Are you seeking to restore fullness and perkiness to your breasts? Despite maintaining a healthy lifestyle, factors like pregnancy, weight fluctuations and aging can leave your breasts with a combination of emptiness and sagging that exercise cannot address. Dr. Ashley Robey provides expertly tailored breast enhancement solutions at her Carmel practice, helping you achieve the lifted, fuller silhouette you desire with precision and care.

Breast augmentation with lift combines two highly effective procedures to comprehensively transform your breasts. Dr. Robey understands that no two patients are alike, and she approaches each case with careful consideration of individual needs to create beautiful, natural-looking breast enhancement.

Understanding Breast Augmentation With Lift

Augmentation mastopexy (breast augmentation with lift) addresses the complex interplay between breast volume and position — a challenge that neither procedure can solve independently. When breasts lack volume and show significant sagging (ptosis), this combined procedure rejuvenates and enhances by adding fullness while repositioning the breast tissue.

The technical complexity lies in balancing opposing forces: implants expand tissues outward while lifting techniques tighten the skin envelope. Dr. Robey’s extensive surgical expertise allows her to harmonize these elements, creating breasts that are not only fuller but also properly positioned on the chest wall, with nipples at an aesthetically pleasing height.

Breast Augmentation Options

Breast Implants

Breast implants remain the most popular choice for combined lift procedures due to their predictability and immediate volume increase. Many patients select implants when they want a significant size increase or dramatic upper pole fullness.
Implant options include:

  • Cohesive Silicone Implants: Feature form-stable gel that maintains shape while providing natural movement and feel
  • Saline Implants: Offer adjustable volume during surgery, allowing fine-tuning for optimal symmetry
  • Various Profile Options: From low to extra full projection, selected based on your measurements and goals

Dr. Robey carefully selects implant size, width, height and projection profiles based on your chest measurements, tissue characteristics and aesthetic goals to create proportions that complement your frame.

Breast Fat Transfer

For women seeking a more natural alternative, Dr. Robey offers a combined breast lift with fat transfer. This approach uses your body’s own adipose (fat) tissue, harvested through liposuction from areas with excess fat, then carefully processed and injected into strategic areas of the breast.
Benefits of fat transfer to the breasts include:

  • Completely natural results using your own tissue
  • No risk of implant-related complications
  • Customized volume distribution to address asymmetries
  • Simultaneous body contouring benefits at donor sites

Fat transfer typically provides a more modest volume increase than implants (generally one-half to one cup size per procedure). The body reabsorbs approximately 20 to 50% of transferred fat over the first few months, so Dr. Robey often overcorrects to account for this natural process.

Breast Lift Options

Breast Lift Surgery

Breast lift surgery provides the most dramatic repositioning of breast tissue and can address mild to severe sagging. Dr. Robey offers several surgical lift techniques based on the degree of sagging and your anatomy:

  • Periareolar (Donut) Lift: For minimal sagging, uses a circular incision around the areola
  • Vertical (Lollipop) Lift: For moderate sagging, adds a vertical incision from the areola to the breast crease
  • Anchor (Wise-Pattern) Lift: For significant sagging, includes an additional incision along the breast crease

Minimally Invasive Breast Lifting With BodyTite

For patients with mild to moderate sagging who desire subtle lifting with minimal scarring, Dr. Robey offers BodyTite breast contouring as a less invasive option. This treatment uses advanced radiofrequency technology to tighten and lift the breasts.

Advantages of BodyTite include:

  • Causes immediate tissue contraction
  • Stimulation of long-term collagen production
  • Reduced downtime and minimal scarring
  • Up to 40% skin tightening in treated areas
  • Excellent complement to fat transfer or small implants

While BodyTite cannot replace a traditional surgical lift for significant sagging, it provides a valuable option for those with mild ptosis or as a maintenance procedure.

