Combining Breast Lift with Augmentation: Dual Benefits

Key Takeaways:

• Combining breast lift with augmentation addresses sagging and volume loss

• The procedure can improve breast shape, size, and position

• Recovery time is similar to a standalone breast lift or augmentation

• Choosing the right implant size and type is crucial for optimal results

• Consultation with a board-certified plastic surgeon is essential

• The combined procedure may be more cost-effective than separate surgeries

Combining a breast lift with augmentation is a popular cosmetic surgery option that addresses both sagging and volume loss in a single procedure. This combination approach can provide patients with improved breast shape, size, and position, resulting in a more youthful and proportionate appearance. By tackling multiple concerns at once, patients can achieve comprehensive breast enhancement with a single recovery period.

Understanding the Combination Procedure

A breast lift with augmentation, also known as augmentation-mastopexy, is a surgical procedure that combines the benefits of a breast lift (mastopexy) with breast implants (augmentation). This approach is ideal for patients who want to address breast sagging while also increasing their breast size or restoring lost volume.

How the Procedure Works

During the surgery, the plastic surgeon will first perform the breast lift portion of the procedure. This involves removing excess skin, reshaping the breast tissue, and repositioning the nipple-areola complex to a higher, more youthful position. Once the lift is complete, the surgeon will create a pocket for the breast implant, either above or below the chest muscle, depending on the patient's anatomy and desired outcome.

Benefits of Combining Procedures

There are several advantages to combining a breast lift with augmentation:

1. Comprehensive results: Patients can address multiple concerns in a single surgery

2. Reduced recovery time: Only one recovery period is needed instead of two separate ones

3. Cost-effectiveness: Combining procedures may be more affordable than having them done separately

4. Improved overall breast appearance: The combination can provide better shape, size, and position

Candidates for Breast Lift with Augmentation

Not everyone is a suitable candidate for this combined procedure. Ideal candidates typically:

• Have sagging breasts (ptosis) with loss of volume

• Are in good overall health

• Have realistic expectations about the outcome

• Are non-smokers or willing to quit before surgery

• Have completed childbearing and breastfeeding

It's important to note that patients with very large breasts or severe sagging may not be good candidates for the combined procedure and may benefit more from separate surgeries.

Planning Your Surgery

Consultation Process

The first step in planning your breast lift with augmentation is to schedule a consultation with a board-certified plastic surgeon. During this appointment, you'll discuss your goals, medical history, and any concerns you may have. The surgeon will examine your breasts and take measurements to determine the best approach for your unique anatomy.

Choosing the Right Implants

Selecting the appropriate implants is crucial for achieving your desired results. Your surgeon will help you choose the best implant type, size, and shape based on your body proportions, existing breast tissue, and aesthetic goals. Options include:

• Saline implants

• Silicone gel implants

• Highly cohesive silicone (gummy bear) implants

Preparing for Surgery

In the weeks leading up to your procedure, your surgeon will provide specific instructions to help you prepare. These may include:

• Stopping certain medications or supplements

• Quitting smoking

• Arranging for someone to drive you home after surgery

• Preparing your recovery area at home

The Surgical Procedure

Anesthesia and Incisions

Breast lift with augmentation is typically performed under general anesthesia. The surgeon will make incisions based on the degree of lift needed and the size of the implants. Common incision patterns include:

• Periareolar (around the areola)

• Vertical (lollipop)

• Inverted-T (anchor)

Implant Placement

After making the incisions, the surgeon will create a pocket for the implant. The two main placement options are:

1. Submuscular: Under the chest muscle

2. Subglandular: Over the chest muscle, but under the breast tissue

The choice of placement depends on factors such as your body type, implant size, and desired outcome.

Closing the Incisions

Once the implants are in place and the breast tissue is reshaped, the surgeon will close the incisions with sutures. In some cases, drainage tubes may be placed to help remove excess fluid during the initial healing period.

Recovery and Aftercare

Immediate Post-Op Period

After surgery, you'll be taken to a recovery area where you'll be monitored for a short time before being discharged. You'll need someone to drive you home and stay with you for at least the first 24 hours.

First Week of Recovery

During the first week, you can expect:

• Swelling and bruising

• Discomfort managed with prescribed pain medication

• Limited arm movement

• Wearing a surgical bra or compression garment

Long-term Recovery

Most patients can return to work within 1-2 weeks, depending on the nature of their job. However, full recovery and final results may take several months. Your surgeon will provide specific guidelines for:

• Resuming exercise and strenuous activities

• Wearing underwire bras

• Sleeping positions

• Scar care

Potential Risks and Complications

As with any surgical procedure, there are risks associated with combining breast lift and augmentation. These may include:

• Infection

• Bleeding

• Changes in nipple or breast sensation

• Implant rupture or displacement

• Capsular contracture

• Asymmetry

• Unsatisfactory aesthetic results

Your surgeon will discuss these risks in detail during your consultation and provide instructions to minimize complications.

Cost Considerations

The cost of combining breast lift with augmentation can vary widely depending on factors such as:

• Surgeon's experience and geographic location

• Type of implants used

• Facility fees and anesthesia costs

• Post-operative care and garments

While the combined procedure may have a higher upfront cost than a standalone breast lift or augmentation, it can be more cost-effective in the long run compared to having two separate surgeries.

*Note: These are estimated ranges and may vary based on individual factors and location.

Long-term Results and Maintenance

Expected Longevity of Results

The results of a breast lift with augmentation can be long-lasting, but they are not permanent. Factors that can affect the longevity of your results include:

• Aging

• Weight fluctuations

• Pregnancy and breastfeeding

• Implant lifespan

Follow-up Care

Regular follow-up appointments with your surgeon are essential for monitoring your results and addressing any concerns. These visits typically occur:

• 1 week post-op

• 1 month post-op

• 3 months post-op

• 6 months post-op

• Annually thereafter

Maintaining Your Results

To help maintain your results:

• Maintain a stable weight

• Wear supportive bras, especially during exercise

• Follow a healthy lifestyle

• Attend regular check-ups with your surgeon

Comparing Breast Lift with Augmentation to Other Procedures

Patient Satisfaction and Outcomes

Many patients report high satisfaction rates with combined breast lift and augmentation procedures. Benefits often include:

• Improved breast shape and position

• Increased breast volume

• Enhanced body proportions

• Boosted self-confidence

However, it's important to have realistic expectations and understand that results can vary from person to person.

Choosing the Right Surgeon

Selecting a qualified, experienced plastic surgeon is crucial for achieving the best possible results. When choosing a surgeon:

• Verify board certification

• Review before and after photos of previous patients

• Read patient reviews and testimonials

• Ask about the surgeon's experience with combined procedures

• Ensure you feel comfortable and confident with their approach

• Combining Breast Lift with Augmentation: According to the American Society of Plastic Surgeons (ASPS), in 2020, there were 111,706 combined procedures of breast lift and augmentation performed in the United States, accounting for 7.2% of all breast procedures.

• Age: The average age of women undergoing combined breast lift and augmentation procedures is 45 years, according to a study published in the Aesthetic Surgery Journal.

• Recovery: The recovery time for combined breast lift and augmentation procedures can vary, but most patients can return to work and normal activities within 1-2 weeks.

• Cost: The average cost of a combined breast lift and augmentation procedure in the United States is around $6,500, according to RealSelf.

Conclusion

Combining breast lift with augmentation can be an effective way to address both sagging and volume loss in a single procedure. By understanding the process, potential risks, and expected outcomes, you can make an informed decision about whether this combined approach is right for you. Always consult with a board-certified plastic surgeon to discuss your specific goals and determine the best treatment plan for your unique needs.