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.
Have a question?
Ask a doctor
Combining a breast lift and implants is straightforward when carefully planned
Combining a breast lift and implants is straightforward when carefully planned. Some surgeons prefer to stage it, first do a lift and then a few months later perform an augmentation when they are unsure about the effect of the lift. In some cases where a significant breast asymmetry exists, or the breasts are very sagging, it might be beneficial to stage it, however, in our experience that is rarely necessary. Ultimately, each surgeon does things a little differently and you want to find one that you believe will give you the best possible results and care, not just simplest and cheapest offer.
Single vs staged approach
About half of my patients get “staged” augmentation mastopexy (where the procedures are performed separately). The benefits of this are the following:
- Since you can see the results of the first procedure (the lift), you can adjust the second procedure to complement results.
- A lower rate of revision.
- Surgical techniques can be selected to better achieve desired improvement.
- A lower complication rate.
You can always get a second opinion from another surgeon as well, pending a physical examination.
Breast lift with implants vs lift now and implants later?
Hello! Thank you for your question! These two procedures can safely
and effectively be performed in one setting, given you are healthy and without medical comorbidities to prevent such. Staging the procedures
them done at various times will likely not have any cost benefit
for you. When you combine procedures, there is often a discount that is
provided by the surgeon for multiple procedures. Also, when having
multiple procedures performed at the same time, you save on anesthesia
and facility fees, which otherwise are paid for with each individual
procedure. In addition, you may benefit by the single recovery time.
However, more importantly than the financial aspect, your plastic
surgeon will have to determine for you if the
viability of the breast as well as nipple-areolar complex may be placed
at jeopardy if done at the same time. If for this reason, it would be
to stage these procedures.
Certainly it is you decision as to
you have your procedures performed in one or multiple stages, but your
surgeon will give his/her recommendations. Consult with a plastic
surgeon well-versed in breast surgery who will discuss and examine you,
while assisting you to decide which procedure will be the best option
for you. I would
discuss your concerns with your surgeon and see what your options are -
sometimes multiple consultations with board-certified plastic surgeons
is helpful for you to decide.
Hope that this helps! Best wishes for a wonderful result!
Breast lift w/ implants vs. Lift now and implants to follow
Thank you for your question. Some plastic surgeons do the mastopexy first and then add volume later. Each patient is different, and so sometimes the treatments may be different. One stage breast augmentation and mastopexy is also done. Remember it depends on the individual's goals, tissue, etc;, Best to talk with a board certified plastic surgeon, (or two...). Together you will come up with a plan.
Implants and lifts together or separately?
Augmentations and lifts are procedures that can work against each other and each increase the risks of the other. They can be done together but getting them just right can be a challenge, and not always under the complete control of the surgeon. Mild periareolar lifts can be easily done at the time of implants, but the more complex the lift (vertical, anchor), the more possible the problems with contour issues and blood supply problems with the nipple. That does not mean that many experienced surgeons can not get good results with the combined procedures, but the risk of revisions is higher than in most other surgeries, and longterm revisions are not uncommon. It simply must be understood...aug/lifts are many times more complex than augs or lifts alone, and the results less predictable, so many surgeons feel that they can control the results better by lifting the breast into the proper position first and, after sufficient healing, more precisely control implant position.
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.