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Lollipop Breast Lift and Implants in One Procedure?

I am interested in getting a lollipop breast lift and a 370-400cc breast implants at the same time. I am currently a 36DD. I had one doctor tell me I need to do it in 2 seperate proceedures for best scaring results, the other tells me that I can do it in one. What is recomended?

Asked 28 months ago by agmommy in california

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Breast lift with an implant should be an individual decision

Breast lift (mastopexy) and implant can be performed in one stage in the properly selected patient who needs a small amount of lift and desires a conservative augmentation. In this patient, the bigger question is does a 36dd patient even need an implant let alone a 375cc implant. I would say a mastopexy alone would be all that would be required with internal breast sutures and proper breast shaping to deliver a great result without the negatives of placing an implant. The final decision... more

Andrew P. Trussler, MD

Dallas Plastic Surgeon

ASPS

Breast lifts and implants

Obviously, if you need a vertical scar, you need more lift than just a periareolar incision. A lift tightens you and an implant stretches you so the two forces oppose eachother in wound healing. That means that you cannot go too large safely with the implant at the same time as the lift. Most of the time the 2 can be done together but occasionally a staged procdure is best.

Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

ASAPS ASPS

Staged versus combined breast lift with augmentation

Hi, The truth of the matter is that it really depends. Depending on the amount of ptosis (droop) you have of the nipple and areola, it may be better to stage the procedure. In patient's that have severe ptosis, I usually counsel them to have the lift first, wait a few months, and then have implants. If they protest loudly enough, I may relent and perform it in one stage, but advise them that there's a relatively high rate of revision (scar revision, additional lift, etc). In more than 80%... more

Sam Jejurikar, MD

Dallas Plastic Surgeon

Breast Lift and Augment at the Same Time

I can tell you that I do a lift and augmentation at the same time but it is not always the case. It depends totally on the tye and amount of lift needed, the size implants the patient wants and the quality of skin and breast tissue and the patient's smoking history. So in my case it would be impossible to answer your specific question without a set of good medical quality photgraphs at the least or better an exam. Get two or three consults (if you get any more it just gets confusing) and... more

Ronald V. DeMars, MD

Portland Plastic Surgeon

ASAPS ASPS

One stage breast procedure is my preferred way to go

Greetings, I perform one stage augmentation mammoplasty in my practice for women looking for a uplift and a larger size. As a matter of fact, I like using an implant during mastopexies to enhance the medial upper pole. It is a rather challenging operation. I do not perform the operation if the patient has too much excess skin, such as after massive weight loss. In those cases, I prefer a two staged approach. But in my usual "mommy makeover" patient, i find that i get good... more

Marwan R. Khalifeh, MD

Chevy Chase Plastic Surgeon

ASPS

Breast Augmentation and Mastopexy

I concur that the plastic surgery community is divided on this issue of one-stage vs. two-stage augmentation and lift procedures. I need to asses the patient and the degree of ptosis or sagging. I commonly perform a safe combined augmentation and mastopexy procedure in one stage except when the sagging is very severe (example: nipples pointing down to floor in a massive weight loss patient) or if there are issues with a patient's health status. What are the risks of a combined procedure?... more

C. Bob Basu, MD

Houston Plastic Surgeon

ASPS

Both can be done at the same time

In my experience, when a patient needs a lift and an augmentation,I perform them in one procedure over 75% of the time. When one does this, you have to be a little more conservative on the lift ,because it's better to have the nipple a little low rather than a little high. I don't think that doing it in one stage significantly affects the scarring. I explain to patients that one stage may accomplish what they're looking for ,but they also may require a second ,more minor revision... more

Joseph M. Perlman, MD

Houston Plastic Surgeon

ASAPS ASPS

Breast Augmentation with Lift in Single Stage

Many women are in need of both increased breast volume as well as a lift. The combination of breast augmentation and breast lift in a single surgery is definitely more technically challenging with a higher complication rate and revision rate of either surgery alone, but most the time it can achieve excellent results. One can look at it this way, if you decide to break the surgeries up into 2 sessions, you are having 2 surgeries 100% of the time. If you do the 2 surgeries together, you... more

Kent V. Hasen, MD

Naples Plastic Surgeon

ASAPS ASPS

Breast aug and lift at the same time

A bresat augmentation and a breast lift certainly can be done at the same time. Some surgeons like to stage them, because they feel they can adjust things after the implants are in. I usually do them at the same time.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Breast implant with lift

In general , it is possible to do the breast lift and breast implants at the same time. If you are already sagging then adding more weight to the breast can make it sag more quickly. Frequently it is preferable to have breasts which are full and not sag. Starting with DD sized breasts and adding more weight to the breast makes sagging extremely likely. Most patients prefer to have a breasts not quite so large which do not sag.

