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Aim: The single-stage procedure is a challenging procedure for Plastic Surgeons. The single-stage layered mastopexy with augmentation is a new technique that is aiming to add safety, preserving breast function and to restore normal parameters of breast. Methods: A retrospective chart review of 50 consecutive cases of layered mastopexy with augmentation mammoplasties was performed. All patients had their implants placed in muscle splitting pocket. Incisions for mastopexy were selected on the basis of nipple areolar complex to inframammary crease. Mastopexy is performed using a medially based pedicle, leaving a sufficient tissue covering the implant. Patients were divided into three groups. Group A who had periareolar mastopexy, Group B had vertical scar mastopexy and Group C patients had mastopexy with Wise patt markings. Results: Group A comprised 11 patients. The mean age was 28.82± 7.01 years, mean preoperative and postoperative nipple areolar complex (NAC) to IMC measurement was recorded in 10 patients with the mean of 7.15± 1.98 cm and 8.35± 1.18 cm respectively. Mean size of the implant used was 379.55± 77.18 cm3. Group B comprised 29 patients. Mean age was 35.17± 12.37 years and the mean preoperative and postoperative NAC to IMC crease was 8.53± 1.48 cm and 9.72± 1.51 cm respectively. The mean implant size used was 289.48± 109 cm3. Group C had 10 patients. Mean age was 39.60± 12.15 years and the mean preoperative and postoperative NAC to IMC crease of 10.11± 1.24 cm and 8.75± 0.98 cm respectively. The mean implant size used was 287.00± 55.08 cm3. Conclusion: The procedure allows better arterial supply, wider area for venous and lymphatic drainage, better sensory innervation to NAC and maximises lactation potential of the breast.