Swelling, bruising, and temporary tightness are common during the first 1 to 2 weeks as the breasts heal and adjust to their new position.
What to Expect
A breast lift, or mastopexy, corrects sagging in the breasts by removing stretched skin and raising and reshaping the remaining tissue. While this procedure does not add volume to the breasts, it can reposition existing breast tissue to create the appearance of increased fullness. An auto augmentation breast lift further enhances breast shape, projection, and position by using your natural tissue without implants.
What it Treats
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Pendulous breasts
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Flattened/deflated shape
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Enlarged areolas
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Downward-pointing nipples
Breast Lift with Implants Overview
Transform your proportions without the use of implants.
Where Your Vision Takes Shape
Discover a personalized plan built around your features, goals, and long-term outcomes. Your consultation is a focused, one-on-one conversation designed to bring clarity, guide decisions, and outline the most appropriate approach for you.
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Results Gallery
Breast Lift Auto Augmentation Gallery
Please look at our breast lift auto augmentation before-and-after gallery to see our patients’ stunning transformations after recovery!
Most patients return to lighter activities within about 1 week but avoid strenuous exercise and upper-body strain for approximately 4 to 6 weeks.
Lift and improved breast shape are visible immediately, though final softness and contour continue refining as swelling resolves over several months.
Incision placement varies based on your surgical plan. Scar appearance generally improves progressively over the course of 12 months or more.
What is an Auto Augmentation Breast Lift Without Implants?
When performing a non-implant lift, Dr. Spiro can use the tissue that he removes during a breast reduction (as dermoglandular flaps to simulate an implant-look result), transfer fat from another part of your body, or both.
Auto augmentation breast lift is a highly customized procedure. In many cases, he incorporate bioabsorbable slings, often referred to as an internal bra, to provide additional support and enhance the longevity of the lift.
Every patient is special and unique, and Dr. Spiro infuses an artist’s vision into every surgical plan to optimize each result. Drawn by his reputation, patients have come from more than 25 states and 17 different countries to work with our practice. We want every patient to remember us for having been a positive, life-changing influence.
An auto augmentation breast lift is an excellent solution if you’d like to enhance your breasts’ shape and volume without adding artificial implants. In Dr. Spiro’s 27 years of experience performing breast lift procedures without implants, he has found that auto augmentation gives his patients results that can rival those achieved with breast implants.
What Are the Benefits of a Breast Lift Auto Augmentation in New Jersey?
Breast lift surgery offers numerous benefits for women who are looking to restore a more youthful and attractive appearance to their breasts. Some of the key advantages of breast lift surgery include:
- Improved breast shape and position: A breast lift can help to correct sagging or drooping breasts, creating a more lifted and perky appearance.
- Enhanced breast size: By using the patient’s own breast tissue, a breast lift auto augmentation can create a fuller and more voluminous breast shape.
- Natural-looking results: Because the procedure uses the patient’s own tissue, the results of a breast lift auto-augmentation are often more natural-looking and less likely to be noticeable to others.
- Long-lasting results: With proper care and maintenance, the results of a breast lift surgery can last for many years.
- Boosted confidence: A breast lift can help to restore a woman’s confidence and self-esteem, allowing her to feel more comfortable and attractive in her own skin.
These benefits make breast lift surgery an excellent option for women seeking to rejuvenate their breast appearance and enhance their overall body contour.
Who Are Good Candidates for a Breast Lift Without Implants?
If you have sagging, flattened, or asymmetrical breasts and would also like the appearance of a moderate increase in upper pole breasts, you may be a candidate for an auto augmentation breast lift. My auto augmentation procedure works best for patients who have good skin quality and sufficient breast tissue support.
Ideal candidates for breast lift without implants share the following qualities:
- Are physically healthy
- Are not pregnant or breastfeeding
- Are not significantly overweight and can maintain a stable weight
- Have realistic expectations for their surgical outcomes
You must be free of all nicotine, cannabinoids, and ADHD medications for six weeks before and after surgery.
What to Expect During Auto Augmentation Breast Lift Surgery With Dr. Spiro
Dr. Spiro uses general anesthesia and sophisticated long-acting post-operative nerve blocks to ensure patients have a pain-free breast lift surgery. During an auto augmentation breast lift procedure, he internally repositions the excess tissue to fill voids within the breast. Doing so creates volume, making it appear as if I had placed new implants into your breasts.
In some cases, Dr. Spiro will add fat from another part of the body using fat grafting. He may also place bioabsorbable mesh material over the deeper breast tissues and under the skin envelope to reshape the breast contour. The mesh material supports the tissues as they heal into their new form, dissolving away after a year.
What is Recovery Like After Breast Lift Without Implants?
Downtime for an auto augmentation breast lift procedure is generally only 48 to 72 hours. Most of our patients return to work within a few days after their surgery. However, you will need to avoid exercising and heavy lifting for at least four weeks. During this time, you will wear a lightweight surgical compression bra to reduce swelling. Breasts, however, heal slowly, and return to an unrestricted lifestyle takes four to five weeks.
