Breast Lift with Implants Vs Lift Now, Implants Later?
- Asked by CopMom in Oregon
- 2 years ago
I'm in the consultation phase of my mommy makeover. I'm definitely getting a tummy tuck, but also considering breast surgery. I would require both a lift and implants to achieve the look I desire. Some doctors prefer to do both the lift and implants at once (along with the tummy tuck). Others prefer to do just the lift with the tummy tuck, followed by implants six months later. I realize the situation differs based on the individual patient, but what are the pros and cons to each method?
Breast lift with implants?
Thank you for the controversial 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. Furthermore, the potential need for revisionary surgery is increase with breast augmentation / mastopexy surgery done at the same time.
I'sn my opinion, the decision to do the operation in a single or two staged fashion becomes a judgment call made by a surgeon after direct examination of the patient. For me, if I see a patient who needs a great degree of lifting, who has lost a lot of skin elasticity, or whose goal is a very large augmentation then I think it is best to do the procedures in 2 stages (in order to avoid serious complications). However, doing the procedure one stage does increase the risks of complications in general and the potential need for further surgery. This increased risk must be weighed against the practical benefits of a single stage procedure (which most patients would prefer).
Conversely, if I see a patient who requires minimal to moderate lifting along with a small to moderate size augmentation (and has good skin quality), then doing the procedure one stage is much safer. Nevertheless, the potential risks are greater with a 1 stage procedure and the patient does have a higher likelihood of needing revisionary surgery.
I hope this helps.
Implants and lifts together or separately?
Breast lift and augmentation
The difference between having the lift and augmentation as one operation vs two is that you may need a revision of the first more commonly than the second choice. However, in most cases it saves a second operation.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.