Cleavage Changes: Breast Lift, Breast Augmentation or both?

Cleavage Changes: Breast Lift, Breast Augmentation or both?

When your breasts are saggy or your nipples are drooping, which is better – a Breast Lift, Breast Augmentation or both?

Many women with slightly deflated-looking, sagging breasts have low-grade ptosis (mild to moderate sagging of the breasts and nipples). If so, they may not be certain if they should choose to have a Breast Lift vs Breast Augmentation or both.

In this brief blog, we cover some of the basics of a Breast Lift or Breast Augmentation VS a Mastopexy-Augmentation, which is a combination of both procedures. This information is, however, general in nature, and only a consultation can help you best understand which option is going to get you the breast shaping and sizing results you’re wanting to attain.

Remember, there is never “one size-or-one approach fits all” when it comes to breast enhancement procedures and other types of Plastic Surgery.

The only way to assess what option is best for you when choosing a Breast augmentation vs Breast lift, or a combined Breast Lift with Implants (a Mastopexy/Augmentation Procedure) is to make a consultation appointment with Dr Wyten. Dr Wyten is a Specialist Plastic Surgeon and restorative breast surgery expert. She is based in Hawthorn East (Melbourne) and in Berwick (Mornington Peninsula area).


Breast Augmentation Surgery, Breast Implants and Breast Profile/Cleavage Enhancement

It’s not uncommon for women to want a breast lift or enlargement at some stage in their lives. These two very popular procedures are sought by women of a wide range in age, from the early 20s to 60s and beyond.

Among the most popular procedures requested for enhancing breasts is a Breast Lift. Only surpassed by breast augmentation.  It’s also a key procedure for a Mummy Makeover, after having children or once you have finished breastfeeding.

That’s because breast ptosis strikes nearly all woman, eventually, and sometimes as early as late 20s or early 30s.

Ptosis of the breasts is very common in women; in fact, sagging breast tissues will occur at some stage in most women’s lives, either:

  • after pregnancy
  • post-breast-feeding
  • after weight changes or weight loss, such as occurs after bariatric surgery for obesity
  • As a result of not wearing adequate bra supports during high-impact movements (or at all)
  • Or, due to skin changes including after having medical treatments
  • As well as, after menopause

Sagging breasts or drooping nipples are common complaints in women who have gotten older OR whose breast skin and breast envelope, have lost strength/resiliency or volume.

Animation – Breast Augmentation – Silicone Implants

Degrees of Breast and Nipple Sagging: Ptotic Breast Scale

Ptosis sagging breasts

There are about 5 different grades of breast ptosis, that are recognised by Surgeons.  Grades 2/3 and above are often present in women who inquire about having a breast lift or breast augmentation surgery.

You’re eligiblity for a breast lift or breast augmentation – or a Mastopexy Augmentation (a combination of both) – depends on a few factors. These include but are not limited to:

  • the degree of ptosis or sagging
  • the strength of your skin (collagen, resiliency)
  • the degree of excess skin/redundant skin in view of volume (and desired volume)
  • your size preferences

Having a consultation with a Specialist Plastic Surgeon will not only help guide you to the procedure that will give you the shape, lift and volume you desire for your breasts and nipples, but they will also discuss Breast Lift vs Breast Augmentation or a combination of both and the results you would get from each operation.

Mild sagging? Slightly empty-looking breasts and Grade 1 or 2 Ptosis?

  • Breast Augmentation Procedures MAY restore lost volume and get your breasts uplifted.
  • But if you have moderate to severe ptosis or you lack breast volume/lack glandular tissue/breast fat (e.g. the breasts appear too empty or deflated), then a combination BREAST LIFT with IMPLANTS may be the solution.

Moderate to severe sagging? Very empty-looking breasts and Grade 3 or higher Ptosis? Nipples well below the inframammary fold (IMF)?

  • Breast Lift will be required for any form of ptosis that is beyond mild to moderate.
  • Augmentation along with a breast lift is likely going to be the solution many women seek if they have very empty looking breasts that droop and sag, that lack volume or projection.
  • Skin strength will need to be assessed for suitability for breast implants/implant size choices.

Mild sagging, but still plenty of volume in the breasts (just too low on the chest)?

  • Your options are likely to be either a small to moderate-sized breast augmentation OR
  • A breast lift on its own (As a result, your size/breast volume will be about the same, however it could appear slightly reduced after a breast lift – simply as the tissue sits in a different location) OR

Moderate sagging, but still plenty of volume in the breasts (full, but too low on the chest)?

  • Chances are a Breast Lift may be the best solution for you; but it really depends on what you’re looking for in terms of post-surgery shape, size and results.
  • Ask for details during a consultation.

