
Life changes the body in many ways. Pregnancy, weight shifts, and time itself can leave the breasts with less volume and more droop than before. For women who want both fullness and a lift in position, augmentation with lift can bring those improvements together in one surgery.
At James Rough, MD Plastic Surgery in Tucson, this approach is always tailored. Dr. James listens closely to your goals, helps you sort through implant choices, and designs a lift technique that feels balanced and natural for your body.
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As women age, they may lose volume in their breasts or notice saggy breast skin. Some women will have both changes that lead to deflated, sagging breasts. If you would like to increase breast fullness while also removing loose skin, board-certified plastic surgeon Dr. James Rough can perform a breast augmentation with a breast lift (mastopexy).
This procedure in Tucson, AZ, starts by trimming loose skin from the chest and then inserting silicone or saline implants to reach your goal size. Breast surgery with a lift and augmentation corrects multiple issues, such as position, size, and shape, to create a more youthful-looking bust. Schedule a consultation at James Rough, M.D. Plastic Surgery, so we can decide if breast augmentation with a lift can help you meet your aesthetic goals.


Breast augmentation with a lift is highly customizable and usually performed as an outpatient procedure where you will be sedated with general anesthesia. The breast lift is usually the first to be performed for this procedure. Any excess skin will be removed, and the surrounding tissue will be tightened. Prior to your surgery, Dr. Rough will discuss breast implant options so your implants will be ready for placement after your breast lift has been performed. Once the implant is placed, the nipple and areola may be repositioned to fit your new breast shape and size.
This surgery helps women who want to correct:

By combining a lift with implants, you achieve improvements that a single procedure cannot provide. Benefits include:
Women often say they feel more confident in fitted clothing and more comfortable with their overall figure.
You may be a good fit if you:
This procedure may not be right for women who only want added volume without a lift, or who prefer a lift alone. Dr. James will help determine the best path forward during your consultation.

Recovery usually takes a few weeks. Soreness, swelling, and tightness are expected at first. A supportive bra or garment is worn to help the breasts heal in their new position.
Most patients return to light activities within a few days, back to work in 1–2 weeks, and resume exercise after 4–6 weeks. Follow-up visits with Dr. James will guide your recovery and help you know when it’s safe to return to all activities.

You’ll notice a difference right away, but the final shape takes time as swelling fades and the implants settle. Scars soften and fade gradually, usually becoming much less noticeable over time.
With this procedure, you can expect:
Maintaining a stable weight and healthy lifestyle helps preserve results for the long term.
Dr. James Rough is a board-certified plastic surgeon with advanced training at UCLA and years of experience in breast surgery, both aesthetic and reconstructive. Patients describe him as calm, attentive, and meticulous. He takes the time to understand not just your goals but your concerns, creating a treatment plan that feels right for you.
At his Tucson practice, every consultation is unhurried and personal. The focus is on natural, elegant results that fit your body and restore your confidence.

Attain the body you want by combining a breast augmentation and breast lift at James Rough, M.D. Plastic Surgery. By addressing the position, size, shape, and skin of your breasts, your surgical augmentation and lift can lead to a more youthful appearance. Call for your consultation with Dr. James Rough at our Tucson, AZ office to find out more about your options for breast enhancement.
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Your costs for a breast augmentation with a lift will vary depending on many factors, particularly whether your augmentation is performed with implants (silicone or saline) or a fat transfer. Additionally, some lift procedures have more complexity depending on the surgical case. During a thorough consultation, Dr. Rough will develop a custom surgical plan with costs estimates. James Rough, M.D. Plastic Surgery accepts a number of payment forms, and we can help you find low-interest financing.
A good reason to get a breast augmentation with a lift is that it increases the size of your chest while also correcting sag by eliminating excess skin. The breast lift will also adjust your natural breast tissue so your results are perky and firm. This is important since adding volume to breasts with mild sagging can cause a less than ideal outcome if a lift is not performed to address the sag. To address sagging, a breast lift should be performed first, and then implants or a fat transfer can be done. In your consultation with Dr. Rough, he will understand your concerns and goals before examining the condition of your chest. Following this, he will be able to give you his opinion on whether your goals require implants, a lift, or both.
Incision patterns for breast surgery have come a long way in recent years, with techniques being performed that help reduce scarring. The actual incision type that is best for your surgery will depend on the type of implants and the severity of breast sag. If you have severe breast sag, an anchor-shaped incision is usually best. When forming your surgical plan, Dr. Rough will explain incision options and which is best for your needs. Regardless of the method is used, Dr. Rough makes incisions carefully for natural-looking results.
Options include saline, silicone, and cohesive silicone gel implants. Placement above or below the muscle is also discussed during consultation.
With proper care, implants last 10–15 years or more. The lift portion of surgery is long-lasting, though natural aging continues.

















