Separate Breast Lift and Augmentation Procedures Due to Multiple Issues? Doctor Answers, Tips
Breast Augmentation: Q&A
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Separate Breast Lift and Augmentation Procedures Due to Multiple Issues?

I have several issues - saggy breasts, asymmetry (nearly a full cup size difference), and loss of what little volume I had due to 135 lb. weight loss.

From what I've read, I believe I'll need a Breast lift and Breast augmentation, but I'm a little confused. Are they usually performed at the same time? I have consultations scheduled for next month, but I wanted an idea of what to expect.

17 Doctor Answers | Asked by mama2twins in WV
+2

Breast Lift and augmentation in one operation is safe

Breast augmentation and a breast lift performed at the same time can be safe in the right experienced hands. The forces of the lift are counteracted by the augmentation and the scars can widen with the extra pressure of the implant, but if your surgeon is aware of these factors and carefully plans before, during, and after the operation, wonderful results can be obtained.
+2

Breast augmentation with a lift

These procedures are often performed together. Much is often said about a surgeon's experience and if he is 'comfortable' doing it at the same time. My feeling is more along the lines that many surgeons are experienced enough to know that a patient will leave if they are told two surgeries is in their best interest. CAN it be done all at once? Of course, we do it all the time. SHOULD it be done all at once? Of course, we do it all the time. I think the most relevant question is directed... more
+1

Augmentation/mastopexy - separate or together

I typically perform both of these procedures at the same time. I find this works well and most patients would rather have one operation rather than two. There are several situations where I do think it is in the best interest of the patient to have the procedures performed separately but these probably account for only a small percentage of cases. The breastlift or mastopexy portion of the procedure is a breast reshaping operation. The nipple is raised and the breast is... more

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+1

Stage or combine breast lifts and breast augmentation: one or two surgeries

Surgeons vary greatly on this difficulty of this decision. IT is my impression that most surgeons perform a combined procedure but may caution patients that a revision may be required for the best result as opposed to performing two procedures and guaranteeing that more than one is necessary
+1

Mastopexy and Breast Augmentation

You pose a great question. Many surgeons prefer to perform the mastopexy seperately from the augmentation, however many surgeons feel comfortable doing both at the same time. If you have not had any other surgery to your breasts that would affect the blood supply to your skin, there is no reason that you could not have both done at the same time. I would be sure to ask the surgeons during your consultation what they prefer and why, and be sure to look at their before and after photos. A... more
+1

Breast Augmentation and Lift are typically done together

Unless there are medical issues, I do not see the benefit of staging breast augmentation and lift. Both procedures can be performed together, resulting in one anesthesia recovery and potentially saving you money as well. see video
+1

Breast lift and breast augmentation are usually performed together

In the vast majority of patients, breast augmentation and lift can and should be performed in one procedure. However, no rule applies to everyone and every situation. My suggestion to you is to spend your time and energy finding a highly qualified plastic surgeon who is experienced in treating patients like yourself. Make sure you are comfortable with him as you will be working with him for quite some time. Once you find the surgeon, let him guide you on what is the best way to... more
+1

Breast lift and augmentation can be performed at the same time, but surgeons will vary in their preference

Hi there- Breast lift and breast augmentation CAN be safely performed at the same time, but for various reasons some surgeons may prefer to stage them for you (do them on different days). Your best bet is to first find a surgeon you like and feel you can trust, THEN worry about which technique they prefer. The surgeon you decide on will know what works well in their hands. I think one of the bigger mistakes patients make with regularity is choosing a surgeon based on either a price point... more
+1

Breasts lifts and augmentation

Generally these two procedures are done at the same time.  Certain circumstances may make it advantageous to stage the operations but 90+% of the time they are simultaneous. 
+1

Small, asymmetric, droopy Breasts following weight loss

You are right. What you need is a breast lift with an asymmetric augmentation (probably about 150 cc difference). All this is ideally done at the same time, and is by almost all really experienced surgeons. There are some surgeons who prefer to do the lift and augmentation at separate times. However, I have found that if I spend the extra time to sit you up and assure that I have corrected the problem during the procedure, the results are usually excellent. This, also, is the least... more
+1

Breast lift, augmentation, or both

Each case is different but here is how I handle this situation. If there is mild drooping we try the breast augmentation first and probably will not need the lift. If there is more drooping but a great concern for scarring we try the implanst only first and see if we might need a lift later. If there is a definite need for a lift we do both at the same time. Even in these cases these is about a 25% chance of needing additional refinement surgery.
+1

Breast Lift and Implants

I often perform a breast lift and add breast impants, BUT.... Because you likely have a lot of loose skin after losing 135 lbs, adding implants at the same time as a breast lift can cause problems. I will only do a breast lift on patients who have a breast fold of a certain legnth. Very long breasts with stretched skin do not hold implants very well and re-sagging can occur too early. I will add impants to these individuals after the lift heals in a few months.
+1

Breast augmentation and lift staging

The decision to do the procedures separately versus together is very dependent on your surgeon's preference and experience. Some surgeons do favor staging the surgery given the small, but real, risk of nipple-areolar loss when the lift and augmentation are done together. Some surgeons are comfortable doing both procedures together. Some of this is also dependent upon what size of implants you are considering. I would suggest asking your surgeon about the two options, and which he or she... more
+1

Breast Implants and Lift separately or together

Plastic surgeons tend to fall into two camps on this question. Some believe that they can be more precise by doing the two procedures on separate occasions, noting that the combination procedure has a high rate of needing revisions. I am in the other camp, because doing the procedure in two stages means everyone gets oeprated on twice! That's two anesthetics, two recovery periods, two expenses for the operating room, etc. Although it is true that with so many variables there is a good chance... more
+1

Simultaneous Breast Lift and Augmentation

Your mastopexy and augmentation can probably be safely performed simultaneously if you have no extenuating medical conditions. Although some plastic surgeons insist on staging these procedures, most are willing and able to perform them together. On the other hand, if you smoke or have some other strong risk factor, it might be safer to have the 2 surgeries done in stages.
+1

Do breast lift and breast implants at the same time.

Hi. In New York City, we would certainly do everything you need in one stage. The breast implants and the breast lift complement each other and are best planned together. I think this is the view of most surgeons with a lot of experience. With good planning and good technique, it is safe.
+1

Breast Lift with or without augmentation

Breast augmentation and breast lift can be performed together, however not all surgeons feel comfortable doing them together. Some consider asymmetry, skin elasticity issues, and implant size as more difficult to assess and adding more risks to the procedure. In your consultations, ask them their preferences and why. If done separately, what is the time interval between. Either way, ask to see photos and pick a surgeon that you have developed a trusting relationship.
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