Enhance & Elevate – Breast Augmentation

Breast augmentation with lift (augmentation-mastopexy) offers a comprehensive solution for women seeking both increased volume and a more youthful breast position. Dr. Carmen Kavali at Monarch Plastic Surgery & Skin Renewal Center in Sandy Springs—serving Buckhead and Atlanta—combines implants or fat grafting with precise mastopexy techniques to restore fullness, correct sagging, and achieve balanced, natural-looking contours. Whether your breasts have deflated after pregnancy or weight loss, or you desire enhanced shape with perkiness, this dual procedure can transform your silhouette and confidence in one surgical event.

You might consider breast augmentation with lift if you:

• Desire increased fullness and elevation: You want larger breasts and correction of sagging (ptosis).
• Experience volume loss and droop: After pregnancy, breastfeeding, weight fluctuation, or aging.
• Have breast asymmetry with sagging: One breast is lower or smaller than the other.
• Seek one-step rejuvenation: Combining lift and implants eliminates the need for two separate surgeries.
• Maintain good health: Non-smoker (or willing to quit), stable weight within 10% of ideal, realistic expectations, and appropriate age (18+ for saline, 22+ for silicone).

During your consultation, we’ll confirm your candidacy by reviewing your health, breast anatomy (including skin quality, nipple position, and degree of ptosis), and aesthetic goals.

• EMMI® Education

  You’ll receive access to an at-home EMMI® module covering combined augmentation and lift fundamentals, so you arrive fully informed.

• Team Assessment

  A Physician Assistant reviews your medical history, photographs your breasts, and discusses your goals for both size and lift.

• Surgeon Evaluation

  Dr. Kavali measures breast base width, nipple-to-fold distance, and skin elasticity, and evaluates breast sagging—classifying ptosis from Grade I (mild) to Grade III (severe).

• Three-Dimensional Planning

  Advanced imaging previews outcomes with various implant sizes and lift patterns (crescent, lollipop, or inverted-T/anchor).

• Customized Blueprint

  Together, you choose:

  • Implant Type & Size: Silicone or saline, with profile and volume options.
  • Lift Pattern: Crescent for minimal lift; vertical (lollipop) for moderate; inverted-T for significant ptosis.
  • Incision Strategy: Inframammary, periareolar, or combined.
  • Implant Pocket: Subglandular vs. submuscular placement to balance support and cleavage.

Our goal is a relaxed, informative visit that empowers you to make a confident decision.

• Single Anesthesia Event: Reduces overall risk and recovery time.
• Better Cosmetic Harmony: Strategically placed implants fill upper-pole fullness while the lift repositions the nipple-areola complex.
• Optimal Skin Retraction: Removing excess skin ensures implants sit on firm, newly tensioned tissue.
• Cost-Effective: One procedure, one facility fee, one recovery period.

Dr. Kavali’s dual-technique expertise delivers seamless integration of volume and lift.

• Implant Selection
  • Silicone Gel vs. Saline: Natural feel vs. adjustable fill.
  • Shape & Profile: Round or teardrop; low to ultra-high projection.
• Lift Pattern
  • Crescent: Small periareolar excision for minimal lift (<1 cm).
  • Vertical (Lollipop): Periareolar plus vertical scar—moderate lift.
  • Inverted-T (Anchor): Periareolar, vertical, and inframammary scar—for significant sagging.
• Implant Placement
  • Submuscular: Less rippling, natural slope, supported by muscle.
  • Subglandular: Improved upper-pole fill, easier recovery, but slightly higher contracture risk.
• Incision Location
  • Inframammary Fold: Direct access, excellent control, hidden under the breast.
  • Periareolar: Blends in areola border; ideal for concentric lifts.
  • Combined Approaches: Tailored to lift pattern and desired scar placement.

Bringing an unpadded bra and lifestyle insights (exercise habits, future pregnancies) helps fine-tune your choices.

