Breast Lift with Augmentation

A breast lift with augmentation, also known as augmentation mastopexy, is a procedure that combines two of the most popular breast enhancement surgeries to add volume, reshape, and lift the breasts. Aging, pregnancy, genetics, and weight fluctuation can all contribute to sagging breast tissue and loss of fullness in the upper breast, leading to a “deflated” appearance. Many women who seek either a breast lift or breast augmentation in Fort Worth find that combining these two procedures provides them with the best results.

Board Certified Plastic Surgeon Dr. Emily J. Kirby performs breast lift with augmentation surgery in Fort Worth to help her patients achieve a youthful, shapely breast contour.

Will I need a breast lift with my augmentation?

Dr. Kirby shares some of the reasons her patients decide to combine a breast lift with augmentation.

How is breast augmentation mastopexy performed?

Dr. Kirby performs breast lift with augmentation surgery by removing excess skin, lifting the breast tissue, and increasing breast fullness with the placement of an implant.

Where will my incisions be?

Dr. Kirby can perform a variety of different techniques depending on the degree of drooping and your goals for a breast lift with augmentation.  The different incisions include:

  • “Lollipop” or Vertical: One incision is made around the areola and another is placed vertically from the bottom of the areola to the inframammary fold in a “lollipop” shape. This method is best for most breast changes associated with pregnancy.
  • Inverted T or “Anchor”: Incisions are placed around the areola, vertically from the areola to the natural breast fold, and along the inframammary fold in an “anchor” shape. This method is ideal for correcting significant sagging and for breast changes occurring after massive weight loss.
  • Peri-areolar or “Donut” or “Benelli”: A full circle incision is made around the outer edge of the areola. This technique is most often used for mild sagging or areola resizing.
  • Crescent: One incision is placed around part of the areola in a crescent moon shape. This technique is best for correcting minor sagging or for nipple positioning.

You and Dr. Kirby will work together to choose which technique will work best for your breast size, shape, and position.

What are my implant options?

During your personalized consultation with Dr. Kirby, she will make breast implant recommendations based on your natural anatomy and desired outcome. In addition to size, you will need to decide what type of implant best suits your needs. There are two main types of implants from which to choose: saline and silicone gel. Each offers different benefits and can affect what type of implant placement will be required during your surgery. Dr. Kirby will work closely with you to help determine which options will provide you with your desired results.

How long will my breast augmentation mastopexy take?

A breast lift with augmentation typically takes around 2 hours, though this time may vary based on your individual surgical plan.

What kind of anesthesia will I have?

Augmentation mastopexy is performed under general anesthesia. Dr. Kirby will discuss your options with you during your consultation.

How do I prepare for breast augmentation mastopexy surgery?

Prior to any procedure, it is necessary to review medications you are taking that may affect your surgery. You may be asked to stop or adjust some medications you are on. As always, it is important to include supplements on your list of medications. Aspirin and aspirin products (Alka-Seltzer®, Carisoprodol, Excedrin®, Goody’s®, Midol®), anti-inflammatory medications (except acetaminophen, or Tylenol®), and herbal supplements must be avoided for 10 days prior to your surgery. For more details about which medications and supplements to avoid,click here. Dr. Kirby will discuss your medications with you.

Depending on your medical condition, you may be asked to get lab testing or a medical checkup prior to your surgery. You may also be asked to have an updated mammogram prior to your surgery if you have not had one recently.

Tobacco products impair your body’s ability to heal. You will be asked to stop smoking for 6 weeks prior to any surgery. Tobacco step-down products such as chewing gum and Nicoderm® continue to provide your body with tobacco and must be stopped as well. Please ask Dr. Kirby if you will need assistance with quitting.

Be sure to arrange for a responsible adult to drive you to and from your surgery. You will need someone to stay with you the night following your surgery as well.

You will receive specific instructions for your surgery day from Dr. Kirby’s office.

What are the risks?

Although rare, risks of surgery include capsular contracture, which may necessitate additional surgery to release the scar or removal of the implant. Your implant may need to be removed if it ruptures. Most breast lift with augmentation scars are visible on the bare breast, but are easily hidden by clothing. Some lifting techniques hide the scars in inconspicuous areas, though not everyone is a candidate for this type of procedure and Dr. Kirby will need to evaluate your breasts and goals. Other risks include infection, bleeding, malposition of the breast implant, implant rippling or palpability, and permanently altered nipple sensation.

Call today to book your consultation with Dr. Emily J. Kirby

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