**Abstract**

Simultaneous mastopexy and augmentation can be an extremely rewarding surgery for both patient and surgeon. However, it is one of most complex cosmetic surgical procedures with a high revision rate, relatively high complication rate and higher than average litigation rate. Trying to simultaneously adjust two breasts for a new submuscular implant pocket, new NAC position, new parenchymal arrangement, new infra-mammary fold (IMF) position, great symmetry, perfect amount of skin and fat removal, with great scars all while maintaining vascularity is no small task. A clear understanding of the optional procedures and variables involved when combining these techniques will significantly benefit the surgeon in obtaining safe and predictable results while limiting the vast majority of complications.

**Keywords:** mastopexy, breast augmentation, simultaneous breast lift and augmentation, revision breast surgery
