Will a Breast Lift and Augmentation Require Two Seperate Procedures? (photo)

I have (in my opinion) severe sagging breasts. My breast have been like this since puberty. I haven't had any children but I have loss a significant amount of weight which only made the sagging worse. In order to achieve perkiness and volume, will I need to have the breast lift done by itself or can the lift and augmentation be performed simultaneously?

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9 Doctor Answers | Asked by CJ in NJ in Dunellen, NJ

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Whether or not to stage an augmentation and breast lift.

It is common to perform augmentations at the same time as breast lifts. However, in severe cases of breast ptosis, I will typically recommend performing the lift first and follow with the augmentation in a second operation after the breasts have healed. The reason is two-fold: Many women are unsure of how "big" or "perky" they really wish to be until the breasts are in a better position. The results are more predictable with a lower complication rate Augmentation... more

David Bogue, MD

6 reviews

Boca Raton Plastic Surgeon

www.drbogue.com

Implants Not Necessary To Achieve Upper Pole Fitness

Dear CJ, You seem to have enough breast tissue to undergo the Ultimate Breast Lift without implants. The UBL reshapes your breasts internally and anchors them securely to maximise longevity. There is NO VERTICAL scar which inherently weakens the skin envelope and allows 'bottoming out'. With the UBL the skin envelope remains intact making it a structurally stronger lift. No need to have a double procedure. Kind regards, Dr. H

Try the breast lift first!

CJ: your photos appear to show a variant of "tubular" breasts, which are a large areolar complex, droopy skin envelope and narrow base. Most PS agree that a simultaneous breast implant-lift is a hard op because there are many priorities which both the patient and surgeon hope to achieve: short scars, nipples on the same axis, equal breast volume, among others. First, define your "ideal" breast, (cup size, projection, how much upper pole fullness you would like) then... more

Lavinia Chong, MD

22 reviews

Orange County Plastic Surgeon

www.chongmd.com

Breast lift and augmentation, separate or combined procedure

From looking at your photos, you have extreme ptosis (sagging) but sufficient breast tissue to need only the uplift, according to how large you want to be. My suggestin is to go forward with the uplift and then evaluate the outcome. Remember that if you add more weight with an implant, you will probably get earlier sagging in the future. There is no muscle in a breast to hold it up, just breast tissue and fat. Most patients that have an uplift with implants have them done at the... more

Will a Breast Lift and Augmentation Require Two Seperate Procedures? (photo)

An Augmentation and lift procedure is the hardest operation I feel that we do as one operation. We are changing so many things at one time that it makes it hard to get perfect symmetry in one operation. Being that said I do them in one operation all the time, but in women with much less droop than you. When you have as much sagging as you do and the nipple will need to be moved a long way it would not be a bad idea to stage the operations. The goal of an augmentation and lift is to restore... more

Breast lift and augmentation 1 vs 2 stages?

Different surgeons will have different answers to your question. Given your severe sagging, I would suggest you proceed with a breast lift first. If more volume is needed, then you can always come back for an implant later. In my opinion, a combined augmentation and lift will limit the amount of lifting that can be done. Even if you opt for a combined procedure, I believe you will need a secondary touch up to achieve the best results. Hope this helps. Dr.... more

Will a Breast Lift and Augmentation Require Two Seperate Procedures? (photo)

You have large breasts with sufficient volume,So all you need is a breast lift If you wanted even more volume , I would recommend an adjustable saline implant ,which will reduce the risk associated with combining a lift with augmentation.This will also enable you to have input into your final size

Breast lift procedure

I agree that in your case with a large amount of extra skin a staged approach would be best. I hope this helps.

Breast lift and augmentation

Different surgeons have different opinions on whether or not a significant breast lift should be performed at the same time as an augmentation. The most conservative answer is that the two procedures should be performed separately when a major lift is needed. Your photographs show a significant amount of lift will be needed. I would most likely recommend staging this procedure from your photos. Lifts and implants are basically opposite procedures. A lift... more