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Safe to Combine Breast Lift w/ Implant Exchange?

I have saline implants that are 4 yrs old, I have stretch marks from after my pregnancy,and wanted to know if having a breast lift would help get rid of some of the stretch marks? And is it safe to do both procedures during one setting or should it be done in stages ??

Doctor Answers (7)

Combined augmentation/lift

+2
I commonly combine the augment and lift and this could be performed as a replacement of implants and a lift. However, stretch marks are not likely to improve from the surgery. You could consider shifting to silicone implants at this time. All these issues should be discussed with your plastic surgeon at the time of consultation.


New York Plastic Surgeon
5.0 out of 5 stars 13 reviews

Breast Augmentation Mastopexy Revision

+2

Thank you for the question and picture.

I think it will be safe to do the procedures you are contemplating in one stage. However, 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.
In 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.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 780 reviews

Breast implant exchange

+2

Your question is a good one.  Some plastic surgeons prefer to split up the procedures.  Most times I will combine them.  This is a common procedure- exchange of implants and breast lift.  From the photo it appears you have capsular contracture- scar tissues around your implants.  This will need to be addressed.  Discuss with you Plastic Surgeon.  Consider going to the silicone Gel implants. 

Jay H. Ross, MD
Palm Harbor Plastic Surgeon
4.5 out of 5 stars 16 reviews

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Breast lift and placement of breast implants is safe and commonly done

+2

The combination of breast implants and breast lift is safe and commonly done in cases where patients have sagging breasts and desire larger breasts.

At your plastic surgery consultation your treatment options will be discussed

Fredrick A. Valauri, MD
New York Plastic Surgeon

Breast lift and implants

+2

A breast lift can certainly be combined with implants, I do them all the time, but I have to say the stretch marks will not go away.  There really is nothing good out there that can improve the stretch marks.  Sorry.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

Safe to combine breast lift w/ implant exchange?

+1
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. The lift portion would serve to raise your nipple to a more appropriate position atop the most projecting portion of your breast as well as remove excess skin/stretch marks, if possible.  Staging the procedures to have 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. Cost of these procedures will vary amongst plastic surgeons in addition to geographic location.

However, more important 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 wise to stage these procedures. Without an examination, it is difficult to tell you what to recommend.

Certainly it is you decision as to whether 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!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 12 reviews

Breast Lift and Breast Implant Exchange

+1
I have always performed breast implant replacement as well as augmentation at the same time as a breast lift.for the majority of my patients with excellent results. Those stretch marks on the lower pole of the breast will be reduced with skin removal during the lift procedure.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 47 reviews

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.