Breast Lift After Breast Augmentation?

If the patient has significant drooping, the patient will not achieve a good and natural shape with an implant alone, just a large saggy breast with south pointing nipples.
That being said, it is the safest route to have an augmentation and later a breast lift. Then, circulation issues are minimized. It is dangerous to perform a tight breast lift with a large breast augmentation, especially a Benelli-type lift (aggressive around the nipple lift), even more so in patients who smoke or have recently smoked.
The cost and inconvenience of needing 2 surgeries rather than one should be calculated in, especially if a number of doctors are noticing droopiness and recommending lifts.
There are many hybrid type breast lifts now available that give minimal scarring and a modest lift; these are frequently performed simultaneously with a breast augmentation.

I understand your reluctance in having a vertical scar or wise pattern breast lift - the scars can be unsightly. However, there has been a relatively new development in breast lifting technology in the past 15yrs that no longer requires the "tell-tell" vertical scar down the middle of the lower breast. You are welcome to visit my gallery on this site where there are over 100 examples of The Bellesoma breast lift, reductions and breast implant removal. This technique uses a woman's own tissue to reconstruct the breast internally to give it a better shape and position on the chest - unlike the standard vertical scar techniques that essentially use the skin to shape the breast allowing it to sag in a few months post surgery. One of the great advantages of The Bellesoma Method is that you don't need breast implants to provide shape or upper pole fullness. This is a one stage procedure where there is no fear of implants becoming exposed if the vertical incision splits open or becomes infected. No need for expensive wound care that can last for weeks and no need to replace or undergo revisionary surgery to correct damage to the tissues due to heavy implants. I hope this allows you to make a more informed decision. Best wishes and kind regards,

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 comorbidities 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. Cost of these procedures will vary amongst plastic surgeons in addition to geographic location.However, more important 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. Without an examination, it is difficult to tell you what to recommend. 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. You definitely can have a lift done afterwards, if you are unhappy with the results.  Consult with a plastic surgeon well-versed in breast surgery who will 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!