Do I Need A Breast Lift or Breast Augmentation?
We frequently consult with women who have experienced undesirable changes in their breasts over time, usually after pregnancy and breastfeeding. Many women undergo breast volume loss (postpartum atrophy) and drooping (ptosis) after these life events. This means that the breast tissues stretch, thin out, and the nipple position can gradually descend. For these reasons, many patients desire increased fullness, improved breast shape, or both. Breast lift, or mastopexy, is designed to improve breast appearance by removing excess skin and reshaping the breast tissue. Breast augmentation is designed to restore lost volume.
Will You Need A Breast Lift, Breast Augmentation, Or Both?
Assessing your nipple/areola position will give you an idea if you should have a discussion about breast lift surgery with your plastic surgeon.
If the nipple is positioned above the breast fold (inframammary fold), then it is less likely that a lift will be recommended. If the nipple is at the level of the breast fold (Grade 1 in the below image), then a lift may or may not be recommended depending on your goals. If the nipple is below the breast fold (Grade 2 in the below image), then it is more likely that a lift will significantly improve the appearance of your breasts.
It may be possible to slightly raise the nipple position with an augmentation alone. This will have to be determined by your plastic surgeon after he/she examines you.
Since breast tissue descends over time, the upper portion of the breast can end up with less breast volume than is desired. If this is the case, then a breast implant will likely be recommended to fill out this area.
It is important to be aware that a breast lift alone will not restore lost volume. Therefore if you desire increased breast size, then an augmentation should be considered.
How Is Breast Lift Surgery Performed?
There are several techniques, depending on the patient’s breast anatomy and her goals. I will discuss the nuances of each procedure in a future post. However, to get a general idea of the procedure please visit our breast lift page.
Breast Augmentation Combined With A Breast Lift
A combined procedure, if agreed upon by you and your plastic surgeon, can be performed in one of two ways.
- Single-Stage: This approach is beneficial because it involves a single surgery. However, there is a higher chance of complications and a higher revision rate with this approach.
- Two-Stage: This approach involves performing the augmentation first, allowing the patient to heal for several months, then performing the breast lift surgery. This sequence can be reversed depending on patient goals and surgeon preference. Though this requires two separate surgeries, it is a useful alternative and is associated with a lower revision rate.