Gender:
First Name
 
Last Name
 
Phone
 
Email
 
Sign up for our mailing list
Procedure of interest (check all that apply)Close





Additional Information
At Fiala Aesthetics, we believe in protecting the environment for future generations. All of the material that we send to patients is electronic (in pdf format), unless you specifically request the traditional printed version. If you would like to receive the paper version of your inquiry pack or new patient pack, please indicate so in the notes section.

Combination breast lift with augmentation

While a breast implant alone may be all that is needed for women for have small degrees of breast ptosis ("droop"), for the majority of women who want a more uplifted shape together with a larger breast size, a combination of implants and a breast lift are needed to give the best result.
 
The first important decision is whether the lift and implant operations must be done separately, or whether they can be combined at one stage.
 

Staged approach

 
This is the traditional 2-step approach, in which the augmentation surgery and the lift surgery are done separately.
 
The staged approach works well for women who are having a breast augmentation that are unsure about having a breast lift, or women who are having a breast lift who are unsure if they want the extra volume from an augmentation.  It has the advantages of a lower overall complication rate and better quality scar formation, but the disadvantage of two anesthetics and two recovery times. 
 
For patients who have had massive weight loss and have very stretchy, lax skin on the breast, the staged approach can be more successful.  Stage one is the breast lift, in which the excess skin is removed, and the nipple is repositioned in a higher, perkier position.  Four to six months later, the implant is placed, allowing a second opportunity to take care of any breast skin that has stretched out a second time, as commonly occurs in this group of patients with decreased skin elasticity.
 
For patients with severe droop - and a lot of breast tissue hanging below the level of the breast crease, Dr. Fiala usually recommends the two stage approach, as well. 
 

Combination implant + lift approach

 
In women with a mild to moderate degree of breast droop, we can place the breast implant and do one of our short-scar breast lift operations at the same operative setting.  This is very popular with Dr. Fiala's Orlando patients.  For example, the "donut" lift and the vertical or "lollipop" lift incisions lend themselves well to this technique in many cases.  These operation are described in more detail on the "breast lift" page of the website.
 
There are, however, a few limitations with this approach.  It's certainly a more complex operation than either a lift or an augmentation separately, since many landmarks of the breast are all being changed at the same time.  Since the implant is taking up some of the skin laxity, the amount of lifting that is possible is reduced.  The size of the implant used may also be more limited, since we don't want excessive tension on the fresh breast lift incisions from an overly-large implant.
 
Also, with the combination of an implant and lift, we can sometimes reduce the amount of external scarring by changing the type of lift that is performed, compared to the lift that would have been necessary if an implant were not being used.  
 
Dr. Fiala will advise you on the specifics of your situation, at the time of the consultation. 
 
 
 
 
Blog Google Pinterest facebook twitter Yelp YouTube LinkedIn Subscribe to Blog iTunes Real Self ABMS Maintenance of Certification™ - American Board of Plastic Surgery The American Board of Plastic Surgery The American Society of Aesthetic Plastic Surgeons The American Society of Plastic Surgeons
 
 
Facelift & Mini-facelift Eyelid Lift Forehead Lift Chin and Neck Facial fat transfer Laser resurfacing Chemical Peels ThermiTight RF Neck lift
Breast Augmentation Types of breast implants Breast Augmentation with Fat Transfer Breast Lift Combination breast lift with augmentation Breast Implant Revision Capsular contracture Breast Reduction
Tummy Tuck Liposuction Mommy Makeover CoolSculpting Vanquish Fat transfer / Brazilian buttock lift
BOTOX and Dysport Dermal Fillers ThermiSmooth Spa Treatments Non-surgical Skin Tightening Laser Photorejuvenation Laser Skin Treatments Skincare Products
Credentials Certifications and Memberships Choosing a Plastic Surgeon Comparison Checklist
Location and Directions Patient Reviews Our Staff Statement of Values Out-of-town patients Before and After Photo Guide Your Stay Links
Price List Financing Specials Current Clinical Studies