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Breast Augmentation with Lift

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Breast augmentation with lift, also known as mastopexy with implants, is a procedure that combines breast augmentation surgery (the placement of implants to increase breast volume) with a breast lift (the removal of excess skin and reshaping of breast tissue to provide a more lifted appearance).

This effective combination allows women to achieve fuller, more youthful-looking breasts while also addressing concerns such as sagging or drooping. Breast augmentation with lift surgery can provide patients with improved breast shape, increased volume, enhanced cleavage, and a more proportionate figure.

With decades of experience as a board-certified plastic surgeon in New York City, Dr. John E. Sherman can create a personalized treatment plan for your breast enhancement so you can achieve the results of your dreams. Get in touch with us by calling (212) 535-2300 or by filling out our online contact form for more details.

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About Augmentation with Lift Procedures

As women age, experience fluctuations in weight, or undergo pregnancy and breastfeeding, the breasts may lose elasticity and begin to sag or droop. A breast lift, or mastopexy, can restore a more youthful and perky breast contour by lifting and reshaping the breast tissue. When combined with breast augmentation, the procedure can also add volume and fullness to achieve desired breast size and shape.

There are several different techniques available for breast augmentation with lift, allowing Dr. Sherman to tailor the procedure to each patient’s unique anatomy and desired outcome. The specific technique used will depend on factors such as the degree of breast sagging, the amount of breast tissue, nipple position, and individual patient goals. Some common types of breast augmentation with lift include:

Periareolar Breast Lift with Implants

This technique involves making an incision around the areola to remove excess skin and reshape the breast tissue. The implant is then inserted through this incision, or from a separate incision below the breast, providing both lift and volume.

Vertical Breast Lift with Implants

Also known as a lollipop lift, this technique involves making a keyhole-shaped incision around the areola and vertically down to the inframammary fold. Dr. Sherman removes excess skin, and the breast tissue is reshaped and lifted. Implants can be placed in conjunction with the lift for added volume.

Anchor Incision Breast Lift with Implants

This method, sometimes called an inverted-T or Wise pattern lift, involves making an anchor-shaped incision that encircles the areola, extends vertically down to the inframammary fold, and continues horizontally along the fold. ⁽¹⁾ Through this incision, Dr. Sherman removes excess skin, and the breast tissue is lifted and reshaped. Implants can be inserted at the same time to achieve the desired volume.

Dual Plane Breast Augmentation with Lift

This technique combines the placement of breast implants both behind and in front of the pectoral muscle, allowing for improved shaping and support while lifting and enhancing the breasts.

Breast Ptosis Scale

Surgeons measure breast sagging according to where the nipple lies on the breast mound: ⁽²⁾

Grade 1: Mild Ptosis: The nipple is at the level of the inframammary fold.

Grade 2: Moderate Ptosis: The nipple is below the level of the inframammary fold but is not the most dependent part of the breast.

Grade 3: Severe Ptosis: The nipple is below the inframammary fold and is the most dependent part of the breast.

Benefits of a Breast Augmentation with Lift

Augmentation with lift offers numerous benefits to patients seeking to enhance the appearance of their breasts:

Reduction or Elimination of Sagging: This procedure can effectively correct breast ptosis (sagging) by removing excess skin and repositioning the breast tissue higher on the chest wall.
Enhanced Breast Shape: With breast augmentation, patients can achieve rounder, fuller, and more symmetrical breasts.
Improved Cleavage: By carefully choosing the appropriate implant size and positioning during surgery, Dr. Sherman can create natural-looking cleavage.
More Proportionate Figure: Breast augmentation with lift can create a more balanced and proportionate silhouette, enhancing overall body aesthetics.
Youthful Appearance: Breast augmentation with lift can restore a more youthful, perky, and uplifted breast appearance that may have been lost due to factors such as pregnancy, weight loss, or aging.
Increased Confidence: Many women experience a boost in self-confidence and body image after achieving their desired breast size and shape.

Who is a Candidate?

Women seeking breast augmentation with lift desire an increase in breast size and fullness. Candidates typically have mild to moderate breast sagging, commonly due to weight loss, pregnancy, breastfeeding, age-related changes, or naturally occurring breast ptosis. Women who are considering breast augmentation with a lift should meet certain candidacy requirements to ensure optimal results and minimize potential risks.

Candidates should:

Be in good physical health, free from medical conditions that could pose a risk during surgery or impede the healing process
Be committed to quitting smoking before undergoing surgery and abstain during the recovery period
Be at a stable weight, as significant weight fluctuations can impact the long-term results of breast augmentation with lift
Have realistic expectations about the results that can be achieved through surgery

Personal Consultation

To determine if breast augmentation with lift is the right procedure for you, we recommend scheduling a personal consultation with Dr. Sherman at our state-of-the-art practice in Manhattan. During your consultation, Dr. Sherman will thoroughly evaluate your medical history, discuss your cosmetic concerns, and conduct a careful examination of your breasts’ shape, skin elasticity, nipple position, and overall breast aesthetics. This evaluation will help Dr. Sherman develop an individualized treatment plan tailored to your unique anatomy and goals.

