Breast Augmentation with Lift

Conveniently located to serve the areas of Tualatin and Portland, Oregon

A breast augmentation with a lift, or augmentation mastopexy, is a combination procedure that enhances the shape, size, and overall appearance of the breasts. It uses silicone or saline breast implants in conjunction with lifting and repositioning. 

Aaron D. Gorin, MD, FACS, a leading board-certified plastic surgeon at Gorin Plastic Surgery & Medspa in Portland, specializes in this comprehensive approach to achieving a beautiful, natural-looking breast silhouette. This popular surgery addresses common concerns such as breast asymmetry, sagging, and changes in breast shape due to factors like pregnancy, weight loss, or aging. 

If you are considering breast augmentation with a lift, entrust your transformation to Dr. Gorin and the experienced team at Gorin Plastic Surgery & Medspa. Contact us today at (503) 692-7222 to schedule your consultation and take the first step toward achieving beautiful, balanced, and youthful breasts.

Before and After Photos

Breast Changes: Why is a Mastopexy Necessary?

Integral to a woman’s femininity and self-confidence, the breasts can change considerably over time. Factors such as pregnancy, breastfeeding, weight fluctuations, and the natural aging process can cause them to lose their shape, firmness, and volume.

What is Breast Ptosis?

Ptosis is the name given to sagging that can occur in the breast tissue. It is classified using the Regnault System, which describes the relationship between the nipple-areolar complex (NAC) and the inframammary fold (IMF)– the breast crease area where the underside of the breast meets the chest. (1)

  • Type 1: Mild Ptosis –  The NAC is at or 1 cm below the IMF.
  • Type 2: Moderate Ptosis – The NAC is 1-3 cm below the IMF.
  • Type 3: Severe Ptosis – The NAC is at the lowest point of the breast.

Mastopexy Without Implants

Should a patient require only a breast lift, Dr. Gorin will perform a mastopexy without implants. However, in the vast majority of cases, he performs the combination surgery.

About Breast Augmentation

Breast augmentation with lift is a transformative procedure that offers a multitude of benefits to patients seeking enhanced breast shape and size. There are several factors for a patient to consider with implants.

Implant Type

There are two main implant types: silicone and saline. Silicone breast implants are filled with a cohesive gel that closely mimics the natural feel of breast tissue. (2) These implants offer a soft and natural appearance, providing a more realistic result. They are an excellent choice for patients who desire enhanced fullness and shape

Saline breast implants are filled with a sterile saltwater solution. Dr. Gorin rarely uses saline implants considering the silicone option is generally softer both in appearance and feel.  However, for those who desire salines, Dr. Gorin offers that option.

Implant Shape

There are two main options for implant shape: teardrop and round. Dr. Gorin uses round implants exclusively. The teardrop implants have a risk of rotation which is not an issue with round implants. Additionally, teardrop implants are much firmer and less natural-feeling.

Implant Profile

  • Low-profile implants: These implants have a wider base width and provide a more subtle projection. They are ideal for patients who desire a natural-looking result with less fullness in the upper portion of the breasts.
  • Moderate profile implants: With a slightly higher projection than low profile implants, moderate profile implants offer a balanced enhancement. They provide a fuller appearance while still maintaining a natural contour.
  •  High-profile implants: High-profile implants have a narrower base width and provide a greater projection. They are suitable for patients who desire increased fullness and a more pronounced cleavage.

Implant Texture

  • Smooth: Smooth implants have a sleek surface without any texturing. They provide a natural look and feel, and are typically less prone to certain complications such as rippling or palpability. Smooth implants also allow for easier mobility within the breast pocket.
  • Textured: Textured implants feature a rough or slightly coarse surface that promotes tissue adherence. However, Dr. Gorin only uses smooth implants as he feels the textured option is best for breast reconstruction procedures after cancer.

Implant Position

Implants can be placed under the chest muscle (sub-pectorally) or under the breast tissue (sub-glandularly). Dr. Gorin feels there is a higher chance of internal scar formation with above muscle placement which is why he only uses the submuscular technique

Benefits of a Breast Augmentation with Lift

  • Enhanced Breast Shape and Size
  • Corrected Asymmetry or Uneven Breasts
  • Rejuvenated Breast Contour
  • Restored Breast Volume after Weight Loss or Pregnancy
  • Balanced Proportions and Enhanced Overall Body Harmony
  • Restored Breast Fullness and Firmness
  • Increased Clothing Options and Improved Fit
  • Improved Self-Confidence and Body Image

At Gorin Plastic Surgery & Medspa, we understand that each patient has unique goals and desires when it comes to breast enhancement. With Dr. Gorin’s expertise and our commitment to delivering exceptional results, we are dedicated to helping you achieve the fuller, firmer, and more youthful breasts you desire. Contact our Portland office at (503) 692-7222 to schedule a consultation and move a step closer to enhancing your natural beauty.

Candidates for a Breast Augmentation with Lift

Candidates for a breast lift with implants are women who desire to enhance their breast size and shape while also enjoying a variety of other benefits. Each candidate should be in good overall health and have realistic expectations for the outcome of the procedure. Consulting with a board-certified plastic surgeon such as Dr. Gorin will allow for a comprehensive evaluation to determine if a breast lift with implants is the right choice for you.

