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Breast Augmentation With Lift
A breast augmentation with a mastopexy (lift) is a cosmetic breast surgery performed under general anesthesia that addresses excess skin, sagging breast tissue, a lack of fullness – particularly in the upper portion and breast cleavage – and improves the feel of the breast. The result are breasts that are ideally shaped with a soft natural bottom curve and fullness at the top creating a cleavage that is feminine and tasteful. It is common to combine this surgery with others such as an Abdominoplasty (Tummy Tuck) and Liposuction. Performing a Breast Augmentation in conjunction with another can be performed safely and efficiently.
• Peri-Areolar Breast Lift: This technique is performed by placing a circular incision around the entire outer edge of your areola, resulting in a minimally visible scar. The peri-areolar breast lift technique is a great option for women with a mild degree of sagging. Although, when used by a skilled surgeon in conjunction with breast implants, this technique can produce satisfactory results for women with a moderate degree of sagging.
• Vertical Breast Lift: The vertical lift involves an incision around the perimeter of the areola and another vertical incision made from the bottom of the areola down to the natural breast crease. The vertical lift is ideal for women who have moderate breast sagging and require more reshaping of the breast. The shape of the incisions resembles a lollipop, hence the nickname “lollipop lift.”
This technique is suitable for women with a moderate degree of sagging who will not be helped sufficiently by less invasive techniques.
• Anchor Breast Lift: This procedure requires the placement of incisions shaped like an anchor. This lifting technique is reserved for women who require dramatic reshaping to improve more significant sagging and will not be helped sufficiently by less invasive techniques. The anchor incision is the oldest technique used for breast lifts and is the desired technique in large-volume breast reductions. The incision is made around the perimeter of the areola, vertically down from the areola to the breast crease and horizontally along the breast crease.
How It Works
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Before & After
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Frequently Asked Questions
A breast lift with implants combines two surgeries into one. A breast lift, also called a mastopexy, is when a plastic surgeon lifts and reshapes the skin and tissue of the breasts to give them a more lifted and round appearance. With implants or breast augmentation, the breast is enlarged by placing silicone or saline implants into the breast. In a combined procedure, not only are the breasts lifted, but also enlarged.
As women get older, breasts lose their elasticity. This can cause them to sag or droop, especially if they’ve gained or lost weight. A breast lift raises the breasts and reshapes them to be rounder. In breast augmentation, or when you get implants, an implant is surgically placed behind each of your breasts. The implants are either behind the chest muscles or behind your breast tissue. Implants alone won’t usually lift your breasts if they are sagging.
Together, a breast lift with implants will both lift your breasts, reshape them to make them rounder, and increase your cup size.
The procedure can vary, depending on the size and shape of your breasts, how much lift you might need, and your implants. Prior to surgery, a full medical history will be taken and patient education will be discussed: the risks of the surgery, what you should and should not do before and after the procedure, and when to call the doctor.
There are many different kinds of breast lift techniques, but the one that is chosen will be based on your physical exam and goals of surgery. Generally, the procedure involves the following:
The surgeon will assess and mark you while you’re standing, to see the lifted position of the nipple on the breast.
• You will be given general anesthesia.
• The surgeon will make an incision around the areola, extending down the front of the breast.
• Your breasts will be lifted and reshaped, and the implant will be placed.
• If necessary, your areolas will be moved to the correct position on your breasts.
• Incisions will be closed with stitches or surgical tape.
After your surgery, you will be groggy and tired due to the anesthesia. You may have to wear an elastic bandage or special support bra to support your breasts and help with healing. A drain may be placed under the skin to help with excess blood or fluid, and you will be given pain medication. You will also be given instructions to follow after surgery, including:
• how to care for your breasts and when to shower
• medications to apply or take
• any specific things you should look for along the incisions or with healing
• which activities to avoid
• when to come back for your post-op visit(s)
It’s important to note that, since every woman’s body is unique, there is no exact timeline for recovery. However, most surgeons agree that a full recovery can take on average six weeks or so, and women may notice that they feel perfectly fine after about a week.
In preparation for surgery, you might have to do several things, including:
• get lab testing or a medical evaluation
• take certain medications or adjust your current ones
• get a baseline mammogram prior to surgery and after surgery to help find any changes in the breast tissue in the future
• quit smoking
• refrain from taking aspirin, anti-inflammatory drugs, or any supplements, since these may increase bleeding
• make arrabgements for someone to drive you to and from the surgery, and to stay with you overnight for the first night or longer.
You will also be asked about your goals regarding breast size and fullness, and any concerns you might have about this. A complete medical history will be taken, including any family or personal history of breast cancer, and whether you want to breastfeed in the future.
Before your surgery, ask your surgeon about any specific questions you might have about recovery, healing, activities you can and cannot do, when you can return to work, and what to expect.
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