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Breast Augmentation With Breast Lift

In some cases, individuals may wish to simultaneously undergo Breast Augmentation and Breast Lift. Performing this operation will be more complicated than performing either one by itself, and there are certain points to consider before undergoing the operation.


Similar to Breast Lift, there are 3 types of surgical cuts -- Periareolar, Vertical/Lollipop, and Inverted T/Anchor. The most appropriate approach will depend on the degree of sagging.


When considering what size of the implant to use, the surgeon will use the same guideline as for Breast Augmentation.

Recommended for:

  • Individuals with small & sagging breasts.

 

Operation details:

After applying general anesthesia, the surgeon will cut open along the drawn outline as dictated by the degree of sag, and will remove the skin responsible for the sagging. In some cases, the surgeon may also remove part of the breast tissues, re-address the position of the areola and the shape of the breast, create a pocket for the implant, stop the bleeding, insert the implant, insert drain, and then close the wound.

 

Post-operational treatments:

  1. Clean the area daily, avoid contact with water until suture removal date.

  2. Drain to be left in place for 1-2 days after the operation.

  3. Wear a sports bra for 2 months after the operation.

  4. Remove the suture on Day 14, after which the wound can be in contact with water.

  5. The breast will gradually take position within 6 months.

  6. The scar may be visible during the first 3 months, and then will become less noticeable within 1 year.

 

Possible side-effects:

  • There may be postoperative bleeding, which will require reoperation to stop the bleeding.

  • Scars: Some patients may have hypertrophic scars, which can be treated by injecting steroid into the scar area.

  • Nipple numbness: In most cases, the numbness will be improved after 1 year.

  • Some patients may experience recurrent ptosis.

  • Visible/tangible implant rippling can be an issue for cases using textured implants or implants that are too large. The solution is to undergo a corrective surgery to reduce the implant size, enlarge the pocket, and replace with a smooth implant, which can help improve the appearance up to a certain level.

  • Torn/leaked implant: However, modern implants are very reliable, with leaking incidents happening only 1% per year.

  • Capsular contracture comes in many different levels, where the extreme case may induce pain or disfigured breast. Individuals are recommended to consult with the surgeons for corrective surgeries.

  • ALCL: According to studies, ALCL may occur several years after the operation. Signs include swelling breast or having a visible/tangible lump. The treatment will include removing the implant and the capsule. In severe cases there may be a need for radiation and chemotherapy.

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