What is the likelihood of nipple necrosis when combining a lift with implants?

I have never even had a partial nipple areolar necrosis after hundreds of breast augmentation and lift combinations.  Although no two patients are alike, I perform breast augmentation and lift together but like to limit implant size to 500 cc or smaller in most cases.  Find the plastic surgeon with elite credentials (education, training, experience, American Board of Plastic Surgery certification) who performs hundreds of breast augmentations and breast lifts each year.   Look at the plastic surgeon's website before and after photo galleries to determine the plastic surgeon who can produce the results you are seeking.  Also read patient reviews.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

HI equestrian,
   If  your breasts are small and if you do not wish to be too large, it certainly is possible to have the lift and implants done at the same time. On the other hand, if you have large breasts and need a bit of a reduction to better shape the breasts and to reduce lateral fullness, your surgeon is being rightfully cautious. Other factors, such as your overall weight, smoking history and medical history also may play a role here as well. Perhaps you should discuss some of these issues further with your surgeon.
Best,
Dr. Christine Rodgers

Nipple necrosis is a very rare complication following a breast lift.  The risk of NN is not increased by placing an implant at the same time.  Most surgeons perform these procedures together however some surgeons prefer these procedures be performed separately.