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Breast Augmentation with Breast Lift

Breast Augmentation with Lift (Augmentation Mastopexy)

Breast Augmentation with Breast Lift San Antonio TX | Augmentation Mastopexy

Women who desire both lifting of sagging breasts and more breast fullness particularly at the top of the breasts, may be most interested in a breast augmentation with a breast lift at the same time, also known as an augmentation mastopexy. The goals of this cosmetic surgery are to balance removal of too much stretched and damaged saggy skin with filling up the remaining skin with volume from an implant.  This will produce a more aesthetically pleasing, and youthful breast contour, especially out-of-clothing.  

When performed well, the results can be incredible. However, with so many variables involved, it is critical to design an individualized surgical plan that matches your specific goals with your specific body.  Dr. Albright will discuss the pros and cons of different techniques so that you can make the best decision for your body.

Breast augmentation with breast Lift FAQ’s

What scars are required for a breast augmentation with breast lift (augmentation mastopexy)?

Typically seen as the main drawback to performing breast lift surgery, placing incisions, and the resulting scars, on the breast itself are a necessary part of achieving a better more youthful breast shape.  Getting the best breast shape particularly out-of-clothes will usually outweigh the downsides of visible scars on the breast.  Most commonly the scars will fade to a less noticeable whitish color, even if they widened slightly as they matured.  

The placement of the scars will be determined by how much excess skin is on the breast (the skin envelope) and how much volume is desired with the implant.  Dr. Albright will offer his insight to help you choose the best options available to you and your type of breast. For women who only need a short nipple lift, a periareolar mastopexy may be adequate and has the fewest visible breast scars. This limits the scars to just around the areola (pigmented skin around the nipple), with or without an incision at the breast crease. For maximum excess skin removal and nipple lifting, a full Wise pattern or anchor scar may be used. This will leave a scar aroung the areola and a short vertical scar that connects the areola to a side-to-side scar located along the lower breast fold.

What about nipple sensation after breast augmentation with breast lift (augmentation mastopexy)?

Another deterrent for women seeking to reclaim their more youthful breasts is the possibility of compromising sensation to the nipples.  For women whose nipple sensation is an integral part of their erogenous experience, breast lift surgery with incisions placed around the areola (darker skin around the nipple) may not be worth the risk of decreased sensation.  However, the risk of losing sensation in BOTH nipples is extremely low.  Furthermore, in Dr Albright’s experience, most women are willing to trade a small risk of decreased sensation in one nipple for much more attractive breast shape when naked.

Are there any specific risks to breast augmentation with a breast lift (augmentation mastopexy)?

The short answer is yes.  An augmentation mastopexy combines two very different breast surgeries into one combined procedure which increases the complexity and thus the risk for complications.  General anesthesia is usually required for this aesthetic plastic surgery procedure. In addition to the individual risks involved with a breast augmentation and a breast lift surgery, augmentation mastopexy has a higher revision rate.  This means that there is a greater chance you may need or want a second “touch-up” surgery to improve the result.  Although only a minority of women will undergo a second revision surgery, if you were to instead separate the surgeries (for example, perform a breast lift, wait 4-6 months, and then perform a breast augmentation) you would have a 100% chance of needing two surgeries.  Also, when separating, or staging, the two procedures, 100% of patients will incur greater overall financial cost, and will have to undergo two postoperative recovery periods with activity restrictions.  Rarely, however, Dr. Albright may still recommend separating the procedures for you, if your risk of having a bad result is too high.  Still not sure?  Come in today to get your questions answered and feel confident with your breast rejuvenation plan.

What is the right size breast implant for my body with a breast augmentation with breast lift?

A great question, as this will also help determine what skin excision pattern (scar pattern) is needed. The issues with implants are inherently similar to those of breast augmentation alone (please see the breast augmentation surgery tab above for more information on implants). Whereas with augmentation alone, augmentation mastopexy more commonly places the implant completely under the pectoralis muscle when possible, as the implant will be better supported by the muscle itself instead of the skin. Dr. Albright will have a more specific plan after a detailed breast exam and discussion of your surgical goals.

Do I need a breast augmentation with or without a breast lift?

This is the first question to answer when considering a breast augmentation with or without a breast lift.  Dr. Albright will assess your breast tissue, the skin of the breast and the position of the nipple to help you decide between these procedures.  The ideal breast augmentation candidate is a patient that desires more breast volume and does not have much breast sagging.  If you desire to wear a larger cup size, then more volume will be needed.  If you are happy with the volume of breast tissue in a bra, but not with the droopiness of the breast out of clothing, then a breast lift is best.  Do you want more volume and need to fix a little breast droop?  Typically, if the nipple position is below the fold of the breast while standing in front of a mirror and you want larger breasts, a lift with an implant (augmentation mastopexy) procedure will likely be needed.  Never fear, Dr. Albright is expert in all of these procedures.

