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Many patients want lifted, fuller, more youthful breasts, but don’t want implants. Others love the idea of upper-pole fullness but prefer a natural feel, minimal maintenance, and a result that ages gracefully. Auto-augmentation mastopexy, also called implant-free upper pole enhancement, supports both shape and volume naturally. At Allure Esthetic in Seattle, Dr. Javad Sajan performs this advanced technique for patients seeking natural breast rejuvenation without the need for breast implants.

What Is Auto-Augmentation Mastopexy?

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Auto-augmentation mastopexy is a breast lift technique that repositions existing breast tissue to restore upper pole fullness while simultaneously correcting breast ptosis (sagging). Unlike traditional mastopexy procedures that often result in reduced breast volume, auto-augmentation preserves and strategically relocates tissue that would otherwise be removed during surgery.

The procedure addresses a common concern many women face: excess tissue in the lower breast combined with deflation in the upper breast. Rather than discarding this tissue, Dr. Sajan carefully repositions it from the lower and lateral portions of the breast to the upper and medial areas, creating enhanced projection and a more youthful breast contour.

How Auto-Augmentation Mastopexy Works

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The surgical technique involves several carefully planned steps:

Surgical Planning and Marking

Before surgery begins, detailed markings are made while the patient is in an upright position. These markings identify the new nipple-areola position and planned incision patterns, ensuring symmetrical and aesthetically pleasing results.

Tissue Preservation and Repositioning

During surgery, the breast tissue from the lower and lateral quadrants is carefully preserved rather than removed. This tissue is then rotated and secured in the upper portion of the breast to create natural augmentation.

Creating Upper Pole Fullness

The repositioned tissue creates what is essentially an internal, natural "implant" using your own breast tissue. This technique restores the fullness to the upper chest and cleavage area that diminishes with age, pregnancy, or weight loss.

Skin Removal and Contouring

Excess skin is removed, and the remaining skin envelope is tightened around the newly shaped breast mound. The nipple-areola complex is repositioned to a higher, more youthful location on the breast.

Internal Suturing

Multiple layers of internal sutures secure the repositioned tissue in place. The external incisions are then meticulously closed to minimize visible scarring.

Who Is a Candidate for Auto-Augmentation Mastopexy?

This procedure can be suitable for women who:

  • Have adequate existing breast tissue to achieve desired volume without implants
  • Experience breast ptosis (sagging) due to aging, pregnancy, breastfeeding, or weight fluctuations
  • Desire upper pole fullness but want to avoid implants
  • Are at a stable weight and can maintain it after surgery
  • Have completed family planning, as pregnancy after surgery may affect results
  • Seek natural-looking enhancement that moves and feels like natural breast tissue
  • Previously had implants and wish to remove them while maintaining breast volume

Women who have undergone significant weight loss often make good candidates, as they typically have sufficient tissue available for repositioning. Similarly, women experiencing post-pregnancy breast changes who want to restore their pre-pregnancy appearance without implants may find this procedure appealing.

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Benefits of Auto-Augmentation Breast Lift

Auto-augmentation breast lift focuses on reorganizing your existing breast tissue to enhance shape without the use of implants. It may offer a range of benefits as it:

  • Uses your own breast tissue to reshape the breast without adding implants or foreign materials.
  • Allows the surgeon to reposition lower-pole tissue into the upper breast for a fuller contour.
  • Creates a breast shape based on your natural anatomy and existing tissue distribution.
  • Reduces reliance on implant-specific follow-ups since no device is placed.
  • Focuses on structural reshaping inside the breast rather than adding external volume.
  • Offers a technique that works with natural breast movement and softness.
  • Avoids implant-related considerations such as ruptures.
  • Provides an internal method of shaping that can complement a breast lift for select patients.

