacted with from the front desk down to the surgical team gave stellar customer service and truly made me feel comfortable. My sister even felt the warm energy from the staff after meeting them the morning of surgery. All of the staff were highly knowledgeable, and I received consistent direction and guidance from all of the staff. I would highly recommend Cosmetic Surgery Associates to anyone seeking a cosmetic procedure!
– verified patient
I can’t stress enough how great this whole experience has been.
I can't stress enough how great this whole experience has been. Not only did he make me feel comfortable in my body, but 10x more confident. His work is truly beautiful. 100% recommend!!
– verified patient
I feel very comfortable and look better in my clothes.
The staff are professional, caring, and pay attention to detail. Almost 10 months post op. The results exceeded my expectations. I feel very comfortable and look better in my clothes. I'm so grateful. I highly recommend this practice.
– verified patient
The staff was wonderful, respectful, accommodating, and very knowledgeable!
The staff was wonderful, respectful, accommodating, and very knowledgeable! The facility was very clean and one of the staff members helped me work the coffee machine for a fresh cup of coffee!
– verified patient
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