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Breast Lift with Augmentation Hawaii

Implants & Lift

Combining breast implants with a lift is one of the most challenging procedures in plastic surgery. These two procedures often have opposite goals: breast implants are designed to stretch out the skin of the breast and make it bigger while a breast lift is designed to tighten up the loose skin of the breast and elevate the position of the nipple. The combination procedure deals with opposing forces.

There are many excellent plastic surgeons who refuse to even consider doing the combination of implants and a lift during the same procedure. They insist that their patients do one procedure first (usually the lift) and then come back for the other procedure (usually the implants) in 3-6 months. This staging of procedures gives the surgeon more control over the end result and is the most straight forward way to perform these procedures. However, this involves two separate surgeries and two separate recoveries.

In a select group of patients, I and many other plastic surgeons feel it is acceptable to perform the combination of implants and a breast lift at the same time. This allows one surgery and one recovery period. However, there are trade-offs when doing the combination which are listed below:
od. However, there are trade-offs when doing the combination which are listed below:

  1. Implant size must be modest. Choosing an implant that is too large will not allow the proper degree of skin tightening and positioning that is optimal with the lift.
  2. Type of lift must be appropriate to achieve the desired goals. While some types of breast lifts have minimal scars, they also have minimal ability to lift and shape the breast.
  3. Your breast tissue characteristics will remain the same after your procedure. If you have a lot of stretch marks and your breasts are very droopy, your tissue elasticity and strength is not good. This will not change after surgery and the additional weight of the implants can cause the stretching and droopiness to recur.
  4. There is a higher chance of revisions when doing the combination. Even though every effort will be made to optimize your results at the time of surgery, the long term results may change due to a number of factors. This may require revisional surgery which can involve additional costs.

In summary, the combination procedure of breast implants and a lift can be successfully performed in some patients. However, the patient must realize the difficulty of the combination procedure and accept the trade-offs listed above. In some patients it is a better choice to stage the procedures (lift first, followed by implants at a second procedure).

Dr. Healy and his staff will make every effort to educate you about your individual characteristics and help you decide which approach is best for you. We ultimately want you to be happy with your decision and your long term results.

Resources:
PlasticSurgery.org
WebMD.com

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