Breast Lift with Augmentation
What is Breast Lift with Augmentation?
Breast Lift (Mastopexy) with breast augmentation is a combination procedure that lifts sagging breasts while increasing their size and enhancing their shape. Aging, pregnancy, weight loss and gravity can all cause breasts to sag. When sagging cannot be corrected by implants alone, augmentation mastopexy may be recommended.
How does Breast Lift with Augmentation work?
During mastopexy alone, excess skin is trimmed away, supporting tissue is tightened, the breasts are “lifted” to sit higher on the chest, and the nipple and areola are repositioned or resized. By adding augmentation with implants to the procedure, the breasts can also be made larger and firmer.
Ideal Candidates for Mastopexy with Augmentation
Good candidates for augmentation mastopexy have sagging breasts that have lost fullness at the top. Candidates must be in good overall health, maintain a stable weight, and have realistic expectations about what augmentation mastopexy can do. A woman who chooses to undergo augmentation mastopexy is unhappy with her breast size, and has one or more of the following:
- Sagging breasts
- Breasts that have lost shape or volume
- Breasts that are flat or elongated
- Nipples or areolas pointing downward
- One breast lower than the other
A woman planning to have (more) children should not undergo augmentation mastopexy because pregnancy and nursing can counteract its benefits.
How Long Will the Results of My Breast Lift Last?
Breast lifts offer long-lasting results; however, the results are not permanent. Over time, gravity will eventually cause drooping or sagging, which may require another surgery to correct.
How long a breast lift lasts differs greatly from patient to patient, with some lasting over 15 years without correction and some only 5 years. Your particular results will depend on a variety of factors, including how you take care of your skin, how much your weight fluctuates, and what kind of breast support you wear.
How Soon After My Breast Lift Procedure Can I See the Results?
After your procedure, your breasts will be in a surgical bra or wrapped in an elastic bandage for approximately one week. You will then need to continuously wear a wire-free support bra for the following month or as long as directed by our surgeon.
While the results from your breast lift procedure will be immediately noticeable, your breasts will refine over time. In the months following your procedure, you may notice your breasts continue to shift as they adjust into their final size, shape, and position.
Will I Have Any Scars After My Breast Lift?
The exact type of incision used will depend on how much sagging and excess skin you have that needs to be corrected. During your breast lift procedure, we will use one of three types of incisions: a circle, keyhole, or anchor shape.
Some types of incisions produce scars that are more visible than others. Over time, however, most scars fade and become substantially less noticeable. Before your procedure, we will explain what type of incision we plan to use and discuss scar care so that you know exactly what to expect and how to minimize any long-term scarring.
Can I Combine a Breast Lift with Augmentation with Other Procedures?
Yes, you can combine your breast lift with augmentation with other procedures. While certain procedures are better to do in separate surgeries, others are safe to do in combination with one another.
One example of how we combine procedures is our mommy makeover. Along with your breast lift with augmentation, you can get liposuction, fat injections, and a tummy tuck to completely transform your body.
During your breast lift with augmentation consultation, we will discuss any potential procedures you may want to pair with your breast lift to design a treatment plan that is as safe and efficient as possible.
What Type of Implants Can I Choose for My Breast Lift?
We use two types of implants in our breast lifts with augmentation: silicone gel implants and saline implants. Silicone implants are made of medical-grade silicone gel that tends to feel more natural and similar to actual breast tissue than other implants.
Saline implants consist of a silicone shell that is filled with sterile saline solution after it is in place, which allows for easier adjustments to be made in sizing. During your consultation, we will recommend the type of implant that will give you the results you want and align with your preferences for size, shape, and feel.
Mastopexy with Augmentation Procedure
Augmentation mastopexy is performed on an outpatient basis under general anesthesia and usually takes 1 to 3 hours. Depending on the degree of sagging, the amount of excess skin, and the size and type of the implants, one of the following types of incisions are often used:
- A circular incision around the areola
- A keyhole shape, around the areola and down to the breast crease
- An anchor shape, beginning in the breast crease and extending up to and around the areola
After the incisions are made, excess skin is removed to create a tighter, more defined appearance. The nipple and areola are usually moved higher on the breast or resized. Implants made of either saline solution or silicone gel are inserted under the breast beneath the pectoral muscle or mammary gland. Incisions are then closed with stitches; the incisions used for augmentation mastopexy are longer than those for augmentation alone, which requires only an incision in the breast crease, the bottom of the areola or the armpit.
Breast Lift Augmentation Recovery
For a few days following augmentation mastopexy, patients are likely to have bruising, soreness and swelling that may last for several weeks. Breasts are usually wrapped in an elastic bandage or a surgical bra for about a week; a support bra is then worn continuously for a month. Stitches are removed after 1 to 2 weeks. Most patients return to work within a week; exercise and other strenuous activity should be avoided until the surgeon believes the patient to be sufficiently healed.
Breast Augmentation with Breast Lift Before and After
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Mastopexy with Augmentation Risks and Complications
In addition to the usual risks associated with surgery and anesthesia, risks specific to augmentation mastopexy include the following:
- Capsular contracture (hardening of scar tissue around implant)
- Implant leaks and ruptures
- Implant deflation or shifting
- Temporary or permanent change in nipple/breast sensation
- Irregularities in breast contour/shape
- Partial or total loss of nipple/areola skin
Depending on the incision type used, augmentation mastopexy can produce visible scars, although, in most cases, scars fade over time, becoming much less apparent.
Although there are instances in which they last several decades, breast implants are not meant to last a lifetime. Women who want to maintain the size and shape of their breasts may need to undergo additional surgeries to maintain their results.
Schedule a consultation
If you are interested in Mastopexy Surgery and would like to see if you are a good candidate, call (713) 271-9000 to schedule a consultation. Dr. Altamira has plastic surgery offices located in Houston and Sugar Land, Texas.