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.

Without having examined you, it’s hard to say for sure.
However, I would likely recommend doing these two procedures at the same time.
If you’re completely opposed to that option, my secondary recommendation would
be to do the breast lift first and the breast implants later. Short of
combining them into one procedure, this sequence is likely to yield a better
result than doing the implants first and the lift later. Consult with a board-certified
surgeon to further explore your options and the timing of your procedures.

I would recommend (like many of my colleagues) to do the lift first.  I would rather get your lift done and have things tight when I place the implant.  I think you would look really weird if you do it the other way and would then worry about what if you need to put off the second surgery longer than expected?  Hope this helps.-JGH

Hello dear, thanks for your question and provided information as well... The breasts may lose their elasticity and firmness
which can be caused by different factors such as pregnancy, massive weight
loss, lactation and aging. To reaffirm the breasts and restore the natural look
your surgeon can perform a mastopexy or breast lift with augmentation such as silicone implants, you will get very nice results, hugs!

but there are many surgeons that will offer you the ability to have both done at the same time.  Yes, there is a chance revisions will be needed but often they are more cosmetic in nature and can be done under local.  Regardless, you would be an excellent candidate for the combined procedure as you will look awful with just implants alone and you would have to wait months before the mastopexy portion is done to allow for settling.

I do think there are cons in doing the augmentation first. The implants won't look good because of your ptosis and your surgeon may struggle and reposition them very low to try and make things look better. You will find that doing the lift first and augmenting later will be the overwhelming recommendation from surgeons.