Breast Augmentation: Cost, Reviews, Photos

Can I have simultaneous mastopexy together with breast augmentation?

While surgeons differ in their approach to breast lifting when breast augmentation is necessary, I usually perform them simultaneously.

Although you didn’t include photos of your breasts I would probably not use 690cc implants at the same time I perform the lifting.

It carries a higher possibility of skin breakdown and infection. I would suggest the surgeon to use sizers at the time of surgery and see which is the largest size that your breasts seem to tolerate. (George Lefkovits, MD, New York Plastic Surgeon)

Simultaneous mastopexy and augmentation?

Mastopexy and augmentation image

In the majority of cases the lift and augmentation can be done safely at the same time. But there is the occassional patient who will have disasterous results that could include loss of one or both nipples. It is not possible to always predict which patient that will be. My personal feeling is that this small risk is NOT worth taking and if doing anything other than a periareolar lift I will always do the lift first and 3 months later the augmentation can be done without the increased risk. (Ronald V. DeMars, MD, Portland Plastic Surgeon)

Breast aug and mastopexy

There are cases where these procedures can be safely combined and others where it is best off being done as a staged procedure. If the nipples need to be lifted three or more inches and you are going with large implants, doing the procedures separately is safer and also gives the best final result. From your description that may be the case in your situation. (Ronald J. Edelson, MD, San Diego Plastic Surgeon)

Mastopexy and augmentation gallery

Every surgeon has his/her reasons for doing a particular procedure or not. This is based on that surgeon’s experience, your examination and desired goals. You need to go with the surgeon who has the experience to produce the results you want based on other patients similar to you. (Earl Stephenson, Jr., MD, DDS, Atlanta Plastic Surgeon)

Mastopexy and augmentation at the same time?

An augmentation will correct sag roughly in proportion to the size of the implant. For many patients who think they need a mastopexy, a good augmentation is often a better choice. My advice to these types of patients is generally to choose the largest implant they feel they can be happy with, because that will give them the most uplift. Some do not want an implant large enough to correct their sag, and that’s a decision best made by them. A mastopexy removes skin and therefore the amount of tissue in your bra will be less.

Mastopexy and augmentation patient

The total size difference can’t be accurately determined until after the mastopexy and healing. It’s for this reason I favor mastopexy, then healing, then choose a size of implant you feel will give you the size breast you want. That means two surgeries, but I think it gives you more input toward the final size of your breast.

You have a common and difficult problem and no one answer will be right for everyone. Give your options some thought and then tell your surgeon what you think will be best for you. (Joseph Hayhurst, MD, Oklahoma City Plastic Surgeon)

Implant mastopexy simultaneously

Mastopexy and augmentation photo

I typically perform this procedure at the same time as most patients don’t want 2 surgeries. Most patients are happy with this approach.

In inexperienced hands, the risk is greater but after having done hundreds off these surgeries, I think an intimate understanding of the blood flow and an ability to tailor the surgery to each individual patient’s anatomy rather than a one approach fits all, is crucial. Review your doctors before and after photos and good luck! (Sam M. Sukkar, MD, Scottsdale Plastic Surgeon)

Augmentation and lift can be safely performed at the same time.

There is no right or wrong answer with regards to which is better. I personally feel comfortable and actually prefer to perform a breast augmentation and breast lift at the same time.

Mastopexy and augmentation picture

If your goals are evaluated properly and the decision making process is made carefully the combination of augmentation and lift can be a very rewarding experience. (Remus Repta, MD, Phoenix Plastic Surgeon)

Two surgeries vs one which is better for my situation?

It can be confusing sometimes when you see multiple surgeons and you get multiple opinions. Technically neither opinion is wrong in terms of breaking things into two procedures vs doing everything at one time. Obviously, it is better to do everything with one surgery when it makes sense. I would say that if you haven’t had any previous breast surgeries and if you don’t have any other issues that would compromise your ability to heal (smoking, autoimmune disease, diabetes, etc) you can almost always do everything at the same time and expect excellent results. I would have to do a physical exam or at least see photos to be certain but that is typically the case with almost all of my patients. (Shaun Parson, MD, Orange County Plastic Surgeon)