Breast lift with an augmentation (mastopexy augmentation) is an incredible procedure that can dramatically improve the shape and size of a woman’s breasts. The vast majority of breasts lifts can be done at the same time as the augmentation; occasionally in extreme cases patients will need to have the two procedures done in separate settings.
A breast lift will tighten and shape the breast, while the augmentation will give the breast a more full and youthful appearance. There is a limitation to the size of the breast implant that can be used with a lift and augmentation when they are done in the same setting as your surgeon is doing two opposing procedures, tightening the breast and increasing the size.
A breast lift with augmentation is great for patients who have both lost volume in their breasts and the breasts have fallen. Obviously the benefit of doing both procedures at the same time is that patients can avoid a second surgery. With that said I would follow your surgeon’s recommendations, as they will typically recommend two surgeries if they think that will help you avoid any problems following your surgery.
Please consult with your board certified plastic surgeon to help guide you through your breast lift and augmentation (mastopexy augmentation) surgery.
Tuberous breasts are more common than most women realize. Tuberous breast deformity is when patients have a constricted breast that causes them to be “tubular” in shape. They also tend to have larger areolas and the breasts tend to point downward.
The treatment for tuberous breasts is typically a peri-areolar lift with augmentation. The Lift is limited to around the areola as this incision hides well in the natural color transition of the areola and the normal skin. This also allows your surgeon to decrease the size of the areola and lift it into the proper position.
The breast augmentation portion will help shape the breast. Your plastic surgeon will release the internal constriction bands in your breasts that are causing the breast to have more of a tubular shape. With time the skin and breast tissue will stretch to accommodate the breast implant and improve the overall shape of the breast. Giving the breast a rounder more aesthetically pleasing appearance over the next couple of months after your surgery.
I would recommend seeing a board certified plastic surgeon that has experience treating tuberous breasts and performing peri-areolar lifts as it is possible to achieve a great result from your breast augmentation surgery.
This is a great question as there are a variety of lift options for patients. A breast lift with implants is a unique procedure in that it is decreasing the skin envelope while enhancing the overall size of the breast. The combination of tightening the skin and lifting the breast while augmenting them can be a very powerful surgery in improving the overall appearance of your breast. There is several ways to do this depending on your individual situation.
The first is a peri-areolar augmentation mastopexy. This involves a minimal lift of the nipple areolar complex and placement of a breast implant. This limits the incision to only around the areola. It is well hidden in this natural transition. This is a great option for patients that have very little extra skin, but the nipples are just slightly down. The peri-areolar lift will reposition the nipple at the center of the implant. The implant will give the breast the volume and shape that a patient needs to achieve an aesthetically please result.
The second technique is a vertical lift with augmentation. This is used for patients that have excess skin and inferior displacement of the nipples. This will allow your surgeon to lift your breasts, remove the excess skin from the breasts and enhance them with an implant. This is used for patients with mild ptosis of their breasts.
Lastly is a full lift with augmentation. This is where a complete mastopexy is performed with the augmentation. The procedure allows your surgeon to remove the most skin possible and make you as tight and high that he can do safely. He will then use the breast implant to restore the upper pole fullness that has been lost over time. The results after a full mastopexy with implant can be dramatic as the excess skin is removed and the breast can bet tightened around the new breast implant.
Which lift and implant is best for you needs to be a decision between you and your board certified plastic surgeon. This will be decided based on your physical exam and the aesthetic goals for your breast.
Have a question that has not been answered here? Contact board certified plastic surgeon Johnny Franco, M.D. for more information!