For women who have small breasts that are saggy, a breast lift with implants can be a great option to consider. The implants increase the size of the breasts, improving upper pole fullness and cleavage. The breast lift portion of the procedure can raise the breasts and nipple position, make the breasts rounder and perkier, adjust the size and shape of the areolas and improve symmetry. This is commonly performed as a single operation or can be staged for some situations. It’s a powerful procedure that goes a long way to enhance the breast appearance.
Who is a candidate for a breast lift with implants?
Good candidates for a breast lift with implants are healthy patients who have small, saggy breasts. Often, women who have a history of multiple pregnancies and breast feeding or massive weight loss are great candidates for this procedure. Smokers are not candidates for this procedure and are encouraged to stop smoking for at least a month prior to surgery. The breast lift with implants should ideally be performed after you are completed with childbearing and at least 6 months after completion of breast-feeding. If indicated, you may need to have a mammogram before your surgery.
How is a breast lift with implants performed?
After implant selection is determined by chest measurements and trying on different sizers, the appropriate breast lift technique will be decided based on the extent of loose, saggy, breast skin. For severe breast ptosis (saggy breasts), an “anchor” shaped incision is made. This incision goes around the perimeter of the areola, extends down to the breast crease and continues horizontally along the breast crease. For moderate saggy breasts, a “lollipop” shaped incision is made around the perimeter of the areola and extends down to the breast crease only. For mild degree of sagging, a “donut” or circumareolar incision is made around the perimeter of the areola only. Dr. Farris makes every attempt to minimize scarring. For this reason, the procedure typically starts with implant placement through a small incision. This fills the loose breast skin and reduces the amount saggy skin left to remove as part of the breast lift. By doing this, the extent of your scar is minimized as opposed to committing to a large breast lift incision initially followed by implant placement. Implants are usually placed in a submuscular dual plane.
What to expect after surgery?
Dr. Farris and his staff will provide specific instructions regarding your breast lift with implants surgery. You will be able to go home the same day after surgery and have a follow up appointment within one week. Postoperative pain is limited. A surgical bra will be worn until the first postop visit and a snug sports bra may be used after that. Stitches are placed under the skin during surgery so there is nothing to remove in the office. An underwire bra may be used beginning at 4 weeks after surgery. Avoid strenuous activity or heavy lifting for 3-4 weeks. You may use vitamin E cream and scar products beginning 3 weeks after surgery to optimize healing of your scars. Scars change in appearance and improve over time up to 12 months.
- What is a breast lift with implants?
This is a procedure that combines a breast augmentation using breast implants with a breast lift (mastopexy). Patients who have small droopy, saggy breasts can benefit from this combined procedure.
- What is the advantage of combining a breast lift with augmentation?
By combining these procedures, you are able to add volume to the breast and have more upper pole fullness while eliminating the excess saggy skin. This is done in one sitting and avoids any planned second stage procedure with additional anesthesia. By placing the implant in first, most of the loose skin is “filled up” with the implant and any residual skin excess is eliminated with a mastopexy or breast lift. As a consequence, less skin is removed after implant placement, therefore resulting in a more limited mastopexy incision pattern and less scarring.
- What are the risks of a breast lift with implants?
Like any other surgery, there is a certain amount of risk for complications. These include but are not limited to infection, bleeding, fluid collection, implant rupture, capsular contracture, asymmetry, wrinkling and poor scarring.