Augmentation mastopexy is concerned with combined approach of inserting an implant that augments breast volume and reposition the nipple that reduce the envelope.In the absence of risk factors this combined approach in one sitting allows correction of this more advanced degree of ptosis with less extensive surgery and confers a more lasting result than Mastopexy alone. It is also necessary to solve the problems of breast ptosis with hyperplasia than augmentation alone.Therefore it is advantageous to use these procedures simultaneously, this achieving a more balanced result with less morbidity, cost, time and recovery for the pt.