Breast Augmentation + Lift

Breast augmentation mastopexy, also known as a breast lift with implants, is a combination procedure that involves both breast lift surgery (mastopexy) and breast augmentation with implants. This procedure is designed to lift sagging breasts while also enhancing their size and shape. Women often request this surgery after weight fluctuations or changes with pregnancy. Even when a breast implant is placed, the size of the breast that results from this procedure can be smaller, the same, or larger. The patient’s desired results and the proper surgical technique to achieve this result will be discussed with Dr. Landis.

Reasons for Breast Augmentation Mastopexy:

Breast augmentation mastopexy is suitable for individuals who are experiencing one or more of the following concerns:

• Sagging breasts: Over time, breasts may lose their natural shape and firmness due to factors such as pregnancy, breastfeeding, weight fluctuations, aging, or genetic predisposition. A breast lift can address the sagging, while breast augmentation can enhance the size and shape of the breasts.
• Inadequate breast volume: Some individuals may have naturally small or deflated breasts, which can contribute to a sagging appearance. Breast augmentation with implants can increase the size and volume of the breasts, while a breast lift can lift and reshape them.
• Imbalance or asymmetry: Breast augmentation mastopexy can help correct breast asymmetry, where one breast is larger or lower than the other. By combining a breast lift with implants, the surgeon can achieve a more balanced and symmetric appearance.

Procedure:

Breast augmentation mastopexy is performed under general anesthesia and takes approximately two hours, depending on the complexity of the case. Dr. Landis will make incisions to access the underlying breast tissue, remove excess skin, reshape the breast, and insert breast implants. There are different types of incisions that can be used during breast augmentation mastopexy, including:

• Anchor incision (inverted T): This is the most common incision technique, involving an incision around the areola, vertically down the breast, and horizontally along the breast crease. It allows for significant reshaping, lifting, and placement of the implants.
• Lollipop incision (vertical): This technique involves an incision around the areola and vertically down the breast but does not have the horizontal incision along the breast crease. It is suitable for individuals with moderate breast sagging and can accommodate the placement of implants.
• Donut incision (periareolar): This technique involves a circular incision around the areola. It is suitable for individuals with mild breast sagging and minimal excess skin.  

Dr. Landis will then lift and reshape the breast tissue, reposition the nipples and areolas, and remove any excess skin. Breast implants are inserted either above or below the pectoralis muscle, depending on various factors such as patient preference, breast tissue quality and quantity, and implant size. The incisions are closed with dissolvable suture, surgical tape dressings applied, and the patient is placed in a post-operative bra.

Recovery and Aftercare:

After breast augmentation mastopexy surgery, patients may experience temporary soreness, swelling, and bruising. A supportive bra is provided on the day of surgery and is worn continuously for the first week to minimize swelling and provide support during the healing process. It is essential to follow Dr. Landis’ post-operative instructions regarding medication, wound care, and physical activity restrictions.

Breast augmentation mastopexy patients are instructed to rest at home for one week, refraining from driving or lifting anything greater than 5 lbs. Patients may shower 2 days after surgery, but may not submerge in a bath tub or pool for 6 weeks. After one week a patient may return to normal daily activities and a desk job. Patients with a more physically demanding job may require more time off work. All patients are cleared at 3 weeks to slowly resume exercise activities. 

Potential Risks and Complications:

As with any surgical procedure, breast augmentation mastopexy surgery carries certain risks and potential complications. These may include:

• Infection
• Bleeding
• Capsular contracture (scar tissue formation around the implant)
• Implant rupture or leakage
• Changes in nipple or breast sensation
• Unfavorable scarring
• Anesthesia risks
• Asymmetry or unsatisfactory results

 Dr. Landis will discuss these with you and address any concerns or questions you may have before deciding to undergo breast augmentation mastopexy.

Cost:

Breast augmentation and lift cost includes the surgeon fee, facility fee, anesthesia fee, and any labs or imaging that may be required before or after surgery. The total cost for a breast augmentation and lift ranges from $10,000 -$14,000 and varies if any additional surgery is required. Dr. Landis will formulate a plan specific for each patient and a detailed estimate will be provided. CareCredit is available to our patients, and we’d be happy to discuss this option with you!

Conclusion:

Breast augmentation mastopexy is a personalized procedure that should be carefully considered in consultation with a qualified plastic surgeon. It combines the benefits of both breast lift surgery and breast augmentation to achieve lifted, fuller, and more youthful-looking breasts. By thoroughly researching and discussing your goals and concerns with Dr. Landis, you can make an informed decision about breast augmentation mastopexy and achieve the desired results.

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