Breast Augmentation With Lift
Performing a breast augmentation along with a lift will increase breast volume and raise sagging breasts.
Sometimes a combined breast procedure is needed to give you the look you want for your breasts. The breast lift procedure is intended to give you an elevated, more youthful breast contour, as well as nipple of the desired size at the correct height. For many women whose breasts have changed from child bearing, nursing, or age, simply re-elevating the breasts is not enough. The breast augmentation is intended to restore the volume loss in the “upper pole” of the breast.
Combining these two processes is a very common technique. But not everyone can. Some women who have had previous breast augmentation may also require a breast lift, with an implant exchange or revision. History of previous implants or breast lift increases the risk of complications and should be discussed thoroughly with your surgeon.
The surgical technique is unique to each and every patient and will be determined during the consultation process.
Combined Procedure Candidates
Have “saggy breasts” with nipples below the breast fold and extra skin
Have lost volume in the “upper pole” of the breast
Physically healthy and psychologically stable
It’s also important that patients have realistic expectations of what the procedure can offer.
Patients anticipating future pregnancy. Pregnancy most commonly causes significant changes in both the breast skin and tissue.
Patients anticipating future weight loss. Women who are actively trying to lose weight with diets and exercise regimens should wait until they have achieved a stable weight that they can maintain for their lifetime. Performing a breast lift when there are weight fluctuations, most often alters the aesthetic result of the procedure.
Patients who have multiple medical problems. Most common medical problems that may increase the risk of complications or preclude the surgery:
- Uncontrolled diabetes. High blood sugar impairs the healing process as well as significantly increase risk of infection.
- Uncontrolled hypertension. High blood pressure is often associated with cardiovascular disease and may be at risk with general anesthesia.
- Bleeding disorders. May cause risk of blood clots, and hematomas.
SMOKING! The “bad guy” is the nicotine. Nicotine causes blood vessels to constrict. The breast tissue and skin flaps that are advanced are at significant risk of not having enough blood flow to heal correctly. Patients who smoke are at very high risk of wound healing problems, incision separation, and infection. Wounds may take months to heal and also may require additional surgeries. It is imperative to avoid first and second hand smoking (and all other nicotine forms) 1 month before and after the procedure to minimize the risk of complications.
Breast lift with augmentation can enhance the look of the breasts and, as with many plastic surgeries, it often has the added benefit of increasing one’s self confidence. Breast augmentation improves your physical appearance and several psychological studies now confirm that a breast augmentation may enhance your self-esteem and quality of life if done for the correct reasons. If there are combined surgeries, the prices will decrease by 30% – 40%.
Silicone Or Saline Implants ?
The best way to decide whether to have silicone or saline implants is to first decide which issue or issues are most important to you. For example, if it is most important to look and feel natural, then choose silicone. If you instead most want lower cost, shorter scar, lower rate of capsular contracture, and no need for MRI, then choose saline.
In general, thin women with a modest amount of breast tissue tend to select silicone gel implants, as the cosmetic advantages are substantial and easily offset the known disadvantages for many women. Heavier women and those with a more generous amount of breast tissue will enjoy less of an aesthetic advantage with silicone, as both silicone and saline tend to feel soft and natural in women with more breast tissue.
If a large implant is selected, silicone offers the advantage of a lower rate of downward displacement because it has less weight.
Women with an intermediate amount of breast tissue will find themselves caught in the middle of this decision. For these women, we recommend they decide which is most important: optimal cosmetic result (silicone) or lower rate of capsular contracture, lower cost, shorter scar, and no need for MRI (saline). Once they make this decision, the choice is clear.
Breast Lift Techniques
There are several different possible techniques that are available for breast lift. If there is breast volume asymmetry, this can be improved my removing the excess volume of the larger breast. All techniques typically require excess skin excision to help reshape the breast. These techniques are designed to move the nipple into a more youthful position. There are other techniques, such as the short-scar lift, which involve less extensive incisions and scarring which may be appropriate for certain individuals.
Are the Scars Bad ?
While there are several different techniques to perform this surgery, the scars are the breast mature very well. All the techniques require a scar around the areola. Depending on the amount of excess skin and need for lifting of the nipple, the vertical scar may be needed, commonly called the “lollipop scar.” If there is significant excess skin and ptosis of the nipple, an additional horizontal scar along the fold may be required, called the “anchor scar.” This scar is around the nipple, then vertically down the front lower breast, and then finally along the breast fold.
Once the incision is made, the breast tissue is lifted to make a space or pocket into which the implant is then inserted. The implant may be placed in one of two locations: subglandular, which is above the chest muscle, or submuscular, which is beneath the chest muscle.