The combination of breast lift (mastopexy) surgery with breast augmentation can be tricky to plan and execute effectively for patients. The two operations do separate, but opposite things to the breast- the breast lift tightens and lifts the breast while the breast implant adds volume. Getting the procedure right the first time takes surgical judgement and experience.
For women, a combined breast lift and augmentation can be the ideal solution to their cosmetic breast issues. It’s a one-stop solution to both sagging and volume.
As surgeons, we know that this combination breast surgery can be challenging. It has a fairly high revision rate. There are complications that can occur at a higher rate than if each procedure was done separately.
Based on my experience with breast augmentation and lift combination surgery, I’ve made the following observations that I can pass along to patients.
1. A smaller breast implant is recommended, as the implant is only going to contribute upper pole volume to the breast.
2. Commit to the set of breast scars that are going to produce the most reliable lift of the nipple. A ‘short scar’ breast lift is sometimes the wrong lift for a patient.
3. Consider eliminating the artificial implant altogether and do fat grafting. This technique uses your own fat (from liposuction) for breast augmentation. A breast lift with fat grafting is called a LipoPexy- more information can be found about breast fat grafting here.
4. If you have enough breast tissue in the lower pole of the breast, that tissue can be moved into the upper pole of the breast as an auto-augmentation flap- which improves breast shaping and contributes a little to upper pole volume.
An example….
Before mastopexy augmentation
After mastopexy augmentation
This woman had a simultaneous breast augmentation with a 300 cc submuscular silicone implant, a peri-areolar breast lift and areolar reduction. The scar is limited to around the areola. Her ‘after’ photo is taken 3 months after surgery. She’s very happy with the result.
We can deliver these types of result to you as well.
Call our clinic at 425-450-0880 to schedule a consultation.