• Anesthesia & Preparation
  • General anesthesia in our accredited facility ensures comfort and safety.
  • Skin marking in the sitting position maps implants and lift incisions.
• Incision & Pocket Creation
  • Dr. Kavali executes the chosen lift pattern and dissects a precise pocket—supra- or submuscular—to accommodate your implant.
• Implant Placement
  • No-Touch Technique: Pre-filled silicone or in-situ saline placed with minimal handling to reduce contamination.
  • Position is verified for symmetry, cleavage, and natural lower-pole fullness.
• Mastopexy (Lift)
  • Excess skin is removed per the marked pattern.
  • The nipple-areola complex is elevated and resized if needed.
  • Skin edges are meticulously closed to support tension distribution and minimize scarring.
• Closure & Dressing
  • Multi-layer dissolvable sutures secure breast tissue and skin.
  • Steri-strips, internal dissolvable sutures, and a supportive surgical bra or compression garment complete the closure.

Procedure Duration: 2–3 hours (varies by lift pattern and implant choice)
Setting: Outpatient; same-day discharge with a responsible escort

• Pain Control: Oral analgesics and cold packs for comfort.
• Support Garments: Surgical bra worn continuously for 4–6 weeks to support tissues.
• Activity: Rest with upper body elevated; avoid lifting, pushing, or pulling for two weeks.

Weeks 1–2

• Swelling & Bruising: Peak by days 3–5; gradual resolution.
• Follow-Up: One-week visit to assess healing, remove any external stitches, and adjust garments.
• Work: Light, desk-based duties in 7–10 days; avoid raising arms above shoulders.

Weeks 3–6

• Gentle Movement: Light walking promotes circulation; chest exercises prohibited.
• Scar Management: Silicone sheets or gels may be recommended after incisions heal.
• “Drop & Fluff”: Implants settle, and skin retracts—watch for early shape changes.

Months 2–6

• Final Contour: Full implant integration and scar maturation by month six.
• Activity Clearance: Chest-focused workouts at six weeks; full exercise by eight weeks.
• Long-Term Support: Transition to well-fitting underwire and sports bras.

Adherence to Dr. Kavali’s protocol maximizes comfort, safety, and aesthetic outcomes.

Augmentation-mastopexy carries combined risks of implants and lift procedures:

• Capsular Contracture: Scar tissue tightening; addressed by pocket placement and sterile technique.
• Implant Rupture/Deflation: Saline deflation is evident; silicone requires periodic MRI screening.
• Wound Healing Issues: Skin at incision junctions under tension—scar quality varies.
• Nipple-Areola Sensation Changes: Often temporary but can be permanent in rare cases.
• Asymmetry: Minor discrepancies corrected with touch-up procedures.

Dr. Kavali thoroughly discusses each risk, ensuring you understand and feel at ease.

• Longevity of Results: Implants last 10–15 years; lift resists sag but ages naturally.
• Breast Health: Annual self-exams and mammograms with implant-specific protocols.
• Weight Stability: Maintain within 10% of ideal to preserve shape and integrity.
• Supportive Bras: Proper-fit bras, especially during exercise, sustain lift and position.
• Skin Care: Daily SPF on the décolletage and regular moisturizing support skin elasticity.

Regular follow-ups enable early detection of changes and facilitate timely management.

When selecting augmentation-mastopexy in Sandy Springs, Buckhead, or Atlanta, verify:

• Board Certification: American Board of Plastic Surgery.
• Aesthetic Fellowship Training: Specialized expertise in implant and lift techniques.
• Facility Accreditation: AAAASF or Joint Commission–accredited center.
• Before-and-After Gallery: Real patient results showing harmonious volume and lift.
• Patient Reviews: Consistent praise for surgical skill, empathy, and follow-up care.

Dr. Carmen Kavali exceeds these standards, offering safe, personalized care in our state-of-the-art Sandy Springs suite.

Breast augmentation with lift represents a comprehensive investment in your confidence. At Monarch Plastic Surgery we provide:

• Transparent Pricing: Detailed quotes covering surgeon, anesthesia, and facility fees.
• Flexible Financing: Custom payment plans to accommodate your budget.
• No-Pressure Scheduling: Take the time you need to decide before committing.

Our Patient Coordinator will review financial options after your consultation.

Ready to enhance and elevate your breasts in Sandy Springs, Buckhead, or Atlanta? Contact Monarch Plastic Surgery & Skin Renewal Center:

• Call: 404.250.3333
• Email: info(at)drkavali(dotted)com
• Visit: 6045 Barfield Rd, Suite 100, Atlanta, GA 30328
• Online: Request a Consultation

Your tailored consultation will include a thorough exam, implant and lift pattern sizing, and detailed planning—launching your journey to youthful, lifted, and fuller breasts.