Breast Lift: Q&A

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Should I Have my Breast Lift and Augmentation Done at the Same Time?

I have had a couple doctors tell me that because my breasts are so droopy I would need to have my breast lift done first and then wait three months before having my breast augmentation. At the same time I have had a couple of doctors tell me they can do it with no problem. This is confusing and I'm not sure which way to go? How do I know which doctor's advice to take?

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15 Doctor Answers | Asked by Its4Me Jen in Fort Loudon, PA

Doctor Answers (15)
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Lift and Augmentation at the same time?

Usually combining these two procedures can be done by an experienced Plastic Surgeon. However, if you have large, low hanging breasts, there may not be enough room on your upper chest to accept this breast volume under your skin, let alone the additional volume of an implant. There are only so many inches of skin around your chest and combining these procedures is like a double augmentation with all of your breast volume plus the volume of the implant. A size 9... more

Robert E. Zaworski, MD

4 reviews

Atlanta Plastic Surgeon

Not necessary to stage breast lift with augmentation

Hi, Great question! It is no longer necessary to stage these procedures. With the Mini Ultimate Breast Lift it is possible to provide the necessary lift in conjunction with a subpectoral implant. Your existing breast tissue will be draped directly over the implant to provide a natural and esthetically pleasing appearance. I hope this helps. Dr. H see photos

A breast lift with implants is commonly performed at the same time but not all plastic surgeons are comfortable doing it this wa

Thank you for your question and the photos. A breast lift with implants is commonly performed at the same time but not all plastic surgeons are comfortable doing it this way. For someone who does a lot of breast lifts and augmentations, it is usually not an issue. To be sure, see two or more board-certified plastic surgeons in your area for a full and complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery. I hope this helps. more

Lift aug simultaneous or staged

Hi, both ways are certainly appropriate but nowadays more liftings and augmentations are done simultaneously except in some specific situations with possible risk factors. the major fear of the combined procedure is jeopardy to the blood flow to the nipple and areola areas causing serious complications. in the absence of risk factors like smoking, suboptimal skin envelope condition etc.., a lot of surgeons will perform both procedures at the same time.... more

Breast Augmentation/Lifting: To Stage or Not To Stage?

It is not possible to give you precise advice/recommendations without direct examination or viewing pictures. A full communication of your goals would also be necessary. Whether the breast lift and augmentation should be done the same time 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... more

Breast Augmentation and Lift at the same time?

That is a decision between you and your surgeon. I usually perform both at the same time, but some patients are not certain if they want the additional scarring and so I delay the lift based on how they like their appearance afterwords. In general you should select the surgeon you feel most comfortable with and accept his opinion.

Breast augmentation and lift

I quite often do the breast augmentation and lift at the same time. Some surgeons are more conservative and stage them.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast augmentation and lift together

While breast augmentation and breast lift (mastopexy) are each relatively easy operations, the combination is always a challenge. Even in the best hands, there is a high chance that some sort of revision will be needed. Though some surgeons insist on performing the mastopexy (lift) first and the augmentation a few months later, many surgeons will perform the combination together. It is extremely important, though, for the plastic surgeon to explain the risks of the... more

Augmentation and lift done together is common, but separate is not incorrect. Every patient (and surgeon) is different!

If a breast lift is indeed necessary, most experienced breast surgeons would do both lift and augmentation as a single operation and achieve excellent results with low risks or re-operation for any reason. Even doing two separate operations does not guarantee that a third revisional surgery will not be necessary for your best result. So, you see, you could choose one combined operation with a (slightly) higher risk of possible re-operation (one, possibly two procedures), OR... more

Augment/pexy

As you can read, this is very much a function of surgical preference. I typically combine the procedures. Let me also add that my patient population is conservative in terms of implant size. If you are contemplating large implants, there is a rationale behind staging the procedures.

Breast Lift and Augmentation Done at the Same Time

There is no appropriate way of answering this question without performing a physical exam and reviewing your lifestyle, lifestage, and objectives. Generally, you can combine the procedures unless the augmentation involves larger implants. In that case, the surgeries are often done in stages.

Breast lift and a mastopexy

This question comes up over and over again. The answers are always the same. This breaks down about 50-50 among plastic surgeons. The two opinions you've had already are accurate and classical. A more conservative approach is always to do them as separate operations. As there was no picture along with your question all of us are answering only in general terms.

Breast lifting and augmentation - together or separate?

This is a complicated question and the answer depends on examining you and on what your goals are. An augmentation stretches the tissues and a lift tightens them so the forces are fundamentally opposed when the operations are done together. Personally, I will do them simultaneously IF the augmentation is conservative, in other words, if the stretching is modest. If a patient wants a larger implant whose stretching is more than modest, I will either do the lift first, or... more

Breast augmentation and mastopexy, separate or combined?

As with so much in plastic surgery, it all comes down to the physical exam and the specific technique of lift that your surgeon will employ. If your breast has a good fundamental structure and is not too thin, it is usually possible to combine the two procedures. Variants on the vertical lift technique with limited skin undermining would generally be safest. Wide undermining skin lift techniques would be most likely to cause trouble. Thank you for... more

Should I Have my Breast Lift and Augmentation Done at the Same Time?

This is a topic of controversy. Many surgeons will do both at once on the right patient. The combination of a small implant and a small lift is almost always safe. Putting in a very large implant and doing a major breast lift may carry excess risk (compared with doing separately). I cannot comment on your particular situation without more info and photos. All the best.