Separate Breast Lift and Augmentation Procedures Due to Multiple Issues?

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!

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 reshaped around this new nipple position and a more youthful shaped breast is created.  The areola is usually reduced in diameter.  

The breast augmentation portion of the procedure is used to provide primarily fullness in the upper portion of the breast, improved projection and to improve the overall shape of the breast. Typically when the two stage operation is completed there is a scar completely around the areola and there is a vertical scar from the lower part of the areolar to the breast fold.  In some cases there is a scar in the fold as well.

In cases where there is considerable sagging of the breast or if the breast is already larger a two stage procedure may be best. I agree with having several consultations. Ask to see before and after photos as well. Thank you for your question and best of luck.