How is a Breast Lift with Implants performed?
Your breast augmentation and lift procedure is performed by me, Dr. Rodriguez, in our AAAASF Accredited Surgery center located here in Baltimore. I use IV sedation instead of General Anesthesia to make your recovery as quick as possible. For the utmost safety, your anesthesia is administered only by Board Certified Anesthesiologists.
Breasts sag when the skin gets looser and when the amount of breast tissue decreases. There are two ways to tackle the problem. The problem of loose skin is covered with the breast lift (mastopexy) procedure.
To address the issue of loss of volume or fullness in the breast, a breast augmentation (implant) is often recommended at the same time as the lift. The breast implant fills up the extra skin of the breast. Breast implants manufactured by Allergan Corporation and Mentor Corporation work well to restore the fullness that was in the upper aspect of the breasts.
In some cases with just slight sagging of the breasts, an implant alone without any additional mastopexy (breast lift) may lift the breast. In most cases, the implant is placed beneath the pectoral muscle and the breast lift is then performed. The shape of the breast mound is usually better when both breast augmentation and breast lift are performed together.
The placement of an implant (even a small one) will fill out the top part of the breast and improve the projection. This additional weight on the chest may accelerate the rate of ongoing breast ptosis if the implant is placed above the muscle. For this reason, the implant is usually placed below the muscle.
Is that too much surgery to do on the breast all at one time?
No. We perform the combination breast lift with breast augmentation on a frequent basis. The down time for a breast lift with implants is no more than if either procedure was performed alone.
We find that when mastopexy (breast lift) and augmentation are done at the same time, less skin has to be removed, therefore resulting in less scarring. Most of our mastopexy-augmentations are done using the crescent or partial circumareolar incision. Only in very droopy breasts do we use the 'lollipop' incision. To get a better idea of the various techniques and the types of scars associated with each one, see our blog post that covers the scars associated with different breast techniques?.
Can I get more cleavage from a lift with implants?
Yes, increased cleavage is easily attained with this procedure. However, there are two types of cleavage: medial cleavage and upper pole fullness. Dr. Rodriguez discusses the difference between the two in his blog post covering the types of breast cleavage.