Austin Weston, The Center For Cosmetic Surgery

Breast Augmentation with Lift

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For women who are unsatisfied with the shape and size of their breasts, a breast augmentation combined with breast lift, also known as augmentation mastopexy, can help breasts appear fuller, rounder, perkier, and more youthful. The augmentation portion of the procedure gives the breast more volume and cleavage, and the breast lift portion of the procedure lifts drooping breast tissue and nipple up into the appropriate position.


What type of scars will I have after breast augmentation with lift?

Types of Breast Lift Scars

Types of Breast Lift Scars

Depending on your individual breast enhancement goals, there are several variations of breast lift surgery performed by our board-certified cosmetic surgeons. The three most common incision patterns are anchor (final scar that goes around the nipple, down the front of the breast, and also under the breast), lollipop (around the areola and down the front of the breast) or circumareolar (final scar around nipple).

In each type of breast lift procedure, your surgeon removes excess skin and tissue to lift and tighten the bust line. This process reverses the effects of aging and pregnancy to give you perkier, younger-looking breasts. Many patients choose to combine breast lift surgery with breast augmentation for a more complete and beautiful transformation. The type of lift that is best for your body is determined at the time of your complimentary consultation. The factors that dictate the type of lift performed include patient preference, degree of droop and size of implant chosen.

How do I know if I need a lift or an implant or both?

This is a complex question and must be individualized to each patient individually. For some patients, the decision is very straight forward, and for others, there may be more compromise. At one end of the spectrum is the patient with extremely deflated and droopy breasts with goals of having lifted and larger breasts and who is fine with having any sort of scar for a nicely-shaped breast. She is really only a candidate for an augmentation with a breast lift (mastopexy).

The other end of the spectum is a patient who only wants a very minimal increase in size, but also wants to avoid any sort of lift scar. This patient may choose a larger implant in order to have less of a scar on the surface of the breast. A breast implant alone does rotate and lift the breast to a small degree, so for patients who only need a little lift, a modestly-sized breast implant may achieve their goal.

If you are considering breast augmentation with lift, the best thing to do is come talk with one of our board-certified plastic surgeons in the Washington DC Metro area. There is a reason Austin-Weston has been voted Best Plastic Surgeons in Northern Virginia and Best Plastic Surgeons in Washington DC multiple consecutive years. Our surgeons are great listeners and do their best to give patients exactly what they want.

For more information on breast implant sizing, please visit our page on Breast Augmentation.

What is the recovery and what are the risks associated with performing a breast augmentation with lift at the same time?

Most women take a week off work to recover from breast augmentation with lift. The procedure is performed under general anesthesia and takes around 2-3 hours to perform. Patients are typically off daytime pain medication by the 1-week mark, but may still require some pain medication at night to rest comfortably. The plastic surgeons at Austin-Weston ask patients to avoid strenuous activity for the first week post--operatively and to avoid chest pectoralis muscle exercises for 6 weeks.

Regarding risks, it is important to understand that performing a breast augmentation with lift uses opposing forces. The lift portion of the procedure makes the skin of the breast tighter and less saggy by pulling tissues together, but the augmentation makes the breast larger and pushes the breast tissue and skin away from the chest. These opposing forces mean the risk of problems such as widened scars is higher for breast augmentation with lift than it is for augmentation or breast lift by themselves. This increased risk means a higher rate of corrective surgery is needed for this complex procedure. For that patient that needs a significant amount of lifting done, and also wants to choose a large implant, your surgeon may choose to do the procedure in stages. This means the breast is lifted at the first surgery, and then the implant is placed at a second surgery.

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