Gravity, pregnancy, and genetic predisposition can cause breast tissue to lose volume and sag lower on the chest over time. For those wishing to enhance the appearance of their breasts, mastopexy with implants – also referred to as breast augmentation with a lift – can improve the shape, position, and size of the breasts. If you’re interested in larger, shapelier breasts that have a more youthful perk and appearance, Dr. Neal Goldberg, our board-certified plastic surgeon, can help. This kind of breast surgery can:
In many ways, a breast lift with implants, or augmentation with lift, is a combination of two popular procedures, breast augmentation and breast lift surgery. The breast tissue is elevated and excess skin is trimmed. A breast implant is then placed to add volume and fullness. As a result, the benefits of each procedure are conferred upon the patient, who can achieve fuller, more youthful-looking breasts as the outcome. Many techniques are available to complete this treatment, and Dr. Goldberg will discuss your options during your initial consultation. This meeting is a collaborative opportunity, and your preferences are carefully considered in addition to your unique anatomical needs.
There are many types of breast implants available, including silicone and saline, round and shaped, textured and smooth. Depending on your anatomic needs and expressed goals, Dr. Goldberg will recommend the implant model that best suits your treatment plan. For instance, women with ample breast tissue may not benefit as much from silicone implants as individuals with thinner tissues. This is because the ample breast tissue makes the less natural profile of silicone implants less of a factor. Women with thinner skin or less breast tissue may prefer silicone, though they should keep in mind that this option can be more expensive and typically requires a larger incision.
Both saline and silicone implants are available in both anatomically shaped and round versions. A round implant is ideal for someone who is happy with the shape of her breasts but is looking for more volume. Round implants also will be a better choice for women who prioritize fullness on the top of the breasts. Anatomically shaped implants can preserve a more mature breast shape, and they may even make a breast lift unnecessary in borderline cases.
Ultimately, the decision of which breast implant to use will be up to you, and Dr. Goldberg will provide extensive information about the benefits of each implant to help guide your selection.
The procedure typically takes between one and three hours to perform, and either sedation or general anesthesia will be used. Due to the removal of excess skin, the incisions for breast lift surgery with implants will be longer than you would find for breast augmentation alone, but Dr. Goldberg will take great care to minimize scarring as much as possible. In addition, we offer numerous advanced scar reduction techniques to help you achieve an optimal outcome. Dr. Goldberg may create an incision halfway or all the way around the nipple, an incision from the nipple vertically down to the breast crease, and/or an incision horizontally along the breast crease. Placing the implant will generally not require additional incisions beyond what is necessary for the lift. Dr. Goldberg will let you know during the initial consultation which approach may be able to help maximize your results.
You will likely be able to return home the same day as the breast lift with implant procedure. You should rest at home for about two weeks, after which you may be able to return to work and normal activities, depending on your level of comfort. During this healing period, you will wear a special bra that can help speed the recovery process. Some swelling, bruising, changing nipple sensation, and minor discomfort is normal. Dr. Goldberg will prescribe medication to manage any pain. You should begin to see the final results of the operation in a couple months, though some mild swelling may continue for up to a year or more. In most instances, scars will slowly lighten in color, fade, and become smoother over time.
Dr. Neal Goldberg tailors each treatment plan to suit the individual needs of the patient. Therefore, the price of a breast lift with implants will vary from person to person. During your initial consultation, our medical team will provide a detailed explanation for the total anticipated cost of your treatment. Some practices only include the surgeon’s fee in their quote; however, we will also estimate the operating room fee and the anesthesiology fee, so you can get a full picture of what to expect. We also work with CareCredit®, a plastic surgery financing company that offers payment plans for qualified applicants. If this is something you may be interested in, we can discuss your options while you’re in the office.
Dr. Goldberg makes every effort to minimize scarring and create the most aesthetically appealing result. Most patients find that the incisions heal very well and become less noticeable over time. That said, it’s impossible to eliminate any sign of scarring. Depending on the technique used, the incisions may be located just around the nipple/areolar complex or there may also be incisions from the areola down to the underside of the breast. Other techniques are available, and Dr. Goldberg will show you where he plans to place the incisions during your first visit. To further reduce the appearance of scars, we offer laser skin resurfacing therapy, which can help speed the healing process.
We typically recommend that women wait until they are finished building their families before considering a breast lift, but that’s not always possible for every woman. Fortunately, there are options to minimize damage to the milk ducts during the breast lift procedure. With the latest techniques, Dr. Goldberg can help preserve your ability to breastfeed as long as you were able to breastfeed before the surgery. If this is something that is important to you, you can discuss what steps to take with Dr. Goldberg during your consultation.
Dr. Goldberg emphasizes your comfort and care during every interaction. If you have additional questions about breast augmentation with a lift, or if you would like to schedule a consultation with Dr. Goldberg, please contact our office today.
*Individual Results May Vary