I'm having a lower body lift and breast aug. Should I wait or get the breast aug while I can?

Hello, I would suggest you have your body lift procedure done first.  1) During the 360 lower body lift or circumferential body lift, the abdominal wall is pulled down.  This can pull the inframammary fold (the fold under the breast which attaches the breast to the chest or upper abdominal wall) down.Therefore, if the breast augmentation and breast lift are performed  before the 360 lower body lift, the result can be that the breasts are too low.2) After weight loss, reconstructive plastic surgery is all about proportions.  During your 360 circumferential body lift, a significant amount of skin and fat will be removed. Your body proportions  change.  I would choose implant sizes after your body lift has been performed.  This leads to a more accurate assessment of the body proportions.  This way, your top half will match your bottom half.  If you choose your implant size before your body lift, you may regret your implant size choice. You may choose an implant size too large.  In my patient practice, I almost always perform the breast lift and breast augmentation after the 360 body lift.I hope this answers your question regarding the staging of a 360 lower body lift or circumferential body lift and breast augmentation and breast lift. If you have any questions, please not hesitate contact me. Sincerely, Dr. Katzen

Hello,Combining surgeries can be done in certain circumstances but always with your safety as the priority.   If you're body lift is more extensive,  depending on how much skin and fat needs to be removed, your body lift alone may take up to 6 hrs.  Breast augmentation surgery (without additional mastopexy/breast lift)  can be performed very well usually within only the addition of another hour to surgery.The most important determinations for combination versus staging your surgeries is first your overall health, next your surgeon's comfort level concerning your safety in the operating room, and finally your personal goals.Breast augmentation surgery and lower body lift can be combined safely with excellent results.  Performing the breast augmentation before or after the body lift should not affect the outcome of either surgery.  If you do decide to perform each separately, I recommend improving the area that concerns you the most first.Best of luck!

It's difficult to suggest without a in-person one-on-one consultation. The Mommy Makeover is a combination of procedures to bring a woman’s body back to the way she looked prior to pregnancy. Most commonly some variation of a #TummyTuck and #BreastSurgery are performed. Additional procedures can include liposuction, umbilical hernia repair.  The most common #breastprocedures include #mastopexy or #breastlift, #breastaugmentation, or #breastreduction.  

#Combined operations are often performed with our #Gynecology colleagues. Tubal ligation is a common post pregnancy procedure which is done at the time of many of the surgeries included with a #MommyMakeover. If you require a gynecologic operation or study (laparoscopy) and are considering a plastic surgery procedure, discuss these issues with your physician and board-certified plastic surgeon. Also, combining these #procedures may decrease anesthetics, costs, and recovery time.The intentional result of a Breast Lift (#Mastopexy) is to improve the shape and position of the breast without reducing their size. It is used especially for breasts which sag or droop (#ptosis) as a result of aging, weight loss, pregnancy, or breastfeeding. However, many women report more satisfaction if an implant is used at the time of #mastopexy. The implants further shape their breasts, restoring superior fullness or volume which may be decreased over time.In regards to implants alone, this is usually said to be mistake by patients reflecting back at the decision. Most breasts will look larger and more droopy with solely implants. They will sag more and sooner, due to the sudden and excess weight. At times it's possible for a “Snoopy” breast or double bubble to develop as a result.Your procedures should be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for a revision surgery. It is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.

For patient after weigh loss is common to
need several procedures. To combine
procedures is important to do it in SAFTY .
The medical history of the patient and the behavior of the patient
during surgery are two elements that are key to determine how much can be done with safety in is the
majority of the occasions is done together

Every patient is different and an evaluation by a board certified plastic surgeon is critical to you obtaining a great result.  Safety is always paramount, so your surgeon will only suggest what is best for you.  Breast augmentation and body lift can definitely be performed as staged procedures.  With that said, I would perform the procedure as a combined procedure in select candidates.  I would discuss your concerns with your surgeon.Best,Trey Aquadro, M.D.Auburn, AL

While it is certainly not unreasonable to stage these two procedures however you would prefer, I would generally recommend patients to undergo the body lift procedure prior to undergoing breast surgery.  With removal of the truncal excess tissue, the proportions of the breast/body will change, and may help you and your surgeon to decide on an ideal surgical solution for your breast procedure.  If you have the breast surgery performed first, you may not be quite as pleased with the final result/dimensions once the body lift procedure is completed if the proportions were not what you anticipated.  Make sure to consult with a board-certified plastic surgeon, and he or she will help you to select the best procedure(s) for you.

Full body-lifts can take a fair amount of time, but adding a breast augmentation (unless a lift/mastopexy is also necessary) shouldn't add more than one hour to the proceedings, in which case it also shouldn't significantly change your risk profile.  I suppose the surgeon needs to consider if a concomitant downward pull of the abdominal tissues might change the position of your breast incisions (if placed at the inframammary fold) and possibly adjust for that, but otherwise having both performed concurrently shouldn't have one procedure adversely affect the results of the other; the issue is mostly about the length-of-surgery risk profiles for you.  Best of luck!

How you do your procedures should not matter much.  In my practice, I typically do upper body contouring in one stage.  This for most patients includes an arm lift, breast augmentation with lift and an upper body lift.  The other stage is used for a lower body lift, buttock lift, buttock augmentation with lower back fat, liposuction, monsplasty, and either a spiral thigh lift or a vertical thighplasty.  You can visit our extensive before and after photos below.  Best of luck.

My typical staging for weight loss patients is to do the LBL and breast surgery at Stage 1, and then do arms and legs if needed (along with any needed touch-ups) at Stage 2.These surgeries can be long, however with an experienced team these combined procedures can usually be completed in less than 8 hours depending on the amount of excess skin you have.Feel free to request a free copy of my book especially for patients considering more advanced plastic surgery sucha s body lift.

I agree with the recommendation to separate the lower body lift from the augmentation and lift, as this is likely too much surgery to be done in one day as a single procedure.  If it is more convenient to you to do the breast surgery first, there should be no reason why you couldn't start with your breasts and do your LBL second.  Proportionally, I think you need to chose your implant size based on the size of breasts you would like to accomplish which shouldn't have a whole lot to do with the way your lower body looks.  Best of luck with your surgeries!