Breast Augmentation with Lift in Upland & the Inland Empire

A breast augmentation with lift, sometimes called an augmentation mastopexy, joins two procedures into one surgery. The lift removes loose skin and moves the nipple and areola higher, while a breast implant restores volume and fullness, especially in the upper part of the breast.
A lift by itself raises the breasts but does not make them larger. Implants by themselves add size but cannot fix much sagging. For women in the Inland Empire who have lost both volume and firmness, often after pregnancy, nursing or weight loss, combining the two can address both concerns in a single trip to the operating room.
Who is a good candidate?
- Women whose breasts both sag and look deflated or empty at the top
- Those whose nipples now point downward or sit below the breast crease
- People who want a fuller cup size along with a lifted shape
- Healthy adults at a stable weight who do not smoke or are willing to stop
- Women who are done having children or accept that pregnancy may change results
- Anyone with realistic expectations about scars and how results age
Dr. Smiley's technique and philosophy
During the exam, Dr. Smiley measures your breasts and looks closely at your skin quality, current size and shape, and age. These details help him decide whether a lift alone will meet your goals or whether adding an implant makes more sense. You will also decide together on the new position of the nipple and areola.
The lift portion most often uses an anchor-shaped incision that follows the breast's natural curve, although women with milder sagging may need only an incision around the areola. Extra skin is removed, the nipple and areola are raised, and the breast is reshaped around the added volume of the implant. Dr. Smiley aims to keep scars as small and discreet as possible and will explain where yours are likely to be.
What to expect
Consultation
Your visit takes place at our Upland office at 330 East 7th Street. Dr. Smiley will discuss your goals, examine you, review implant options and scar patterns, and explain the anesthesia and the facility where surgery will happen. A mammogram may be requested based on your age and family history. Call (866) 372-3288 or text (714) 403-7092 to set up a visit.
The procedure
Combined breast surgery is performed under anesthesia in an accredited surgical facility, never at the Upland consultation office. Because two steps are done together, it generally takes longer than either one alone. Most patients go home the same day with a responsible adult.
Recovery
Expect soreness, tightness, swelling and bruising for the first couple of weeks. You will wear a supportive surgical bra. Many people return to light work in about one to two weeks and to full workouts after six weeks or more, once cleared. Implants often take a few months to settle into their final position, and scars keep fading for a year or longer. Everyone heals differently, so your timeline may vary.
Before & after photos
Real patients of Dr. Smiley. Results vary; individual results depend on anatomy, health and healing.








See the full Breast Augmentation with Lift before & after gallery on dr-smiley.com
Risks and safety
Combining procedures means you face the risks of both. These can include bleeding, infection, noticeable scars, uneven nipple position, changes in sensation, and implant-related issues such as firmness around the implant, shifting or rupture. Implants are not lifetime devices and may need to be replaced someday.
Dr. Smiley will go over all of these at your consultation so you can make an informed choice. Results cannot be guaranteed, and a future touch-up surgery is sometimes needed.
Frequently asked questions
Do I need a lift, implants, or both?
It depends on how much your breasts sag and how much volume you have lost. Dr. Smiley will examine and measure you and explain which approach fits your goals.
Can a lift and implants be done at the same time?
Often, yes. Many patients have both in one surgery. In some cases a surgeon may suggest staging them, and Dr. Smiley will discuss what is right for you.
Will I have scars?
Yes. A lift requires incisions, usually around the areola and often down to the breast crease. Scars typically fade over time, and Dr. Smiley places them to be as discreet as possible.
How long is recovery from augmentation with a lift?
Many patients return to light activity in one to two weeks and to strenuous exercise after about six weeks. Swelling and implant settling continue for several months.
Book your consultation in Upland. Call (866) 372-3288 or text (714) 403-7092. Consultations are complimentary.
Learn more about this procedure on Dr. Smiley's main site: Breast Augmentation with Lift at dr-smiley.com.