Breast uplift and implant - one surgery or two? (Photos)

If you are happy with your current size, a lift alone is most likely all you need. This would improve upper pole fullness. Implants are only necessary if you want to be larger or have significantly more upper pole fullness.
It is the experience and opinion of your surgeon that determines whether a lift and augmentation can be performed at the same time for you.

You state you are happy with the size of the breasts but want upper pole fullness. For this reason, I recommend The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

Hi Lauren,
I think you are a great candidate for a breast lift (mastopexy) and implants (augmentation). This is something that can definitely be done during one surgery. Doing it together will help enhance the volume of your breasts as well as correct the sagginess (ptosis)! Upper pole volume is typically achieved with implants, however a lift can help enhance it as well, just not as significant. We would be happy to help with a virtual consultation

One surgery. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon' s experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Based off your photo - you have right side larger, lower (which will always be like that even after lift and implants (which your breasts are sisters, not twins to begin with) something that you have to accept to advance through your post op journey. There will be a slight reduction needed for the right side compared to the left and can be done in 2 stages (which allows the tissues to settle to see how your breasts shaped from the lift prior to adding implants) versus 1 stage where everything is measured and cut along with adding the implants which means more factors to affect the post-op healing and settling of the breast to the final product. Usually, more experienced surgeons will do it in 1 stage (like your breast anatomy) because there will be one time for general anesthesia or any type of anesthesia, one cost, one healing journey and - like you said you will likely have children - which will likely lead to some type of redo in the future (as your breast stretch and deflate from breast feeding / pregnancy). There are risks to both, slightly less for the 2 stage when it comes to healing issues, skin necrosis, etc but in experienced hands - that percentage is pretty close for 1 stage vs 2 stage. Seek out a few different opinions and see who you feel best with. Good luck.

Hi there!

Despite your asymmetry a very nice result is not only possible but highly likely with a one stage augmentation with mastopexy. Your understanding of the possibility of a small revision needed after one stage shows you have a good grasp on the issues. Be sure you are seeing a surgeon well versed in doing these procedures in one stage- many just do not have the experience in doing so.

I hope this helps

I think you have enough breast tissue to avoid an implant altogether. There’s no right or wrong answer to this and you will get conflicting recommendations from different surgeons. But if you can avoid an implant it makes the surgery simpler and avoids the problems associated with implants.