Ideal Candidates

The best candidates for breast augmentation with lift experience breast sagging (ptosis) and volume loss, typically following pregnancy, weight changes or the natural aging process. These individuals desire comprehensive improvement in breast fullness and position to restore a more youthful aesthetic. Ideal candidates have typically completed their families, as future pregnancies may alter surgical results. Patients should maintain a stable weight and good overall health to promote optimal healing and long-term results.

Your Breast Enhancement Journey

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01 - Initial Consultation

Your journey begins with a comprehensive consultation with Dr. Robey at her Carmel office. She’ll discuss your aesthetic goals, evaluate your breast tissue quality, measure your breast dimensions and review your medical history. During this visit, you can try different implant sizes using special sizers.

Dr. Robey will explain the various techniques available and help you understand which approach will best achieve your desired outcome.

02 - Pre-Surgery Preparation

Our team will provide detailed pre-operative instructions, including medication and dietary guidelines and suggestions for what to wear on surgery day. You’ll need to arrange for someone to drive you home after this breast enhancement surgery and assist during your initial recovery.

03 - Day of Surgery

Breast augmentation and lift surgery is performed as an outpatient procedure under general anesthesia and typically takes two to four hours, depending on complexity. Dr. Robey creates the implant pocket and places your chosen implants, then adjusts the breast tissue, removing excess skin and repositioning your nipple-areolar complex.

For fat transfer procedures, Dr. Robey will first harvest fat through liposuction from donor areas, process it and then carefully inject it into strategic areas of your breasts. Fat can also be borrowed from areas that are excised in body contouring procedures.

If your treatment plan includes BodyTite, Dr. Robey will use a small wand with internal and external electrodes to deliver precise radiofrequency energy throughout the breast tissue, creating skin contraction with only tiny access points rather than traditional surgical incisions.

04 - Recovery Timeline

Recovery from breast augmentation with lift surgery is moderately challenging during the first week but becomes progressively easier as healing advances.

  • First 24 to 48 Hours: Rest with limited arm movement; manage discomfort with prescribed medication
  • First Week: Continued limited activity with gradual introduction of light movements
  • Two Weeks: Return to low level cardiovascular exercises
  • Six Weeks: Gradual return to more vigorous activities with no lifting restrictions
  • Eight+ Weeks: Full return to all activities, including high-impact exercise

Patients who choose fat transfer with BodyTite instead of implants and surgical lifting typically experience a gentler recovery with less discomfort and a quicker return to normal activities. They often resume light daily routines within three to five days.

05 - Aftercare

Following our aftercare instructions after breast augmentation and lift is essential for optimal healing and results. These instructions may include:

  • Wear your surgical support bra as directed
  • Take prescribed medications according to schedule
  • Keep your incision sites clean and protected
  • Attend all scheduled follow-up appointments
  • Follow activity restrictions to support proper healing
  • Stay well-hydrated and maintain a healthy diet

06 - Results of Breast Augmentation With Lift

While you’ll see an immediate change in your breast shape after surgery, your final results will develop gradually as swelling subsides. Most patients see significant improvement within six weeks, with final results appearing around three to six months post-procedure.

Why Choose Dr. Robey

As a quadruple board-certified plastic surgeon, Dr. Ashley Robey brings unparalleled expertise to breast enhancement procedures. She has been named one of Indy’s Top Plastic Surgeons for consecutive years and has received numerous patient choice awards. Dr. Robey is one of only 13 doctors worldwide with her specific combination of credentials. She combines her analytical precision with artistic vision to achieve beautiful breast enhancement results.

Frequently Asked Questions

How do I know if I need a breast lift with my augmentation?

The “pencil test” can be a starting point for self-assessment — if you place a pencil in your breast crease and it stays in place rather than falling, you might benefit from a lift. However, a formal examination with measurements by Dr. Robey is the most definitive way to determine whether you need a combined procedure.

Should I get saline or silicone implants?

While both options are safe and FDA approved, most patients find that silicone implants provide a more natural feel and appearance. During your consultation, Dr. Robey will help you compare both options to determine which best suits your preferences and anatomy.

What are my implant placement options?

