Breast Lift with Implants Vs Lift Now, Implants Later?
Doctor Answers 10
Breast lift with implants?
Thank you for the controversial question.
This is not a question agreed-upon by all plastic surgeons. There are good plastic surgeons who will insist on doing the procedures separately and there are good plastic surgeons who can produce excellent outcomes in a single stage.
The combination breast augmentation / mastopexy surgery differs from breast augmentation surgery alone in that it carries increased risk compared to either breast augmentation or mastopexy surgery performed separately. Furthermore, the potential need for revisionary surgery is increase with breast augmentation / mastopexy surgery done at the same time.
I'sn my opinion, the decision to do the operation in a single or two staged fashion becomes a judgment call made by a surgeon after direct examination of the patient. For me, if I see a patient who needs a great degree of lifting, who has lost a lot of skin elasticity, or whose goal is a very large augmentation then I think it is best to do the procedures in 2 stages (in order to avoid serious complications). However, doing the procedure one stage does increase the risks of complications in general and the potential need for further surgery. This increased risk must be weighed against the practical benefits of a single stage procedure (which most patients would prefer).
Conversely, if I see a patient who requires minimal to moderate lifting along with a small to moderate size augmentation (and has good skin quality), then doing the procedure one stage is much safer. Nevertheless, the potential risks are greater with a 1 stage procedure and the patient does have a higher likelihood of needing revisionary surgery.
I hope this helps.
Breast Lift vs Augmentation
Patients who come to see that are dissatisfied with the appearance of their breasts and there is a bit of confusion as to which operation will improve their breast contour. The question can really be answered by first identifying if the volume of the breast is satisfactory to the patient. One simple way to determine this is to ask yourself this: If you are in a well-supported bra, do you like the size of your breasts? If you answer yes to this question, then it is unlikely that breast augmentation will be indicated for your particular situation.
If the breasts have more a droopy appearance, the next step is to identify to what degree. Then, we can determine which operation is best suited to correct the drooping. We, as Plastic Surgeons, have methods of identifying the degree of drooping by how low the breast tissue and nipple have descended below the level of the inframammary fold. The inframammary fold is the landmark of the chest at the very base of the breasts that affixes the lower part of the breast to the chest wall. The specific lift operation to address this issue depends on the amount of drooping or how low the breast tissue and nipple have descended below that inframammary fold.
Breast Lift With or Without Implants?
Many surgeons feel that the large number of variables that are present when these procedures are performed together significantly increase the potential for complications and the need for secondary revisional surgery. For this reason, they feel it's appropriate to perform breast lift surgery as an initial procedure. Once healing is complete, they then proceed with secondary breast augmentation surgery. When this approach is utilized, patients have excellent clinical results and high levels of patient satisfaction.
Unfortunately when this approach is utilized, every patient with this problem requires two surgical procedures. For this reason, many surgeons prefer a combined approach to these procedures. They acknowledge that patients may occasionally require secondary surgery, but this scenario is far better than committing every patient to two surgical procedures. When this approach is utilized, clinical results are excellent and patients are happy to avoid multiple procedures.
In the majority of cases, it's reasonable to combine breast lift and breast augmentation surgery, but occasionally when the situation is unusually complex, it may be appropriate to stage these procedures. If you're considering breast augmentation and breast lift surgery, it's important to thoroughly discuss your options with your plastic surgeon. Your surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.
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Breast lift and implants
Make sure you pick a board certified plastic surgeon.
Combining a breast lift and implants is straightforward when carefully planned
Single vs staged approach
- Since you can see the results of the first procedure (the lift), you can adjust the second procedure to complement results.
- A lower rate of revision.
- Surgical techniques can be selected to better achieve desired improvement.
- A lower complication rate.
Breast lift with implants vs lift now and implants later?
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 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!
Breast lift w/ implants vs. Lift now and implants to follow
Implants and lifts together or separately?
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.