Should I get a breast lift first then get breast implants? (photo)

What your doctor proposes is certainly one way to go. Personally, I would recommend doing both in one stage. I always put the implants in first and then contour the lift to remove the exact amount of skin to have just the right amount of snugness when I am done. Perhaps you should get more opinions until you are comfortable proceeding. Good luck.

You need a formal evaluation by a licensed plastic surgeon and expert in breast lifts, revisions and augmentations to determine what is best for you and your goals.
Breast lift surgery can improve a woman's breast shape by repositioning the breast mound at a higher position on the chest and then centering the nipple and areola on the breast itself. If there is enough breast tissue, I can perform a highly aesthetic mastopexy without the addition of further volume by internally rearranging the breast tissue and removing excess skin. If more volume is needed, especially in the upper portion of the breasts, we will discuss the possibility of fat grafting or silicone gel implant placement. The type of incision required for this surgery (circumareolar, “lollipop” or “anchor”) and the lifespan of the lift depends on each patient’s condition, breast tissue, genetics, weight and hormonal fluctuations, and desired results.
Augmentation with mastopexy is a challenging surgery that requires significant experience to create a shape that is youthful, natural, and proportionate to the body, while managing the native tissue as well as fat grafts or implants. When performed properly, it can result in a dramatic improvement to a woman’s breast appearance.
I suggest consulting with a board-certified plastic surgeon and expert in Breast Lifts. - Dr. Cohen

Hello.
Great question. Thank you for your pictures. I will suggest doing both procedure at once. Please visit a board certified plastic surgeon for a detailed surgical plan to achieve your desired results.

It will depend on  your surgeon. That is how some surgeons will do it, while others will do it all in one procedure. Consult with a board certified plastic surgeon (or two) to learn what options are available to you. Good luck.

Hello and thank you for your question and sharing your photos. You benefit from a single-stage mastopexy-augmentation (lift combined with implants), which can be performed safely and with good outcomes in experience hands. I would seek consultation with a board-certified plastic surgeon for a full evaluation and advice. Make sure your plastic surgeon has experience performing this kind of surgery. Best,Pejman
Aflaki, M.D.
Johns
Hopkins-trained double board-certified plastic surgeon

Different doctors have different opinions on whether to combine a lift and implants in one procedure or separate them into two.  Personally, I like to do them in one operation.  It is less expensive for the patient and there is only one recovery period rather than two.  I have not seen that combining the two into one procedure has been detrimental in any way in my practice.  You might consider seeking a second or third opinion from another board-certified plastic surgeon.

Thanks for your question. From your photos and desired results, it looks like you would be best served with a combination of breast lift with augmentation.  The parameters of both the breast lift and the position of the breast implants should be designed to keep the implants relatively low while lifting the breast tissue and nipple to sit directly over the implants.  Having combination of procedures is always cheaper than getting them separately, plus you get the additional benefit of just one recovery period.

You have not told us your bra size or desires.  However, I recommend a breast lift using 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 (about 95%) and the ability to breast feed are maintained.  At the same time or later, fat transfers can be performed if additional volume is desired.  Implants are not lifetime devices.  Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.

HI,Based on your pictures you definitely need a full lift. I personally would perform the augmentation at the same time to save you a second recovery period, but it is not wrong to split the two procedures with the lift being first. This ensures a more consistent result. Good luck.All my best,Daniel A. Medalie, MD

Thanks for your question.     There have been journal articles that caution about the risks of breast augmentation and lifts done together, and there are numerous articles about safely combining the surgeries.   There are increased risks in combining the two procedures, and revisions are not infrequent.    If the nipple has to be moved up more than 6-8 centimeters, I usually suggest staging the procedure, and in a patient that has a smoking history, it is much safer to stage procedures.     It appears that you would be suitable for a combined procedure.      If you're not sure about what do do, see a few others for a consult.    If you trust and like your surgeon, go along with the plan.    

Staging your procedure is fairly common. However, I would probably perform yoursin one stage depending on what size implants you’re looking to have.