Breast implants with breast lift after bariatric surgery or massive weight loss...  What's right for me?

Congratulations on your weight loss! It is a difficult thing to achieve and you should be proud! Now that you have achieved a stable weight near your ideal or goal weight, it may be time to rejuvenate your breasts. For many women in this situation, it is easy to become disheartened. They say "I always had big breasts, but, now after weight loss, I have deflated breasts that do not match my figure." Well these patients may be ideal candidates for an augmentation mastopexy. Typically to remove excess skin, an anchor type scar is needed. An implant will then provide the missing volume.

Differences to consider for the massive weight loss patient are considering staging the procedure; doing a lift first then recovering from surgery and allowing the breast to settle before performing a breast augmentation later. Additionally, excess skin and residual fullness may exist around the sides of the breast toward the back (bra line). This may require additional surgery including excision (leaving a scar) and/or liposuction. Although this does increase the surgery time, complication risk, and overall cost, it may be necessary to give you the results you are looking for. Finally and perhaps most critically, where will breast rejuvenation fit in with your other cosmetic surgery goals (belly, arms, thighs, face, etc)? This requires a thorough assessment and discussion of your goals to fully answer. Dr. Albright will help you come up with a plan that works for you, your goals and your budget.

Schedule an Augmentation Mastopexy consultation today!

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Tummy Tuck / Breast Augmentation / Breast Lift
" Dr Albright and staff are committed to taking care of you and understanding your needs. I had a wonderful experience! Dr Albright sat with me at my first consultation and answered all my questions very thoroughly. I believe he spent a half an hour going over options! My second appointment I scheduled with more questions and concerns which he again answered and drew out for me to understand what I would be having done. I never felt uncomfortable or embarrassed like I thought I would showing my extra skin. I am very self conscious, and everyone was so professional that I never felt embarrassed.  His nurse was very kind and showed me pics of past surgeries and went through pre and post op instructions as well as what garments would be good options! IfI had any questions before or after surgery I was able to call Dr Albright, or his staff directly. The day of surgery went smoothly. I recommend anyone in the area looking to have any reconstruction done to visit with Dr Albright! I am currently 4 weeks po full tummy tuck and breast reconstruction with augmentation. I am very satisfied with my results, and still have a few months for swelling to continue to subside.
I couldn’t be happier with my choice of Dr Albright! "
“ Dr. Albright is a skilled and precise surgeon. At my first appointment
Dr. Albright and his staff are extremely skilled and knowledge. Being an RN and knowing details about surgical complications and post op infection risks, I wouldn’t go to any other plastic surgeons in town. He absolutely wants the best results and is willing to take the time needed to achieve that goal. Dr. Albright is realistic about expectations and outcomes and takes the time during procedures to do it right. I highly recommend Dr. Albright without reservations. ”
Nurse
“ What a breath of fresh air! Dr. Albright is an extraordinarily competent plastic surgeon. I was referred by another physician who has worked directly with Dr. Albright in the surgical suite. Doctor is a perfectionist; and I am very grateful to have experienced an outstanding surgical result. His work is of top notch grade and has exceeded my expectations. He has impeccable credentials, but most importantly he is a nice person. I am blessed to receive a gift from his healing hands. ”
Breast Augmentation
“ I recently had breast augmentation, and I am so pleased with my results. He spent a great deal of time explaining my options, listening to what I wanted, and providing his opinion. I visited other surgeons in the area and didn’t feel any of the others listened or cared quite like Dr. Albright.  Not only do I recommend Dr. Albright, hospital nurses commented to me that he is the best!”
Dr. William Albright Testimonial5 star for Dr. William Albright
“ Dr. Albright is a caring professional - he answers all questions thoroughly and takes as much time as necessary.  He is an exceptional doctor.  Everyone is friendly, caring and shows genuine concern for how the patient is feeling - I felt comfortable the first time I met Dr. Albright and his staff.  This continued on every visit. ”
“ I would not hesitate to recommend Dr. Albright. He was very patient, thorough, and skilled. I had a great experience and was glad that I chose him to be my surgeon. I was extremely pleased with my results. He is personable and patient. Couldn't ask for anything more. ”
Katie Moon
Alamo Plastic Surgery San Antonio TX | Team - Dr. Albright, Franchesca Espinosa, Juli Albright
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