Breast lift and explant done as 2 separate procedures 3 months apart - would this give me the best results? (photos)

Thank you for your question. A large portion of my practice is dedicated to revisionary breast surgery Over many years, I developed a technique called "Reductive Augmentation" in which an internal bra-capsulorrhaphy, mastopexy - lift, and removal of inferior pole breast tissue is performed. This procedure is particularly suitable for patients who would like a more round appearing breast and upper pole fullness. I have treated many patients with very similar breast issues as yours. I published this technique in the International Journal of Aesthetic Surgery in 2017. In today's world with our current techniques, I seriously question the credentials of any surgeon who would separate performing a lift and augmentation. Also concerning is the fact that he/she uses nurse anesthetists and is only performing this under a twilight type sedation. I would definitely seek other opinions. Best wishes to you,

Dear MRomeo,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Both procedure can be done safely at the same time. It does appear that you have a good deal of breast tissue from the one photo. I would recommend using new implants since you are already there and the implants are 8 years old. I would also recommend removing some breast tissue during the lift to prevent recurrent ptosis/drooping. You dont necessarily have to go smaller with the breast reduction, the doctor can up the size of the implant with the same amount of breast tissue that is removed if you want to stay the same size.
Breast revision surgery can be complicated and I always recommend patients see a board certified plastic surgeon that has a great deal of experience with breast revision procedures.
I know some doctors use CRNA, but I prefer using a board certified anesthesiologist and performing such procedures under general anesthesia as I feel it is safer for the patient that way.

Hope that helps.

Do the lift first to see if that corrects all your issues. You may have enough tissue and no longer need/want an implant. If not, then get the implant.

Hello and thank you for your question and your picture. Given that you already have implants and want to keep them, it seems you would benefit from a breast lift only. Unless you are having issues with your implants, there is no need to remove them. Best wishes!

There is no right or wrong on the coupling or timing of plastic surgical procedures. Each surgeon has their preference. I use a board certified anesthesiologist with either deep sedation or a light general anesthesia. I routinely do both the lift and augmentation simultaneously.
Best wishes.
Dr. Taranow

Thank you for your photos and questions. Be sure to see an experienced Board Certified Plastic Surgeon who can examine and go over your options and surgical details with you. I think you would be a candidate for a breast lift as this elevates the breast tissue and nipple/areola to the central portion of the chest. Problems can arise when large implants are added to a breast lift as this puts added stress on the healing tissues. I don't think this would be the case with your existing or same/similar size implants. I always use fully trained, Board Certified experienced Anesthesiologists that have Doctor of Medicine degrees (M.D.), so those are excellent things to look for.

Sincerely,
Benjamin J Cousins M.D.
Board Certified Plastic Surgeon, Miami Beach/Miami , Florida

If your implants are 8 years old and intact, there is no need to do any more than one surgery to achieve the lift. You should check the credentials of the doctor carefully as a full breast lift as you need is properly done under GA and many non-plastic surgeons (ie "cosmetic surgeons") can't get real anesthesia doctors to work with them so they can't offer that.