Will I Be Able to Do a Breast Lift and Augmentation at the Same Time? (photo)
Doctor Answers 17
Can a breast lift and augmentation be performed at the same time?
It appears from your early post-operative photos that you had a sub-glandular augmentation with relatively large prosthesis. As you have experienced, these tend to descend and settle inferiorly because the only support that you have is essentially the skin envelop of the lower pole of the breast. You may initially have had a small amount of ptosis (drooping) that your surgeon was trying to correct with a sub-glandular augmentation. But this tends to eventually lead to a larger - but still drooping - breast.
If the augmentation had been performed sub-pectorally, then after the settling period, you would still have superior fullness (which is not present in your post operative photos).
The way I approach situations such as yours is relatively straight-forward: in a single procedure, I switch to a sub-pectoral pocket and perform a vertical mastopexy.
The sub-pectoral placement produces a nice breast mound with superior fullness while the mastopexy repositions the breast tissue over the mound. In experienced hands, situations like yours can be corrected in a single procedure with a relatively low re-operation rate.
When you stage the procedure, you commit the patient to two operations when in the majority of cases, excellent results can be achieved in one surgery. I hope that this helps and good luck.
Can a breast lift and breast augmenation be done at the same time?
If you are happy with the size of your breasts, there is no need to replace them and only a breast lift can be performed. If you are not happy with the size of your breasts, it is better to remove the implants and wait at least 3 months for the swelling to resolve. You can then be re sized with different breast implants thus allowing you to find the best size for you. During the second surgery, both augmentation and breast lift can be performed at the same time. I recommend this two stage approach as it will give you the best, most accurate means of finding the right breast implant size.
Breast implant dropped without breast lift
Thank you for your question and your photos. I agree in general with the other comments. Breast lift and implants can be successfully done together, and some surgeons prefer to do it separately.
You have already had the augmentation portion. The implants have dropped into the skin envelop. Now, you need a lift.
It is possible to have a breast lift now and keep the implants you have. If you do not like the size of the implants, the implants can be changed at the time of the breast lift.
I hope this helps.
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Combining breast lift and breast augmentation surgery in Los Angeles
In Los Angeles most board certified plastic surgeons favor performing breast augmentation and breast lift at the same time. In my personal experience women do well with this procedure since I can adjust the breast implant and breast size along with the shape of the breasts at the same time.
You may need separate surgeries
Your breast tissue appears dense and if you elect an average or large implant you may run into post-operative complications if the lift and augmentation are done at the same time. You run the risk of blood supply shortage to your nipple as well as opening of the incisions due to too much tension. I would probably advise two separate surgeries although I do over 90% at the same time. Experience has alerted me to your situation. Obviously, a final decision would have to made after proper consultation.
Breast Augmentation and Lift at the Same Time
There is no correct answer for this question. However, the options are do both the augmentation and lift in one procedure or separate it into two procedures - lift then implants or implants then lift. However, with the second options you are guarenteed the need for two procedures. So, why not do both procedures at the same time, with the understanding that you may need a touchup. In the vast majority of these patients, a second surgery / touchup is not required and you saved yourself a second surgery...
Mastopexies and BA-together or separately
This is an often debated question among plastic surgeons. There are many articles in our journals outlining the increased risks of doing the procedures together in addition to the higher rate of revisions, but most patients want it all done at once. The two procedures work in opposite directions; the aug filling outward and the mastopexy tightening things inward. When the lift and the implant are small I am comfortable doing them together. When they are big I prefer doing them separately. If your implants are over the muscle you would be wiser to have the procedures separately, but this would entail not only two more procedures, but another set of implants All mastopexies are not the same. I would favor a superior or medially based pedicle often referred to as a vertical mastopexy over the older Wise pattern inferior pedicle. This is technical stuff for you, but an important distinction that you should ask your surgeon about. Get several opinions from board certified surgeons who will have the advantage of examining you and getting a more detailed history. Good Luck
Breast lift and augmentation at the same time
Yes, you could do both at the same time. The implants that you have now, will probably have to be traded to a smaller size in order to have a successful lift. However, if you wish to have the same size cup you have now, then a second operation with implant exchange will do the trick. Remember, the larger the implant the sooner you will need another lift. I hope this helps, Dr. H
Breast lift and breast augmentation
Certainly a breast lift can be performed with implants intact or with replacment of implants. I do this all the time.
Breast lift with breast implants
As your breast augmentation is already complete the lift you would like to consider is not really at the same time as breast implants. Some surgeons are concerned with breast augmentation with a lift especially if the implant is quite large. Most however will combine a lift with implants if possible.
Best of luck, peterejohnsonmd.com
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