Implants first and then a lift? (photos)

Many plastic surgeons prefer two #separate stages or surgeries; the Breast Lift followed by Breast Augmentation surgery. These procedures are usually staged at 2-3 months minimum to allow for swelling and healing to be at a reasonable point. However, I usually prefer to both lift and augmentation in #one surgery; if feasible.My #revision rate for one stage or a combined surgery, is less than 15%. Two stages is not always necessary for at least 85% of the patients when performed by a #experienced Board Certified Plastic Surgeon.

It is not a bad idea to separate your procedures and the order of which comes first is often surgeon preference. I must say, most ladies are keen to have both procedures combined for a single recovery and to reduce hospital costs but separating them gives greater opportunity for 'fine adjustments' in the second procedure.My preference would be to perform the lift procedure first. This would allow me to achieve the correct shape of your breasts which can then be made larger with an implant. This lift itself gives some degree of 'auto augmentation', or the illusion of fuller breasts because the breast tissue is brought together and in a higher position on the chest wall. You will do well from this procedure and all the best with it!

Hello,Aside from having a significantly suboptimal appearance after augmentation alone, performing the lift first allows the surgeon to make adjustments, if necessary, during the secondary augmentation. If there is concern that there will only be one surgery, you would be much better off lifted and smaller then bigger and abnormal looking.Best of luck!

Thank you for question. It's very reasonable to stage a breast augmentation and lift. Speak with your surgeon for definitive recommendations, but in my office I would offer a patient with your anatomy a breast lift and then an augmentation.My concern would be that an augmentation performed first would place the implant in a normal position, but would leave sagging breast tissue hanging off of the implant. This would leave an unnatural appearance and would commit the person to a second operation regardless. A breast lift performed first creates a more lifted and youthful appearing breast, and gives the patient the opportunity to undergo only a single procedure if they later decide that they do not desire more breast size. 

Thank you for your question and photos.  There is no right or wrong approach to treatment of sagging breasts.  One can achieve a very good result with single stage or two stage approach.  However, one must realize that even a single stage or two stage approach may need some refinement revision or touch up due to skin laxity or stretch. It is important that one has a surgeon who is experienced in this treatment and listen to their reasons and preferences to achieve the outcome you desire. I would begin with with a face to face consult
with a Board Certified Plastic Surgeon who has experience in these areas.
During your visit your surgeon should be evaluating your health to determine if
you are a good surgical candidate and examining your tissues to get a sense of
what type of procedure your tissues will allow. Only with a hands on exam can
this be determined. Once an exam and opinion is rendered then you can decide if
surgery is right for you. In my practice I commonly do the augmentation at the
same time as a lift. I would also
caution a patient that not every patient can be done as a single stage
procedure. Good luck.