Recovery and Healing Timeline

Recovery after auto-augmentation mastopexy generally follows a pattern similar to a traditional breast lift, with added focus on supporting the internally repositioned tissue. Exact timeline may vary, but most patients can expect the following general progression:

  • Wearing a supportive surgical bra or compression garment immediately after surgery to help minimize swelling and provide stability.
  • Light walking around the house is encouraged early on, while bending, lifting, and overhead reaching should be avoided.
  • Patients often take about a week away from work or major responsibilities while the initial healing phase begins.
  • Activity increases slowly over the next several weeks, with a return to normal routines, including light exercise, once cleared by Dr. Sajan.
  • Early improvements in breast position and contour are visible soon after surgery, though swelling will continue to diminish over time.
  • The breasts gradually soften and settle over the following months as the internal tissue rearrangement matures.
  • Long-term care may include wearing supportive bras, protecting the skin from sun exposure, and maintaining a stable weight to support the overall result.

Maintaining Your Results

The longevity of your auto-augmentation mastopexy results depends partly on your commitment to maintaining them:

  • Maintain stable weight: Significant weight fluctuations can affect breast shape and size
  • Follow a healthy lifestyle: Balanced nutrition and regular exercise support overall tissue health
  • Wear supportive bras: Proper support helps maintain breast position long-term
  • Practice good skincare: Sun protection and moisturizing keep skin healthy and elastic
  • Avoid smoking: Smoking accelerates aging and compromises skin quality
  • Consider timing of pregnancy: Pregnancy and breastfeeding after surgery may alter results

While aging continues naturally, the structural improvements from auto-augmentation mastopexy provide lasting enhancement that can maintain its appearance for many years.

Why Choose Allure Esthetic

At Allure Esthetic, we combine surgical expertise with personalized care. When you choose us, you can expect:

  • A skilled plastic surgeon with extensive experience in advanced breast techniques
  • Personalized treatment plans tailored to your unique anatomy and aesthetic goals
  • From advanced technologies to strict HIPAA protection and comprehensive safety protocols, everything is designed to protect your privacy, wellbeing, and long-term results
  • Dr. Javad Sajan and his staff dedicate ample time to your education: walking you through what to expect before, during, and after surgery
  • Attentive follow-up care supporting your healing journey from start to finish

Let’s Explore Your Options

If you're interested in learning whether auto-augmentation mastopexy is right for you, we invite you to schedule a consultation at Allure Esthetic. During your visit, we'll evaluate your candidacy, discuss your goals, and create a customized surgical plan designed to help you achieve the beautiful, natural-looking results you desire. Call us at (206) 209-0988 today to begin your journey toward lifted, fuller breasts without implants.

Frequently Asked Questions

What is the difference between a breast lift and an auto-augmentation breast lift?

A traditional breast lift repositions the breast and removes excess tissue but does not add fullness. Auto-augmentation adds an internal reshaping component, using your own lower-pole tissue to create upper-pole contour during the lift.

How long does auto-augmentation last?

Results can be long-lasting, but factors like aging, weight fluctuations, and skin elasticity can influence how the breasts change over time.

Is auto-augmentation safe?

Auto-augmentation uses your own tissue, which avoids implant-related risks, but it is still a surgical procedure with standard considerations such as healing time and incision care.

What is the best age to get an auto-augmentation breast lift?

There is no single best age, as suitability depends on breast anatomy, skin quality, and overall health rather than age alone.

Can I breastfeed after this procedure?

Any breast surgery carries some risk of affecting lactation. If future breastfeeding is important to you, discuss this thoroughly with your surgeon.

How much does auto-augmentation mastopexy cost?

Costs vary based on geographic location, surgeon experience, facility fees, and anesthesia costs. Generally, pricing is comparable to traditional breast lift surgery.

Am I too old for this procedure?

Age alone is not a determining factor. Your overall health, skin quality, and tissue characteristics are more important considerations.

What if I don't have enough tissue?

If you have insufficient breast tissue for auto-augmentation, alternative options include traditional breast lift with implants, fat transfer, or a combination approach. Dr. Sajan will discuss the most suitable alternatives for your situation.

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