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Is It Safe to Do Breast Augmentation, Mastopexy and Inverted Niple Correction Surgery All at Once?

Is it safe to do bilateral breast augmentation, mastopexy and inverted niple correction surgery all at once? I would like it done all at once, but have been told it might be too much in one surgery and increase the risk.

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18 Doctor Answers | Asked by DJ19444

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Breast augmentation and mastopexy combination procedures

If you are a good candidate for the procedures, the breast augmentation and mastopexy procedures can be combined. The risks and revision rates are higher for combination procedures, but certainly can be done safely in most cases. Every surgeon is going to have a different skill set and confidence level in this particular area. Be certain that your surgeon is board certified and is able to demonstrate his/her results with you in the form of before and after photos. The nipple inversion... more

Is It Safe to Do Breast Augmentation, Mastopexy and Inverted Niple Correction Surgery All at Once?

It would be helpful to see photos in order to answer this properly. Most surgeons feel that it is usually safe to do a lift and enlargement at one setting, though some prefer separate operations several months apart. One of the issues is depriving the nipple and areola of sufficient blood supply. Adding a correction for inversion adds further risk of that problem. Also, there are patients with "minor" inversion that is corrected with implants. For those two reasons, I... more

Saftey Factors Involving 3 Procedures

Although all three procedures can certainly be performed at the same time, I personally would delay the nipple treatment until later for three reasons. Healing is a concern depending on how far the nipple is moved and how tense the closure may be. Secondly, a minor nipple inversion may be helped by the other two procedures to the point where the patient no longer wants or needs a nipple procedure. Finally, it is well documented that the ducts from the breast near the opening on the nipple... more

Yes in right, experienced hands

Many patients decide to proceed with multiple procedures at once. It all makes sense for many reasons. First of all it is all about your breast. Second, you have the opportunity to do all procedures under one anesthesia and take advantage of one recovery time. Please make sure to ask your surgeon about the detailed instruction as far as how to get ready for your procedure and what is involved during the recovery time. As long as you follow your doctor’s directions you should be just... more

Is it safe to combine #BreastAugmentation, #Mastopexy & Inverted Nipple Correction? ANS:

It certainly is possible and I have done it multiple times without any problem but there is always the question of circulation to the nipple. Most of the corrections of inverted nipple do compromise the blood supply just a bit anyway so an even safer thing to do is have that part of it done in the office at a later time under just local anesthesia maybe 3 months or so after your lift...

Breast lift and augmentation can be done together

Breast lift ( mastopexy ), breast augmentation, and correction of inverted nipples can be done at the same time. However, it depends on how much lift needs to be done and who it is being done on. Younger women who do not smoke and need less lifting are ideal candidates.

The safety of concurrent breast lift augmentation and nipple inversion correction

Being trained on newer techniques and then using those on many patients makes me feel comfortable performing concurrent surgeries. Although a staged approach is always "safer", it is not always better. I find I get very nice and predictable one-stage results. The type of breast lift and the extent of "lifting" that is done would affect the risks of surgery. For instance, a patient who undergoes a vertical breast lift with submuscular conservative breast augmentation and inverted nipple... more

All Together, Unless..

I recommend that if in my patients need all three procedures then they do them all at the same time. Less cost and less down time. If however, you cannot decide on the nipple reduction, then proceed with the breast lift and augmentation as the nipple surgery can be easily perfomed in the office under local anesthesia at a latter date. My motto has always been ,"When in doubt, don't".

Robert E. Zaworski, MD

4 reviews

Atlanta Plastic Surgeon

Breast aug, lift and nipple correcion done at once

Dear DJ, Ofcourse its safe to do all these at one time. Many times nipple inversion will resolve on its own with implants. The weight of the implant usually 'pops' them right out. If not, you may risk nipple numbness if you have them surgically corrected. Best to discuss this possibility with your PS to see if you want to pursue. I have found that the risk of numbness is 50/50 if surgically released. A word of caution if you are having a vertical lift in combination with... more

Breast implants, breast lift, and nipple correction in one operation

Everything depends on the physical exam. If you have sufficient breast structure and do not have risk factors such as smoking or diabetes, it is reasonable to combine a breast lift with an augmentation. I think it is probably best to do the nipple correction separately, as there might otherwise be too much undermining of the nipple, which could compromise circulation and healing. Often the nipple procedure can be done under local in the office, so you don't have to go... more

Inverted Nipple Correction at the Time of Breast Augmentation/Mastopexy

Breast augmentation at the time of mastopexy is an accepted standard combination of procedures by Board Certified Plastic Surgeons through the country. There is little risk in combining these two procedures, and in my practice, I do it about 99% of the time. Adding in a third procedure which may compromise the blood supply to the nipple increases the risk and is a decision that needs to be made by your personal plastic surgeon at the time of consultation... more

Inverted nipple repair often done after mastopexy and augmentation

I prefer to delay the inverted nipple repair first to see how things heal. Sometimes the implants help with slight inversion cases. In addition, this would decrease the potential risk for healing issues as well.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Mastopexy/augmentation and inverted nipple correction

Hi, it is certainly possible to perform all 3 procedures at the same time assuming no risk factors like smoking for example. surgeons are trained to do these differently and there is no right answer. the best approach would be to consult with a qualified plastic surgeon who will examine you and assess your risk before making a decision, as to whether go ahead with all at the same time or stage them and defer the inverted nipple correction to a later time.

Inverted Nipple Repair After Breast Lifts with Implants

The issue with this combination largely revolves around nipple viability. For this reason the inverted nipple repair should be delayed until after the combined implant and lift procedure is done. It is possible that the push of the implants make may some minor correction of the inverted nipple, although unlikely. The primary reason for delay is to ensure that no loss of circulation occurs to the nipple.

Breast Augmentation and Mastopexy At Same Time - Reasonable Choice

It is certainly safe to perform a mastopexy and breast augmentation at the same time and this has always been by preferred method with little need for later revision.. Many plastic surgeons feel it best to perform this in two procedures and cannot be faulted for it as they have been trained that way. The trend however is that more and more surgeons each year to both procedures during the same surgery. Regarding the inverted nipple correction - it might be best to wait an do this as... more

Multiple breast surgeries at the same time

Thanks for a great question. In my practice, I perform mastopexy with augmentation routinely. I have been requested to perform nipple inversion correction at the same time and have always deferred and done it in the office several weeks after surgery. For me, I do not want to affect the deep blood supply through the nipple. I have no evidence to back up this strategy, but know many colleagues with the same thoughts. Good luck.

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

Combo surgery

Dear New Englander, There are 2 schools of surgeons in regard to your question. Some split the surgery into two procedures and some do it in one setting. It all depends on the surgeons training , experience and confidence. If it is important to you to have it done all at once, select a surgeon who does it so and check his befores and afters pictures . You should like the results and feel confident that the surgeon will be able to deliver a satisfactory outcome.... more