Separate Breast Lift and Augmentation Procedures Due to Multiple Issues?

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.

Thanks for your question!
You can have both a breast augmentation and a breast lift at the same time, Discuss your options at your consultations. Best wishes!

Although I have always performed breast lifts with implants in a single stage with very low revision rates over the past 25 years and I have not experienced more excessive scarring. Even if this did occur it could easily be taken care of as an office procedure later. I have no problems however with other plastic surgeons who feel the need to do this in two stages. It is becoming a trend to do breast lifts with implants in one stage however the important point is that surgeons should do what they do best. Usually their training determines what technique they will perform in the future.You should never "force" a surgeon to do a technique that they do not feel comfortable performing. Make sure you pick a board certified plastic surgeon.

A breast lift and breast augmentation can be performed at the same time ("single stage") or at different times ("staged").  The most suitable option for you depends on the advice of your board certified plastic surgeon. Single Stage:The advantages outweigh the minimal risks involved with the procedure for suitable patients. It reduces costs, only one anaesthetic is administered, and there is only one recovery period.  The Staged Approach: This is more common and benefits include a good control over the outcome of each procedure, since the subsequent procedure can be better designed to improve on the results that have been achieved, there is a lower rate of additional surgery to correct undesirable results, since it is harder to predict results from the single-stage approach and a better selection of surgical techniques to minimize incisions and resulting scars. There is also a lower complication rate as the single-stage approach is associated with higher risks and complications, including disruption to the blood supply to the tissues and capsular contracture.

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 comorbidites to prevent such.  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.
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
wise
to stage these procedures.  Given your history of massive weight loss, I would not be surprised if the recommendations would be for staging of the two procedures.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 whow ill 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!

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

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 picture speaks a 1000 words! Good Luck!

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 they like, or based on the surgeon agreeing to do the operation the patient wants.
Be careful.
Find a good surgeon you like and can trust- and listen to them.
For help finding a surgeon, please read this:

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 towards do you have favorable anatomy for it to be done all at once (All bets are off if you smoke). There is a group of patients with difficult anatomy for this to work out. Some of my best results are from staged surgeries that simply could not have been done in one. The most often is to do both surgeries in one operation but be sure that your surgeon does stage them if it is necessary.
Best Wishes,
DoctorMeade

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.