Are breast lift and augmentation usually 2 separate procedures? (Photo)

Question

Is a BA/BL typically 2 separate surgeries? I have a lot of loose skin form losing 80lbs nursing birthing 2 kids and heavy weight lifting and I’m 46 years old. I’ve had 2 consults so far. Both say OTM due to chest wall development. an anchor lift. I was 34D prior to kids currently 32/33 Dwith loose skin. I desire lift and implant want to be 32 D after 1 says ba/bl place 400 cc at once. The other says lift then 3months later implant I’ll need about 100cc

Alexandrish Karvendrish Rodríguez Tavárez, MD · Answer

Hello! Thank you for contacting us. In your case, I recommend to perform an inverted T (anchor) breast lift with implants placement, to give you projection and have a better shape. The two procedures can be performed simultaneously.

Ted Eisenberg, DO, FACOS, FAACS · Answer

Over the muscle separates many blood vessels from the muscle to the breast gland. Reducing circulation to the tissue makes it riskier, a fact which requires the 3 month delay for the breast to develop more blood vessels for increased circulation. Under the muscle does not separate the blood vessels, a fact which makes it safer to do the procedure in one step.  Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Richard Baxter, MD · Answer

When the skin has sagged and breast volume needs replacement, the combination of breast lift and implants is needed. However doing these at the same time has certain challenges and there is a high revision rate. On the other hand you could say that staging them at 2 different times is equivalent to a 100% revision rate, with both operations requiring general anesthesia. Doing them together makes sense most of the time, accepting a 15% or so probability that something will need to be adjusted once it has all settled and healed. Many of these would be under local anesthesia.

Daniel Barrett, MD · Answer

Dear sprkledbikini,
I understand your concern. It is best however that you consult with a board certified plastic surgeon to determine whether you can have several aesthetic surgeries in one session, as this would depend on various factors including but not limited to your general health condition, the type of anesthesia that will be used, and the type of surgeries that will be performed among others.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Gary M. Horndeski, MD · Answer

Since you are a 32 or 33 D then you do not need implants.  However, you do need a breast lift and the technique I recommend is The Bellesoma Method.  The breast tissue is reshaped creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.  Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Are breast lift and augmentation usually 2 separate procedures? (Photo)

Answers (9)

Answer: Combination of procedures

Answer: Combination of procedures

Answer: Bellesoma Method

Answer: Bellesoma Method

Recommended reading

Everything you need to know about Breast Lift with Implants

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Are breast lift and augmentation usually 2 separate procedures? (Photo)

Answers (9)

Answer: Combination of procedures

Answer: Combination of procedures

Answer: Bellesoma Method

Answer: Bellesoma Method

Browse related questions

Recommended reading

Everything you need to know about Breast Lift with Implants

Our mission is to create a world where every investment in modern beauty is Worth It.