Your implants can be placed in one of the following positions:

  • Submuscular (Under the Muscle): Provides additional tissue coverage, creating a more natural slope
  • Subglandular (Over the Muscle): Results in less discomfort during recovery

Implants may also be placed under the fascia (connective tissue covering the muscle) but above the muscle itself, combining the advantages of the submuscular and subglandular approaches.

Will I have scarring?

All breast augmentation and lift techniques result in some scarring, the extent of which depends on the amount of lifting required. Dr. Robey employs meticulous surgical techniques to create the finest possible scars and places incisions in natural contours whenever possible.

How are breast implants supported to reduce future sagging?

To help support your new breast profile long term, Dr. Robey offers advanced internal support techniques, including:

  • Galaflex/Durasorb: Absorbable mesh options that improve tissue strength
  • Alloderm: An acellular dermal matrix that reinforces implant pockets
  • Autoderm: Uses your own excess dermis for natural support

These internal support systems function like an “internal bra,” helping maintain your results by counteracting the effects of gravity.

Will this procedure affect my ability to breastfeed?

Many women with breast implants and lifts successfully breastfeed. During your consultation, Dr. Robey will discuss techniques that help preserve breast tissue and milk ducts. If future breastfeeding is important to you, be sure to emphasize this during your planning discussions.

Still have questions?

Feel free to give us a ring with our information below or leave us an online message, we will gladly answer further questions.

Call 317.721.7110

Real
Results

Dr. Robey and her team have been so wonderful during this journey. My mommy make over results are looking pretty amazing and I’m only 4 weeks Post opp. Any questions concerns and even visits to the clinic whenever I’m not at ease because the recovery journey is full of emotions and Dr. Robey and her team have validate them all. I feel so confortable and at peace because I know they are by my side any time.

M.L

I would recommend Dr. Robey and her team to anyone! I can’t thank them enough for making this process so smooth and comfortable. I traveled 8 hours just to see Dr. Robey and I am so thankful that I chose her as my surgeon. Alisha is so knowledgeable and kind. I can’t thank her enough for helping me with all of my initial questions! Beth went above and beyond to answer all of my financial and scheduling questions! Thank you Dr. Robey, Alisha and Beth for helping me feel beautiful and confident!

K.T.

La mejor doctora . Las muchachas del frente son muy amable y siempre dispuesta a contestar cualquier pregunta . Beth es muy amable y siempre responde mis preguntas. Mis resultado fueron mejor de lo que yo esperaba .

R.T.

“I had a consult with Dr. Robey, she was polite and very professional. The staff was amazing. While I was there I inquired about Botox, and they had a slot and fit me right in!! Gabby is amazing ? I loved the Botox so well I came back for some fillers. I am Extremely happy with my results. Thanks Ladies!” 

M.P.

Perk Up Your Profile With Breast Enhancement in Carmen, IN

Don’t let sagging, deflated breasts prevent you from feeling like the best version of yourself. Let board-certified plastic surgeon Dr. Robey help you achieve the perky, full breasts you desire with a breast augmentation and lift.

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NIPPED & TOXXED Podcast: Mic Check!

Real Talk on Plastic Surgery, Aesthetics & Regenerative Medicine

Ever wondered what actually happens behind the scenes of plastic surgery and aesthetics? Dr. Ashley Robey is here to spill the tea! From the latest beauty treatments to the science of aging gracefully, she breaks it all down—no fluff, no filters, just real talk. Whether you’re thinking about a little enhancement, a major transformation, or just want to stay in the know, this is the podcast for you.

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Health & Wellness

As part of Robey Plastic Surgery & Regenerative Medicine, Live Better MD offers personalized anti-aging and regenerative medicine services—including hormone optimization, weight-management support, and wellness coaching—to help you feel youthful, energized, and balanced at every stage of life.

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Your body, your confidence, your choice. Let Dr. Robey and her team help you achieve the look you desire with compassionate, expert care. Schedule your personalized consultation today and discover how we can support your renewed confidence and beauty journey.