
Breast Augmentation
Volume and shape are enhanced using implants or fat transfer to achieve natural, proportionate results.
Lifting and reshaping your breasts—so you feel youthful, confident, and beautifully proportioned.
Restoring firmer, perkier, more youthful breasts.
A breast lift, or mastopexy, raises and reshapes sagging breasts by removing excess skin and tightening surrounding tissue. Whether caused by pregnancy, weight loss, aging, or genetics, breast ptosis affects how you feel in fitted clothing and how confidently you move through the world.
At North Shore Cosmetic Surgery, breast lift surgery is performed with artistry and precision—restoring youthful elevation while maintaining natural proportion. Breast lift honors your unique anatomy, but the result is always focused: breasts that feel high, tight and youthful.
Confidence That Lifts Everything
Breast lift before and after results reveal breasts that sit higher, look fuller, and feel more youthful. You'll notice improved shape and the confidence to wear what you love without adjustment or hesitation. This is elevation that changes how you photograph, how you dress, and how you carry yourself—naturally, powerfully, and without apology.
“This has been life changing for me! I have a confidence now that I never have. Dr. Romanelli did amazing work. My surgery was very smooth and my recovery was surprisingly smooth and quick. I am so happy with my results!”Verified Patient
Explore your options with confidence and discover what’s right for you. Your surgeon is here to guide you every step of the way, so you can make a fully informed decision.

Saline implants are filled with sterile saltwater after placement, allowing for adjustable volume and a uniform, natural or super round breast shape.
Silicone implants are pre-filled with a cohesive gel that closely mimics the look and feel of natural breast tissue.
Motiva Silicone Implants are a next-generation of silicone implants, allowing a choice of more natural (ERSD) or rounder (RSD) devices. These are especially useful when implants are placed subfascial rather than submuscular.
Subfascial implants are very attractive for women who excercise a lot, especially if chest exercises are important. Subfascial implants, unlike subpectoral implants, don't move signficantly with exercise, while subpectoral implants can move, creating an unattractive look.
We begin by listening to your goals and the story behind them. Together with your plastic surgeon, you’ll explore options and define an approach aligned with your proportions, lifestyle, and vision.
Your surgical plan is thoughtfully designed around your anatomy, desired outcome, and our philosophy of natural, balanced refinement. Nothing is rushed. Nothing is one-size-fits-all.
From arrival to recovery, every detail is intentional. Our team creates a calm, reassuring environment so you feel informed, supported, and fully cared for.
Healing is guided by close communication, attentive follow-ups, and steady support. We’re with you at every step, ensuring your recovery feels smooth and predictable.
As healing progresses, balance and confidence come into focus. Our goal is for your results to feel unmistakably yours — refreshed, aligned, and effortlessly natural.

Yes, breast lift alone reshapes and elevates existing tissue without adding volume. Many women achieve beautiful results with lift only. If you desire both elevation and increased size, combining lift with augmentation or fat transfer is ideal.
It is uncommon to need a second breast lift. Except with significant weight gain and loss, or pregnancy and breast feeding. Results typically last decades though gravity and aging continue. Maintaining stable weight and wearing supportive bras help preserve outcomes longer. Breast lift longevity varies individually.
Technique depends on sagging degree. Minor ptosis may need periareolar (donut) lift. Moderate to severe sagging requires vertical or anchor incisions. We'll recommend the minimal approach necessary for beautiful results.
Breast lift cost starts at $10,000-$14,000, varying by technique complexity and geographic location. Combining lift with augmentation increases cost but may be the best solution. We provide detailed pricing during consultation.
This is not cosmetic surgery for a different you.
This is clarity — revealed through balance, intention, and deeply human listening.


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“Dr Layliev is a fantastic surgeon. I met with several plastic surgeons before him and he just is in a different league than others. He listened to exactly what I wanted and the results are truly perfect and far beyond what I expected. The procedure itself went smoothly and the whole office was very supportive and helpful during recovery.”RealSelf Member
“Amazing! I'm very happy with my results. Tummy Tuck - Mastopexy - Liposuction. I feel like a new woman. Thank you Dr. James Romanelli. 5 stars.”A.O.
Whether you’re exploring treatment options or simply gathering information, your journey should feel informed, intentional, and fully supported. At North Shore, our focus is on results that feel natural, balanced, and true to you — guided by experience, artistry, and an unwavering commitment to patient care.
A consultation is a conversation, not a commitment. Let’s talk through your goals and determine the path that makes the most sense for you.

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