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Sometimes an implant alone won’t give you the shape and volume that you need. Losing breast volume is a normal part of the ageing process and particularly common after having children, breast feeding and losing weight. When this happens, an implant is often needed to give you the lost volume and the lift part of the procedure is used to place the nipple in the right position. The medical term for this operation is augmentation mastopexy. Whilst the operation is usually performed in a single stage it sometimes may need to be performed in two stages usually with patients who have had massive weight loss.
There are many factors that influence this decision but perhaps the most important is the position of the nipple relative to the crease under your breast. In general terms, if the nipple is well below the crease you usually need a lift with an implant. If the nipple is at the level of the crease sometimes the right sized implant will lift things enough without a lift. If the nipple is above the crease usually an implant alone will work. Everyone is an individual however and other factors such as asymmetry or the desire for a very modest implant might tip the balance in favour of performing a lift at the same time as an implant.
Available treatment options for the Breast Lift surgery.
Every breast lift involves some scars on the breast. The main purpose of a breast lift is to change the position of the nipple and, at the same time adjust the volume of the breast at the same time. When the breast lift is predominantly nipple adjustment and the overall size of the breast doesn’t need changing, a keyhole or ‘lollipop’ incision is possible. If the breast is larger then there will be an additional scar in the crease under the breast to remove some of the vertical excess of the breast at the same time.
Breast lifts have a lot in common with breast reductions. In fact, the operation is almost exactly the same except more breast tissue is removed and reshaped with a breast reduction. In both procedures the nipple is positioned in a better position at the same time.
Most patients will have an implant placed at the same time to restore a little more volume up the top of the breast. When there is an extreme amount of sagging to the breast this is often the only thing that will help. The medical term for this is an augmentation mastopexy. It used to be a procedure performed in two stages but I prefer to do it in a single stage. If the breasts are very large, the nipple position is exceptionally low or you have lost a large amount of weight it may need to be performed in two stages to achieve a better and more predictable result.
The short answer here is no- I might be able to use some of your existing breast tissue to fold it higher within the breast. This is called an auto augmentation. The other alternative here is to perform fat grafting to the upper pole of the breast. This can be a great ‘two for one’ where you can elect to have some stubborn area of fat taken away and put to good use. The fat is removed using special liposuction techniques, processed then injected back into the breast. Approximately 2/3 of the fat will survive here and, in the future, you can always have the procedure repeated.
My plastic surgery clinic is conveniently located in East Sydney between Hyde Park and Potts Point – close to the exit of the Harbour Bridge, Harbour Tunnel, Eastern Distributer and the Cross City Tunnel. There is valet parking available as well as free parking on the ground floor (90 minutes).
Our revolutionary 3D Vectra technology allows you to see in real time the projected results of your treatment. Based on the 3D photos we capture of your body we can adjust and perfect the exact treatment plan for you based on your desired outcomes. No more looking at sample images or imagining your personal results.
Choosing the right procedure and surgeon is important. I believe that helping my clients make informed decisions is key to a great result so if you have a question or would like to know more about something specific, please let me know – Regards, Alex.