Personal Consultation

As an expert in breast surgery, Dr. Gorin will discuss all available options for breast lift with implants. He will ensure that you are well informed about the benefits, risks, and expected outcomes of each approach throughout the preparation process. Whether you desire a subtle enhancement or a more dramatic change, Dr. Gorin will guide you toward the most suitable implant type, size, and placement technique to achieve your desired results.

Find out more about our facility on our website.

Your Breast Augmentation with Lift Procedure

At Gorin Plastic Surgery & Medspa, Dr. Gorin and our team are committed to providing you with comprehensive care to ensure a smooth surgical experience and optimal results.

Preparing for Surgery

Following our detailed preoperative instructions is crucial for a successful procedure and a speedy recovery. These instructions may include:

  • Discontinuing blood thinners, supplements, and medications as instructed: Certain medications and supplements can increase the risk of bleeding during surgery. It is important to follow our guidance to minimize any potential complications.
  • Nicotine cessation: Smoking and nicotine use can impair healing and increase the risk of complications. We strongly advise all patients to stop using nicotine in the weeks leading up to surgery and throughout the recovery period.
  • Filling prescriptions in advance: We will provide you with prescriptions for pain medication and antibiotics before your surgery. It is essential to have these medications ready so that you can begin taking them as instructed immediately after your procedure.
  • Arranging transportation and support: It is vital to arrange for someone to drive you home afterward. Additionally, having a supportive friend or family member available during your recovery can provide comfort and assistance.
  • Planning time off: Breast lift with implants is a surgical procedure that requires adequate time for rest and recovery. It is important to coordinate time off from work and social commitments to allow yourself the necessary healing time.

The Procedure

During the breast lift with implants procedure, Dr. Gorin will use his expertise to create a more youthful and lifted appearance to your breasts.

After we administer anesthesia for your comfort, Dr. Gorin will make discreet incisions based on the specific technique chosen for your surgery. There are a number of different options, the details of which Dr. Gorin will discuss with you at length at your consultation. These incisions are designed to minimize scarring and can be made:

  • Around the areola 
  • Vertically from the areola to the breast crease
  • Horizontally along the breast crease

Next, Dr. Gorin will carefully lift and reshape the underlying breast tissue to improve the overall contour and position of the breasts. This involves removing excess skin and tightening the remaining skin to create a firmer and more uplifted appearance.

To enhance the size and shape of the breasts, Dr. Gorin will then insert breast implants. The type, size, and placement of the implants will be determined based on your desired outcome and Dr. Gorin’s professional recommendation.


It is normal to experience some bruising and swelling in the initial days following your procedure. To manage these temporary effects, it is recommended to keep your upper body elevated when resting, allowing gravity to aid in reducing swelling. 

Dr. Gorin will prescribe appropriate medication to alleviate any discomfort you may experience. Our team will schedule follow-up appointments to closely monitor your healing progress and ensure that your recovery is proceeding as planned.

When Can I Go Back to Work After Augmentation Mastopexy?

Typically, patients can resume non-strenuous work activities within one week after their breast lift with implants. However, if your job requires physical exertion, it is essential to wait until you have received explicit clearance from Dr. Gorin before returning to those tasks. Engaging in rigorous activities and exercise should also be postponed for several weeks, allowing your body the necessary time to heal properly.


As your body heals and adjusts, you will begin to witness the transformative results of your breast enhancement journey. A beautifully lifted and more youthful breast contour will emerge, complemented by the harmonious integration of implants to enhance volume and shape. Dr. Gorin’s meticulous surgical techniques aim to achieve natural-looking results, ensuring that any scarring is carefully concealed within the natural contours of your breasts.

How Much is Breast Augmentation with Lift in Portland?

Your treatment plan for your breast augmentation with lift procedure will be unique to you. Therefore, the cost of your surgery will be calculated once you have met with Dr. Gorin. The ultimate goal of a breast lift with implants is to not only improve the aesthetic outcome but also boost your self-confidence and overall well-being. 

If you are considering a breast lift with implants, we invite you to contact our office at (503) 692-7222 to schedule a consultation with Dr. Gorin. During this personalized meeting, he will assess your unique needs and goals, guiding you toward the most appropriate surgical plan tailored to you.


Can a breast lift be combined with breast implants for enhanced results?

Absolutely! Combining a breast lift with breast implants is a common practice to achieve comprehensive breast enhancement. This combination procedure addresses both the shape and size of the breasts, providing patients with optimal results. During the surgery, excess skin is removed, and the breast tissue is repositioned to create a more youthful and lifted appearance. At the same time, breast implants are inserted to increase volume, improve breast shape, and enhance overall symmetry.

How long do the results of a breast lift with implants last?

The results of a breast lift with implants are long-lasting, providing patients with enhanced breast shape, volume, and position. However, it is important to note that natural aging, gravity, and lifestyle factors can still affect the breasts over time. Maintaining a stable weight, wearing properly supportive bras, and practicing a healthy lifestyle can help prolong the results.


  1. Ramanadham SR, Rose Johnson A. Breast Lift with and without Implant: A Synopsis and Primer for the Plastic Surgeon. Plastic and Reconstructive Surgery Global Open. 2020;8(10):e3057. doi: 
  2. Swanson E. Prospective Study of Saline versus Silicone Gel Implants for Subpectoral Breast Augmentation. Plastic and Reconstructive Surgery – Global Open. 2020;Publish Ahead of Print. doi: