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

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.  

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

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.

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

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.

Hi, thank you for sharing your question. These procedures can safely be done at the same time however many surgeons may do them in a staged manner to allow the tissues to acclimate and increase the safety profile. A proper examination will be needed to give you the best advice. I hope this helps.

You did not show photos of your breast, so I cannot be exact. However, with 80 pound weight loss, you may have a great deal of excess skin. It is best to do the lift first, especially if extra skin needs to removed lateral to your breasts. Then, the augmentation can be done a few months later. If you do not have too much extra skin, then the two can be done at the same time. The procedures are separated if blood supply to your nipples is jeopardized by doing everything in one procedure.

Hi and welcome to our forum!
From your photo, I note that the breasts are covered, but you appear to demonstrate significant sag. I cannot ascertain nipple position or breast volume.
In general, BA and BL are usually performed together unless there is concern about the blood supply to the tissues due to severe atrophy of breast tissue, in which case a 3 month separation is recommended to allow for mother nature's revascularization of the affected tissues.
I cannot make a judgement based upon the photo.
Best wishes...

Hello and greetings from Turkey. Breast Uplift&Implants are commonly performed together. During my practice. It is generally performed in the same session but in some cases it should be performed in two sessions based on the level of the sagging skin and the case. Deciding the safest and the best treatment option, in-person consultation has to be made.