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My Doctor Wants To Split My Lift And Implants Into Two Surgeries, Is This Normal?

asked 7 months ago by soldiers wife77 in germany
Latest answer by Young R. Cho, MD, PhD
Question viewed 276 times
Tags: multiple, normal

i had my consultation for an uplift with implants the other week but my surgeon has refused to do both ops at the same time due to the sag being too much was 27cm from collar to nipple is this correct procedure or is he just trying to get more money from me by asking me to come back for 2nd surgery thanks

23 answers to My Doctor Wants To Split My Lift And Implants Into Two Surgeries, Is This Normal?

Breast lift with implants done at the same time a technical choice.

Breast lifts can be performed with or without implants, for different reasons and with completely varied outcomes. It is very important to define what goals are desired, and to find a professional who is able and willing to reach those goals. Breast lift can be performed in association with implants on the basis of very specific dimensional consideration that rely on: Breast size Tissue density Medical history Consulting with different physicians and... more

Mario Diana, MD
San Antonio Plastic Surgeon

Breast Implant and Lift

The whole goal of BREAST ENHANCEMENT is to improve the appearance of the breast. We have a lot of tools at our disposal to help accomplish that goal. A consultation with a Board Certified Plastic Surgeon will be able to review the options and decide which approach is best for you. If you have some ptosis (sagging) of the breast tissue here are your options: Breast lift alone (Mastopexy) Breast implants alone (Augmentation Mammaplasty) Breast... more

David Finkle, MD
Omaha Plastic Surgeon

Beautiful breasts without implants

If you have enough breast tissue - implants may not be an issue. Using the Ultimate Breast Lift technique will use your existing breast tissue and reshape it to look like an implant. It makes your breasts firm and perky. It also works for all breast types (very large or very saggy) An added benefit of this technique is that there is NO VERTICAL SCAR. So, if you don't necessarily desire larger breasts this technique may be ideal for you. Best wishes, Dr. H

Gary M. Horndeski, MD
Houston Plastic Surgeon

Breast Lift/Breast Augmentation At The Same Time-Maybe

Dear soldier's wife77, Thank you for your question. There are some plastic surgeons that always perform a breast lift and a breast augmentation separately and there are others that always perform these two procedures at the same time and then there those that sometimes perform them separately and at other times together. Simply put, it comes down to what the plastic surgeon is comfortable with and what combination they feel will give their patient the best result.... more

Herluf G. Lund, Jr, MD
Saint Louis Plastic Surgeon

Sometimes the "Staged" approach is necessary

Occasionally, performing the breast lift and the breast implants separately is required to reduce post operative risks or to obtain symmetry. In my practice I stage the procedure when the breasts are very dense, the lower portion of the breast is tight or short (tuberous breast) combined with a fairly large implant. This combination may lead to a very tight closure and lead to healing difficulties and unwanted post operative complications. Sometimes when there is a... more

Lawrence Shaw, MD
Scottsdale Plastic Surgeon

Occasionally lifts and implants must be separated

Some plastic surgeons with not perform a full breast lift and breast augmentation at the same time as a general rule. Almost all surgeons will perform a small lift with implants. There are situations where all surgeons would prefer to separate breast augmentation and a full breast lift. For me, this situation exists when a patient is in need of a full mastopexy and because the breasts will be so tight as a result of the lift, I feel that I can not put in an implant of adequate size to... more

James McMahan, MD
Columbus Plastic Surgeon

Separating a Breast Augmentation and a Breast Lift into 2 surgeries

There is much debate over whether it is best to peform a breast augmentation and a lift at the same time or to do them as stage procedures. And while there is no consensus on this, here are the salient issues. First of all, you need to understand that peforming a breast augmentation at the same time as a breast lift is like stepping on the gas and the brake at the same time - a breast augmenation stretches out the breast skin envelope, while a lift tightens the breast skin... more

Gary D. Breslow, MD
Paramus Plastic Surgeon

1 or 2 Stage Breast Augmentation and Lifting?

Thank you for the question. This is not a question agreed-upon by all plastic surgeons. There are good plastic surgeons who will insist on doing the procedures separately and there are good plastic surgeons who can produce excellent outcomes in a single stage. The combination breast augmentation / mastopexy surgery differs from breast augmentation surgery alone in that it carries increased risk compared to either breast augmentation or mastopexy surgery performed separately.... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Breast lift and implants at the same time

Thank you for the question. Yes, often times the breast lift and the implants can be done at the same time. It makes the operation slightly more tricky but in skilled hands can get excellent results. Without seeing a photo, it is difficult to answer you specifically. It depends on how large of an implant you choose, whether it's saline or silicone, and the amount of extra skin and sag that you have. If you want it done at the same time, it is okay to seek a second... more

J. Jason Wendel, MD
Nashville Plastic Surgeon

www.mc.vanderbilt.edu

Splitting the lift and implant surgery - can be best option

The augmentation/mastopexy in one procedure is desirable for most women because of reduced cost and going under anesthesia once. The outcome is harder to predict for challenging cases - where there is a heavy degree of breast sag (ptosis) or when the degree of desired augmentation is high. Staging the lift and breast augmentation surgery is a very safe approach to getting the best aesthetic result. I would make sure that you feel comfortable with your surgeons assessment,... more