You should expect to see an improvement almost immediately, but it takes six months to a year to see the full outcome as the tissue heals and settles and residual swelling subsides. Once your breasts heal completely, you’ll see a more youthful and natural breast shape!
If your bra size decreases after the surgery, don’t worry; this is a natural result of eliminating all the excess skin and making your breasts firmer and rounder. Remember, aging will make your skin less elastic, which can influence your breasts’ appearance over time. Also, weight fluctuations can cause your breasts to change size and shape. Maintaining a healthy weight will ensure you remain satisfied with your breast lift.
The Foundation of Your Journey
Good outcomes don’t happen by chance—they’re built with purpose.
Frequently Asked Questions
Ideal breast lift candidates are women experiencing sagging or drooping breasts due to factors such as aging, pregnancy, weight fluctuations, or genetics. You should be in good overall health and have realistic expectations about the results.
Breast lift involves removing excess skin, repositioning the nipple/areola complex, and reshaping the breast tissue to create a perkier contour. Dr. Spiro will use your existing breast tissue to create these enhancements without the need for implants. In his approach, he uses local tissue flaps (dermoglandular flaps) to make the breast almost look like it has a small implant, but it’s all your own tissue!
Dr. Spiro refers to this as Auto Augmentation Non Implant Mastopexy. In some cases he will add an internal mesh graft to aid in support of the lift. This added “internal bra” slowly dissolves away over a years time, being replaced by body collagen and connective tissue.
While a breast lift can create a fuller and more youthful breast shape, it does not increase overall breast size. If you would like larger breasts, a breast augmentation with implants combined with a lift may be more suitable.
After the procedure, you can expect bruising, swelling, and tenderness, which you can manage with prescribed medications. Please avoid strenuous activities and follow all your provided post-operative instructions for a smoother recovery.
Any surgical procedure involves risks. With breast surgery, these include infection, scarring, changes in nipple sensation, and possible asymmetry. However, you can minimize these risks by choosing a highly experienced, board-certified plastic surgeon. Dr. Spiro and our care team will work to keep you as safe as possible while meeting all your goals with a customized surgical plan.
In most cases, mastopexy should not impact your ability to breastfeed. Dr. Spiro takes care to preserve the milk ducts and nipples during the procedure.
Yes, you can combine your lift with surgeries such as a breast reduction or fat grafting to achieve more comprehensive results. During your consultation, Dr. Spiro will help you determine the best treatment plan for your needs. Additionally, tummy tuck procedures are often combined for more extensive body contouring (see our mommy makeover case outcomes).
While breast lift results are long-lasting, factors like aging, weight fluctuations, and lifestyle choices can affect their longevity. Maintaining a healthy lifestyle and stable weight can help prolong the outcome.
Many women choose to have a breast lift after having children to restore their breasts’ shape and firmness. For optimal results, Dr. Spiro recommends waiting until you finish adding to your family before considering this procedure.
Typically, a breast lift without implants isn’t covered by insurance unless a doctor determines it medically necessary—such as in cases where significant sagging leads to discomfort or disrupts daily activities. Most insurance providers consider breast lifts to be cosmetic procedures and do not cover them. However, many of Dr. Spiro’s other procedures, like breast reconstruction, can be eligible for coverage.
Auto augmentation means taking your own body tissue and moving it from one location to another. These dermoglandular flaps are pedicled, meaning they maintain their circulation and are simply transposed and sutured in place at their new location.
This has been an evolution of thought and surgery over the last 15 years. Dr. Spiro started thinking about this when he was somewhat dissatisfied with the outcomes he was getting from simple standard breast lifting. Slowly over time Dr. Spiro made these dermoglandular flaps more elaborate, moved them farther and shaped them more elaborately even using lateral unwanted tissue and axillary tail components to augment and create more round full breasts that resemble implant augmentation. Dr. Spiro arrived at this present approach about 8 years ago with beautiful results.
Fat grafting or fat transfer takes fat from different body locations and places it, in this case, into the breast. The method of dermoglandular flap creation and artful reshaping and suturing of the breast I do creates too many spaces that could not support immediate fat transfer. I offer it as a secondary procedure after patients are initially healed when they want even more volume. In most cases, however, patients are so happy with their initial results that they don’t feel the need to have the fat transfer procedure to the breast.
In some cases, patients want an even fuller or rounded breast outcome, more like you could get with an implant but they don’t want breast implants. So, Dr. Spiro uses a scaffold of slowly absorbable material called P4HB that he sutures around the flaps. This lends additional structural support. This material dissolves away over the year after surgery and is slowly replaced by the patient’s own corrective tissue network.
Yes, on a recent podcast about breast implant illness, Dr. Spiro shared that he uses dermoglandular breast flaps to fill in for the absence of breast implants for those having implant removed but are concerned about their breast shape afterward. Dr. Spiro’s auto augmentation breast lift method has elevated the outcomes for women suffering from that illness.
Patient Experiences
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Reflections Series #2 | Oil Painting on Hardboard | Dr. Scott Spiro
