Implants come in various sizes and shapes, from round to teardrop, allowing for a tailored enhancement that suits your body proportions.
As a surgeon, I see every day how much the appearance of your breasts can influence how you feel about yourself. Breasts are closely tied to a woman’s sense of femininity, so when they begin to sag—or when you feel your natural shape or size doesn’t reflect how you want to look—it can affect your confidence, self-esteem, and overall enjoyment of life.
If you’ve noticed your breasts have lost volume or firmness, especially after pregnancy, breastfeeding, weight loss or simply due to ageing, and you’re also hoping to boost volume or enhance your shape, augmentation mastopexy could be the ideal solution. It combines the benefits of a breast lift with the added enhancement of implants—helping you feel like a more confident, natural version of yourself.
Augmentation mastopexy is a combined procedure where we lift and reshape sagging breasts while also inserting implants to add volume and improve the overall contour. It’s designed for women who not only want to address drooping but also desire a fuller, more youthful shape.
During surgery, I remove excess skin, reposition the breast tissue and nipple, and insert an implant to enhance size and firmness. It’s a highly customisable procedure, and I’ll work with you to choose the right implant type, size, and shape to suit your body and aesthetic goals.
Whether you’re aiming to restore what’s been lost after children, or simply enhance your natural figure, this procedure offers a beautifully balanced and rejuvenated result.
We’ll start with a detailed consultation where I’ll take time to listen to your concerns, answer your questions, and examine your breasts to understand what’s right for you. We’ll discuss implant choices, placement, and the lift technique I’d recommend to achieve your desired outcome.
The surgery is carried out under general anaesthetic and usually takes between 2.5 to 3.5 hours. You’ll typically go home the same day. The exact surgical plan—including incision placement and implant positioning—will depend on your unique anatomy and preferences, but everything will be explained clearly beforehand so you feel fully informed and confident.
As with any surgical procedure, there are risks to be aware of. These can include bleeding, infection, changes in nipple or breast sensation, delayed healing, and scarring. There are also risks specifically related to the implants, such as capsular contracture or implant rupture.
Combining two procedures in one means the recovery can be slightly longer than either on its own, but it also avoids the need for two separate surgeries and healing periods. I’ll go through all the risks and precautions during your consultation, and my team and I will be here to support you every step of the way.
Recovery varies from person to person, but most women find they can resume light activities within a week, and return to work after around 10–14 days, depending on the type of job. You’ll need to wear a surgical support bra and avoid strenuous activity or heavy lifting for around six weeks.
You may notice some swelling, bruising and tightness in the chest area to begin with—this is perfectly normal and should settle down over time. I’ll provide clear aftercare instructions and see you for follow-up appointments to monitor your healing and make sure everything’s progressing well.
The final results take a few months to fully settle, but most women are thrilled with the outcome—a lifted, fuller, more youthful bust that enhances their confidence and helps them feel more in tune with their body.
Implants come in various sizes and shapes, from round to teardrop, allowing for a tailored enhancement that suits your body proportions.
You can choose between saline and silicone implants. Silicone implants are popular for their natural feel, while saline implants offer adjustability and a slightly firmer feel.
Different lift techniques are available depending on the degree of sagging. These include periareolar (around the nipple), vertical (lollipop lift), and anchor-shaped incisions.
Implants can be placed above or below the chest muscle. Submuscular placement offers a more natural look and reduces the risk of visible rippling, while subglandular placement can provide a more dramatic enhancement.
The type of incision used will depend on your breast anatomy and the degree of lift needed. Dissolvable sutures are commonly used, meaning there’s no need for removal post-surgery.
2.5 – 3 hours
1-2 weeks
Day Case
2-3 days
After 1-2 weeks
2-3 days
1 week
6-8 weeks
Seeing real results can be incredibly reassuring. Browse our gallery of before and after images to see the incredible transformations achieved by Dr. Guirgis Awad.
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Understanding what to expect can make your journey smoother and help you feel more confident about your decision. Below is a step-by-step breakdown of what happens before, during, and after your surgery.
During your consultation, Dr. Guirgis Awad will discuss your aesthetic goals, assess your breast anatomy, and recommend the best approach for you. Implant size, lift technique, and incision placement will be personalised to your needs.
You may be asked to stop certain medications, quit smoking, and follow a pre-surgery checklist to ensure you are fully prepared for your operation.
The surgery is performed under general anaesthetic. It typically takes 2.5 to 3 hours. Once complete, you’ll be closely monitored in the recovery area before being discharged or staying overnight if needed.
Some swelling and discomfort are expected initially, but pain relief will be provided. A supportive post-surgical bra will help with healing, and most patients can return to light activities within a few days, with a full recovery in 6-8 weeks.
Considering this procedure? You’re not alone! Here are some of the most frequently asked questions and answers to help you make an informed decision.
If your breasts appear droopy, with nipples sitting lower on the breast, a lift may be recommended alongside augmentation to achieve a youthful, lifted shape.
Incisions are placed carefully to minimise visibility. Over time, scars fade significantly and become much less noticeable with proper aftercare.
Most women can still breastfeed, though there is a small risk that a breast lift may impact milk ducts depending on the technique used.
The results of a breast augmentation mastopexy are long-lasting, but factors such as ageing, weight fluctuations, and pregnancy can affect the outcome over time.
Yes! Dr. Guirgis Awad tailors the procedure to your body shape and desired outcome, ensuring natural-looking and well-proportioned results.
Light activities can resume after a couple of weeks, but strenuous exercise and heavy lifting should be avoided for at least 6 weeks to allow proper healing.

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