Michael Horn, MD

Chicago Plastic Surgeon

ASAPS ASPS

One stage for lift and implant

Yes, it could be more accurate to do it in 2 stages, but if the implants are placed first and the lift is then conformed around the new implants you should be pretty close and not need to have a nother procedure. It is a big deal to have to commit to 2 surgeries, 2 or fees and 2 anesthesias. Do it in one if your surgeon is comfortable doing this frequently

Barry E. DiBernardo, MD

Montclair Plastic Surgeon

ASAPS ASPS

Lollipop lift and breast implants: Bilateral Augmentation Mastopexy

Either route is considered an acceptable form of treatment. Opinions vary among plastic surgery practitioners. I agree that with your current breast size, the need for an implant is not intuitively obvious or necessary.

Otto Joseph Placik, MD

Chicago Plastic Surgeon

ASAPS ASPS

Mastopexy and breastlift in one stage?

Hi Agmommy. You are a DD and I am wondering why you need implants as your cup size is generous. If you are happy with your size in a bra, you probably just need a lift. For patients who do need both implants and a lift, I usually perform both procedures at once, although it can be a difficult operation. For someone of your cup size, I would not do the 2 procedures at once (if at all). I would perform the breast lift first and then let you heal and live with the result before... more

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Tracy Pfeifer, MD

Manhattan Plastic Surgeon

ASAPS ASPS

You will get better and safer results from 2 stage procedure

In general the plastic surgery community is divided into two groups. First group would recommend one stage lift and augmentation. This is well accepted by the patient since there is less cost and less anesthesia. The second group will do lift first and wait 3 months and do the augmentation. The risk for the single stage is 1) wide scar 2) Loss of nipple 3) Displaced implant and 2 stage procedure will decrease the above risk You have DD breast and you will not need implant since you have... more

Kamran Khoobehi, MD

New Orleans Plastic Surgeon

ASAPS ASPS

Augmentation with mastopexy

This is a commonly asked question. Breast augmentation with mastopexy can be safely done together, but it is a more difficult operation and the surgeons skill and experience level play a bigger role than in some other procedures. There are cases in which a 2 stage procedure may be preferable, and in general, scarring is usually better with a 2 stage approach. Each case is unique and make sure that your surgeon is very comfortable with the combined technique. Good luck!

Dean Fardo, MD

Atlanta Plastic Surgeon

ASAPS ASPS

Simultaneous Breast Lift and Augmentation

Doing a breast lift and augmentation together is a technique surgeons have to learn and be willing to take the time at surgery to sit the patient up to redraw the skin excision and nipple position if they are to achieve good results. Therefore, whether these two procedures are done together or separately is an individual matter for each surgeon. This aside, the question is, why, at a 35DD are you wanting to do an augmentation? At this size, the reasonable thing would be to just do a lift.... more

Robert T. Buchanan, MD

Highlands Plastic Surgeon

ASAPS ASPS

Breast Lift with VS without breast implants

You are asking at least 2 questions: 1. Can I HAVE "Lollipop breast lift and (370-400cc breast implants ) in one procedure?" 2. Is it ADVISABLE to have "Lollipop breast lift and (370-400cc breast implants) in one procedure?" You ALREADY have large breasts (36DD) which are sagging. Breast sagging is a result of the always doomed to lose battle of large breasts and aging skin against the much stronger gravity, tanning, diet and aging processes. The ONLY way to prevent... more

Peter A. Aldea, MD

Memphis Plastic Surgeon

ASPS

Lollipop lift and implants

The loolipop scar lift is a general pattern that erncompasses a wide variating of breast situations from minor sagging to more severe sagging. This can often be combined with an implant but each clinical situation demands an individualized analysis. The main concern is one of compromised blood flow to the nipple since the nipple is surrounded by an incision. Large implants can reduce blood flow further by applying excessive pressure from underneath the nipple. In addition, the enlarging... more

Robin T.W. Yuan, MD

Beverly Hills Plastic Surgeon

ASPS

Lollipop breast lift and implants in one procedure?

It would be very difficult to do the operation you are asking about without causing wide scars. Therefore, a staged operation with L shaped lift first followed in 2 to 3 months with augmentation. This gives you the best opportunity for minimal scarring. Hope that helps.