Breast Augmentation – Overview (Brief)

 5 Breast Implant Surgery techniques. How Breast shaping is accomplished .

  1. Incision and placement decisions are made and performed
  2. Location of the implant is planned for (under the muscle, over the muscle, or dual-plane)
  3. The size of the implant is chosen to match the body/physique, skin strength and cleavage/volume and projection desires
  4. Patients and Surgeons work together to choose the implant type.
      • Silicone gel or saline-filled implants
      • round or teardrop
      • Low profile, medium profile or high profile (projection)
  5. There’s an optional method of additional fat transfer that may suit some patients or may be suitable for very minor increases in cup size (usually half-cup to up to a cup)

There are many options, but Dr Wyten will assist you in selecting a quality breast implant that will get you a good overall result for your breast preferences (size, shape, body balance and cleavage)

Breast Lift – Overview (Brief)

Breast Uplifting is accomplished using these key Breast Surgery techniques:

A good breast implant surgery result looks balanced and harmonious with your overall body and suits your existing breast tissues. A lift on its own may get you the shape you’re wanting. Sometimes however a combined lift with augmentation is desired.

Some women may need a breast lift as well as implants (and some are on the cusp of needing implants only or implants with a breast lift – or a breast lift alone, to remedy the signs of breast ptosis or droopiness that is common after having children, breastfeeding or simply ageing or weight loss). Read more about the Benefits of a Breast lift.

  • Breast Enhancement using a Breast Lift requires intensive planning
  • You can have a breast uplift WITH or WITHOUT implants depending on your existing breast tissue and body frame AND the breast size you’re wanting
  • Combined Surgery may be performed in one session or subsequently (lift followed by augmentation or augmentation followed by a lift)

Time for new breast implants?

  • Breast Implants won’t last forever, and patients typically require surgery at some stage in the future.
  • Manufacturers tend to suggest the lifetime of a breast implant is approximately 10 years, but the timing for removal and replacement of implants can vary substantially.
  • When it IS time to remove or replace your breast implants, Dr Wyten performs breast implant removal and replacement surgery.
  • You can ask for your implants to be removed, and for a breast lift after removal. (Without new implants.)
  • Removal and/or replacement of implants is considered a new surgical procedure. It will not be included in your original surgery; so if you’re having an augmentation, be sure you plan for future surgery needs.

Large Breasts vs Small or Flat Breast – Surgery Options for Breast Reduction

And what if you have the reverse scenario. Feeling your natural breasts are too large or heavy in relation to your ideal version of the best breast size for your body?

If your breasts are large AND very ptotic (saggy), you may need a Breast Lift/Breast Reduction. Also known as a Reduction Mammoplasty (Breast Reduction). It inherently includes a breast lift as part of the procedure, because removing excess breast tissues and lifting the nipple to a more central location is very similar to a lift, but a reduction is also part of the procedure.

So, if your breasts are uncomfortably large or heavy and causing discomfort, visit Dr Wyten’s Breast Reduction pages to see how she can help.


What to do next?

In summary, we know you’ll appreciate Dr Wyten’s unwavering commitment to achieving optimal patient outcomes for each and every one of her patients and their procedure.

Please Consult your Plastic and Cosmetic Surgeon for Further Advice Today.






*Remember, each patient is different, and results can vary from patient to patient.*

Individual patients will have uniquely individual and varying results.

Contact Us

  • Please upload any relevant photos of what you are trying to achieve or your current situation. This may help you get an earlier surgery or consult appointment. Limit 20MB & 3 images. Only include your face if relevant.
    Drop files here or
    Accepted file types: jpg, png, jpeg, gif, Max. file size: 20 MB, Max. files: 3.
    • Would you like us to call you?
    • This field is for validation purposes and should be left unchanged.



    About Dr Rebecca Wyten

    Melbourne Specialist Plastic Surgeon


    Dr Rebecca Wyten is a Specialist Plastic Surgeon from Melbourne. Patients choose Dr Wyten for just some of the following reasons:

    • Female Plastic Surgeon is a Specialist Plastic Surgeon at Coco Ruby Plastic Surgery.
    • 21 years of expertise in the field of plastic surgery, particularly breast augmentation surgery.
    • A ‘Fellow’ of the Royal Australasian College of Surgeons. FRACS
    • Most up to date techniques for fat transfer or fat grafting to the breast.
    • Warm, engaging and down to earth and is highly regarded by her patients and team.

    What to do next

    Female Surgeon breast surgery implants melbourne

    Want more information before scheduling your consultation?

    • Call or Email to request more detailed information
    • Organise a free phone call with Patient Advisor
    • Organise a Virtual consultation

    What to bring to your Consultation

    • You may need to undress for a physical exam so wear simple clothes
    • Bring a friend or relative to help discuss the information and your choices
    • Take lots of notes and read the documents provided thoroughly

    How to Book your Initial Consultation

    • A referral from your GP or specialist is helpful but NOT essential – you can have a consultation without a GP Referral.
    • Book a consultation with Dr Rebecca Wyten by paying the $300 consultation fee.
    • Email us or call the team 1300 264 811 to arrange an appointment and consult with Dr Wyten for further advice.

    Download a guide to learn more about your procedure

    Download a Procedure guide to learn more

    *Remember, each patient is different, and results can vary from patient to patient. *Individual patients will have uniquely individual and varying results.