Preparation

Once you have scheduled your surgery, our team will provide you with detailed preoperative instructions to ensure a smooth procedure and optimal recovery. These instructions may include:

Discontinuing Blood Thinners and Supplements: Certain medications and supplements, such as aspirin and ibuprofen, can increase the risk of bleeding during and after surgery. You may be advised to stop taking any blood-thinning medications or supplements for a specified period before your surgery.
Nicotine and Smoking Cessation: Smoking and nicotine use can impair healing and increase the risk of complications. Candidates should refrain from smoking or using any nicotine products in the weeks leading up to their surgery and continue to do so throughout the recovery process.
Prescription Medications: Dr. Sherman will order prescriptions for pain medication and antibiotics, which should be filled in advance of your procedure.
Transportation and Support: Breast augmentation with lift is typically performed under general anesthesia or intravenous sedation. It is crucial to arrange for transportation to and from the surgical facility on the day of your procedure. Having someone accompany you and stay with you during the initial days of recovery is also recommended.
Time Off and Rest: It is important to arrange time off from work and limit social commitments to allow for proper rest and healing post-surgery.

Procedure

Before the breast augmentation with lift procedure commences, you will have the opportunity to review all the details of your treatment plan with Dr. Sherman. Together, you will discuss your desired breast size, the type of implants to be used, the incision technique, and the expected outcome.

During the surgery, Dr. Sherman will carefully place the chosen implants to achieve the desired breast volume and shape. If necessary, excess skin will be removed, and the breast tissue will be reshaped and lifted to provide a more youthful appearance. Dr. Sherman will utilize advanced surgical techniques to ensure minimal scarring and beautifully proportioned results.

The specific technique used, as well as the type and placement of implants, will depend on your individual anatomy, desired outcome, and Dr. Sherman’s expert assessment.

Recovery & Results

Following your breast augmentation with lift surgery, you can expect a recovery period during which you will need to follow postoperative instructions carefully. Your breasts will be bandaged and supported to minimize swelling and optimize healing. Swelling and bruising are normal after the procedure and should subside gradually over time.

To facilitate proper healing, keep your head elevated above your heart when resting and avoid applying ice to the treated area as it can interfere with blood flow. Discomfort can typically be managed with prescribed pain medication. We will schedule follow-up appointments with Dr. Sherman to monitor your healing progress and address any concerns that may arise.

Most patients can return to work within two weeks unless their occupation involves significant physical exertion or heavy lifting. You should avoid vigorous exercise and strenuous activities for several weeks following surgery or until cleared by Dr. Sherman. It is essential to follow all postoperative instructions to ensure safe and optimal recovery.

Corresponding Procedure: The Mommy Makeover

Mommy Makeover

The mommy makeover is a custom combination of procedures designed to restore and rejuvenate a woman’s post-pregnancy body. Pregnancy, childbirth, and breastfeeding can have significant physical effects on a woman, including changes in the breasts, abdomen, and other areas. The mommy makeover seeks to address these concerns and help women regain their pre-pregnancy bodies, or even achieve an enhanced version of it.

A mommy makeover typically includes a combination of breast enhancement, tummy tuck (abdominoplasty), and liposuction. These procedures are tailored to each patient’s goals and concerns.

Cost of Breast Augmentation with Lift in New York City

The cost of breast augmentation with lift varies depending on factors such as the specific technique used, the type of implants chosen, and any additional procedures performed. Dr. Sherman will provide you with a detailed, personalized estimate after your consultation. Our practice offers various financing options to make your desired procedure more affordable.

For more information about the cost and financial aspects of breast augmentation with lift, please contact our office at (212) 535-2300.

FAQ

What are some alternatives to a breast lift?

If you only want larger breasts without addressing sagging, breast augmentation alone may be sufficient. However, if you have severe sagging, a breast lift may be necessary. During your consultation, your surgeon will assess your unique case and recommend the most appropriate treatment option.

Can a breast lift address breast asymmetry?

Yes, a breast lift can help correct breast asymmetry by adjusting the size, shape, and position of each breast individually. This can result in a more balanced and symmetrical appearance.

Can I combine a breast lift with other procedures?

Yes, many patients choose to combine a breast lift with additional procedures such as a tummy tuck or liposuction to achieve more comprehensive body rejuvenation. Your surgeon will discuss all available options during your consultation and recommend the best approach based on your individual goals.

References

Hubaide M, Ono MT, Karner BM, Martins LV, Pires JA. Safe Augmentation Mastopexy: Review of 500 Consecutive Cases Using a Vertical Approach and Muscular Sling. Plastic and Reconstructive Surgery – Global Open. 2024;12(1):e5504-e5504. doi:https://doi.org/10.1097/gox.0000000000005504
Martinez AA, Chung S. Breast Ptosis. PubMed. Published 2021. https://www.ncbi.nlm.nih.gov/books/NBK567792/