Breast Lift and Implants Sydney

Women choose to have a breast lift (Mastopexy) and implant together when they want to raise, enlarge and firm breasts that are drooping.

Sagginess and drooping breasts are caused by the stretching of the collagen fibres, which are meant to support and retain the structure of the breasts. However, ageing and changes to the volume of the breasts post-pregnancy and breastfeeding cause this stretching.

The breast implants with lift(Mastopexy), also known as the augmentation-mastopexy are suitable for women who have drooping, sagging and asymmetrical breasts. The procedure is frequently sought by women to regain breast volume and shape following pregnancy, breastfeeding, or weight loss.

The combined operation raises, enlarges, firms and gives a better contour to the breasts.

What is a breast lift (Mastopexy)?

The breast lift (Mastopexy), also known as 'the mastopexy' is a surgical procedure to raise the breasts and remove sagginess or drooping. This is done by removing excess skin to tighten the surrounding tissue and support a better contour. It's common for the internal tissue to be reshaped as well.

Contact Dr Pouria Moradi for information on breast implants with lifts (Mastopexy)

Book in for a consultation to discuss your suitability for the surgery with Dr Pouria Moradi. He will provide you with all the important information for breast implants and lifts (Mastopexy) based on the results and aesthetics you want to achieve.

What are breast implants?

Breast implants are inserted beneath the breasts to enlarge them, either under or above the pectoral muscle. The implant size differs per patient, as it depends on individual circumstances such as:

  • What size breasts you want
  • Breast anatomy, elasticity and thickness
  • Body type

Specialist Plastic Surgeon Dr Pouria Moradi uses Motiva Silicone Gel-filled Breast implants. The gel-filling provides a more natural feeling and aesthetics.

During an initial consultation with Dr Pouria Moradi, he will decide whether you are the suitable patient for these procedures and which implant is best to achieve the aesthetics that you are looking for, and where the implant should be placed.

One or two-stage breast implant with lift (Mastopexy)?

Neither is better or worse than the other. It comes down to the surgeon's preference and what he/she is comfortable offering.

However both the one and two-stage surgeries outweigh one another, it comes down to the surgeon's preference.

Dr Pouria Moradi prefers the one-stage breast implant with lift (Mastopexy), and he will recommend it to 95% of his patients. A 1 stage lift and implant allows Dr Moradi to tailor the lift to the implant chosen. The larger the implant, the smaller the lift. In a 2 stage approach, you have to tailor the implant to the lift.

Why does Dr Pouria Moradi prefer the one-stage?

Dr Pouria Moradi tells patients that there is only a 5-40% chance of a second surgery, however, with a two-stage, there is a 100% chance of a second surgery. The one-stage surgery also allows him to tailor breast lift (Mastopexy) to the chosen breast implant.

The larger the implant, the smaller the breast lift (Mastopexy) will be.

Can fat grafting be used?

Pretty much every patient of mine wishing to have a lift (Mastopexy) and implant wishes to have volume brought back in the upper pole. As tempting as it is to use fat, it just doesn't provide the shape and support for the upper pole like an implant does.

Fat is excellent at minor contour help, but not for stable shape support.

Breast Lift (Mastopexy) and Implant

Dr. Moradi explains the method he uses to perform the breast lift (Mastopexy) and implant. He also touches on the surgical risks of the procedure.

Book in for a consultation to discuss your suitability for the surgery with Dr Pouria Moradi. He will provide you with all important information for breast implants and lifts based off the results and aesthetics you want to achieve.

Breast Lift (Mastopexy)and Implants
svg asset

Breast Lift (Mastopexy) & Implants - Before and After Gallery 

Discover how Dr Pouria Moradi's before and afters for the breast lift (Mastopexy) and implants.

Which is better, above or below the muscle?

For lift (Mastopexy) and implant cases I always go under the muscle/dual plane.

Whilst it is tempting to go above the muscle to try and get a rounder appearance, in time this approach will lead to excess breast ptosis as there is no support for the implant.

What are the potential risks and complications of a breast lift (Mastopexy)? 

Some possible complications and risks specific to breast lift (Mastopexy) surgery include:

  • Surgical risks such as bleeding or infection
  • Seroma accumulation under the breast. This fluid may need to be drained under ultrasound guidance.
  • Visible and prominent scars including keloid and hypertrophic scars
  • Swelling and bruising around the breasts takes two to three months to settle
  • Fat necrosis of the breast. This is a result of poor blood supply to the fat cells. These show themselves as small firm lumps.
  • Changes in breast and nipple sensation
  • Temporary or permanent areas of numbness around the scars
  • Asymmetry of the breasts
  • Partial or total loss of nipple and areola
  • Need for further surgery to treat complications
  • Revisional surgery to correct any unevenness between the two sides
  • A blood clot in the legs (DVT), which can move to the lungs and could be life-threatening

What is areolar bleeding?

If you look closely at the vertical incision on this before and after, you will see remnants of dark tissue outside the scar. This isn't bad scarring it is areolar bleeding.

In cases where the patient has a wide areolar complex, it is impossible to remove it all and then have enough tissue to insert an implant.
Meaning remnants of the old areolar remain and stain the incision.

Once the tissue has stretched and relaxed this can be excised under local anaesthetic in the office.

What is symmastia?

Otherwise, know as uni-boob, the number one cause of symmastia is pre-existing symmastia that was unrecognised pre-operation. It is extremely difficult to correct, the key to a good result is expectation management.


Most patients will wake from surgery feeling a little tight in the chest but generally comfortable. You will have a post-surgery bra on and some light dressings. Dr Moradi will then see you a few days later for a change of your dressings.

At the one week mark, you can increase your activity to light walking and leg workouts.  These activities can be slowly increased until full training at approximately eight weeks depending on different cases.

How long do I need to wear my post op bra?

There is no right answer for this question. If you asked a plastic surgeon he/she would say to wear a supportive post op bra forever, but that is unrealistic.

For me, depending on what procedure they have had I like patients to wear theirs for 1 to 3 months, but after 1 month I am happy for patients to wear something more comfortable and appealing if they have an event on, but always something supportive when at the gym.

Upload a photo for a free initial assessment

  • Accepted file types: jpg, jpeg, png, gif.


Breast augmentation with lift (Mastopexy) is designed to provide a better shape, size and contour of the breasts by removing excess skin and inserting an implant.

Your breasts should be firmer, raised and the size you were looking for.

Dr Pouria Moradi - Your Sydney Specialist Plastic Surgeon

"I am a consultant plastic, reconstructive and aesthetic surgeon working as a visiting medical officer at Prince of Wales, Royal Women's and Sydney Children's Hospitals, and an associate lecturer at UNSW Medical School.

Having studied medicine at UNSW as a Sam Cracknell Sport and Academic Scholar, I was then awarded Membership of the Royal College of Surgeons of England in 2005 and Fellowship of the Royal Australasian College of Surgeons in Plastic, Reconstructive and Aesthetic surgery."