Young R. Cho, MD, PhD
Houston Plastic Surgeon

Breast augmentation and Breast lift can be performed safely together

Hello, This was a hot topic about 7-10 years ago as plastic surgeons debated about the safety of combining the two procedures. The evidence over the last few years has decidedly put the debate to rest as multiple publications have shown that combining breast augmentation and breast lift is safe and effective. With that said, every plastic surgeon has his/her own preferences and every patient has different requirements. If your plastic surgeon does all of the surgeries... more

Remus Repta, MD
Phoenix Plastic Surgeon

www.aaaplasticsurgery.com

Combining breast lift with augmentation is safe in the right hands

In general, combining a breast lift with an augmentation is tricky because there's a higher chance of having asymmetry or complications. For patients with severe breast ptosis (meaning "droopiness"), who are smokers, don't have much breast tissue, and want large implants, it is safest to perform 2 surgeries instead of 1. Usually the first is the breast lift. This is followed at least 2 months later with the augmentation. Any slight differences between the breast shape and... more

Ariel N. Rad, MD, PhD
Baltimore Plastic Surgeon

Staged lift and augmentation has it's pros and cons.

Staged lift and augmentation has it's pros and cons. .... the obvious pro is one operation with less down time...the con is less reliable and consistent results... After the lift and your breast tissue settles, an augmentation can be done with a more accurate size assessment, and any touch ups from the lift that need to be addressed, can be surgically fine tuned.

Alan Weiss, MD
Baltimore Plastic Surgeon

Simultaneous ift and implant

Different surgeons have different experience and philosophies about this issue. Splitting the surgery into two is considered safer and more predictable because there can be problems with blood supply or excessive pressure on the nipple and areola. Also, lifting and emlarging at the same time causes a lot of changes and the end result may not be as predictable as if you changes the breast in stages. There are obvious advantages and disadvantages to each approach. I have usually done both... more

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Breast implants can be done at the same time as a lollipop scar (Lejour) breast lift.

Hi. 1) How the lift is done is extremely important. Some surgeons use the old fashioned "inverted T" or "anchor" scar for a lift, and putting in implants at the same time does increase risk with this technique. 2) As a practical matter, we do the procedures together except in cases of really extreme sagging. As with everything else, there is a learning curve. 3) I doubt very much your doctor is trying to get more... more

George J. Beraka, MD
Manhattan Plastic Surgeon

Breast Lift and Implants Combined

I perform these procedures at the same surgery, making sure that the person knows what the limitations are. The two are somewhat at odds with one another since a lift tightens the breast and an augmentation stretches the breast. It can be difficult to get an optimal match because its hard to predict how the tissues will respond. The revision rate of the combined approach is 20%, meaning 80 % achieve their goal in one stage. When the procedures are performesd separately the... more

Mary Lee Peters, MD
Seattle Plastic Surgeon

Staging a Breast Lift and Augmentation

It is not unusual to stage a breast lift and an augmentation. It is nice when you can do them both at the same time, but this is only possible with a small lift. Any sort of bigger lift, where you really need to change the architecture of the breast, makes it difficult to place an implant at the same time. The reason is that thw two surgeries are diametrically opposed to each other. The lift is designed to raise and tighetn things, whereas an implant wants to stretch... more

Christopher V. Pelletiere, MD
Barrington Plastic Surgeon

Breast lift and augmentation usually performed in one operative setting

Separating a breast augmentation from the required breast lift as well is done by a certain percentage of plastic surgeons. There have been several reasons put forth for this 2 procedure approach which is performed by plastic surgeons of various levels of expertise. Personally, I have always performed thesetwo procedures together for many reasons, which to me, seems to be the natural/normal way to deal with this aesthetic issue. You may want to consider seeing one or more additional... more

Steven Turkeltaub, MD
Scottsdale Plastic Surgeon

www.turkeltaub.com

Breast Augmentation - My Doctor Wants To Split My Lift And Implants Into Two Surgeries, Is This Normal?

It depends at least partly on what you look like now, and what you want to look like. I usually do these procedures (lift and implants) at the same time, even with the understanding that a revision may be required in the future. Splitting them into two procedures guarantees that a second one will be required; in my experience, that's not normally the case (ie if I do them together). However, I am aware of several prominent and well-known surgeons who say that they... more

Alan Engler, MD
New York Plastic Surgeon

Breast Lift, Then Implants

If you have a long breast fold, thin or damaged skin, or have lost a large amount of weight, it may be best to first do a lift then add implants later. I place implants during breast lift quoite frequently, but it's all about selecting the proper patient. Putting an implant in a breast that may not hold it's shape well invites a second more difficult operation and your surgeon likely wants to avoid this.

John LoMonaco, MD
Houston Plastic Surgeon

My Doctor Wants To Split My Lift And Implants Into Two Surgeries, Is This Normal?

Without posted photos and more medical information very hard to advise. I assume you desire larger implants so with a full lift very hard to implant larger implants. Seek more in person evaluations in Germany.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Simultaneous Mastopexy and Breast Augmentation.

Mastopexy and augmentation can be done at the same time safely for some. it all depends on how much of a lift is necessary and what size implants. Moderate size increase ad lift should cause no major problems. There is always a concern that the implants might cause undue pressure on the "pedicle'" and it is possible not to get enough blood supply to the nipple. I routinely do them together but always select my patients carefully.

Raj Chowdary, MD
Allentown Plastic Surgeon

I Prefer Both Together

There is a split opinion on this issue. I prefer both at the same time. Even if a small revision is necessary later, it is generally small enough to do under local in the office.