If a patient wants to address both the position and size of the breasts, a breast lift and implants can be combined together in a single surgery.
While it helps to address multiple aspects of the breasts at the same time, combining two procedures (a breast lift with a breast augmentation) comes with its own technical considerations.
In this blog, we’ll break down how the combination works, what’s involved, and what patients can expect when deciding if a combined surgery is right for them.
How is a breast lift and implants combined?
A breast lift (mastopexy) and breast implants (augmentation) are two distinct procedures that can sometimes be performed together, when it suits the patient’s needs and preferences.
A lift involves repositioning the breast tissue by removing excess skin and tightening the remaining skin. It can also involve repositioning the nipple, depending on the extent of the lift. Breast implants, on the other hand, add volume and can make changes to the shape and projection of the breasts.
When performed in the same surgery, the plastic surgeon will address both the lift and the placement of implants in a single procedure. The sequence can vary, but it usually involves lifting and reshaping the tissue first, then inserting the implant to add volume. This allows the surgeon to achieve the correct positioning of both the natural tissue and the implant in relation to each other. (I insert the implant first and then lift the breast onto it)
Why might someone choose to combine the two procedures?
Combining a breast lift and implants in one surgery can be an option for patients who not only want more volume but also want to focus on tissue repositioning.
For example, if implants alone were placed without a lift, the tissue might not align well, leading to an uneven result. Similarly, performing only a lift in a patient who also wants more volume may not meet their expectations.
By performing both procedures together, it can sometimes reduce the need for two separate surgeries. It also means patients only undergo one period of anaesthesia and recovery rather than two separate periods.
What are the more technical surgical considerations when it comes to combining a breast lift and implants?
Performing a breast lift and breast augmentation together is more technically complex than performing either procedure on its own.
One consideration is the tension placed on the skin and tissue. When implants are added during the same operation as a lift, the skin must support both the implant and the repositioned tissue.
The size of the implant is also quite an important factor to consider. For example, larger implants may create excessive strain on the skin and incisions, so your surgeon may recommend moderate implant sizes if the procedure is performed at the same time as a lift. Sometimes, surgeons may advise staging the procedures separately, particularly if very large implants are preferred.(or skin quality isnt adequate)
Another aspect is incision placement. Since both procedures require incisions, these must be planned carefully to allow for the lift while also providing access for the implant. Common incision patterns for a lift include around the areola, vertically down from the areola to the breast crease, or a combination of these. The chosen incision will depend on how much repositioning is needed and the implant technique being used.
Is recovery different when both procedures are performed together?
Recovery after a combined lift and implant surgery generally involves similar considerations as either procedure performed alone, but the body will typically have more healing to do. Patients can usually expect to experience swelling, bruising, and a feeling of tightness across the chest in the first few weeks.
Dressings and a surgical bra are typically used to support the healing tissue, and post-operative check-ups are important to monitor the healing process. Most patients need to limit physical activity for at least a few weeks, avoiding lifting and strenuous movements. Since the two procedures are performed at once, recovery can be slightly longer compared to just implants or just a lift.
If you choose A/Prof Bish to perform your procedure, you can expect to receive personalised recovery advice based on your needs and how your procedure was performed.
What are the risks of combining a breast lift and implants?
As with any surgery, there are some possible risks to think about beforehand.
When both procedures are performed together, some risks overlap while others are more specific to the combination. Potential risks include bleeding, infection, poor wound healing, or changes in nipple sensation. There can also be implant-related issues, such as implant malposition, capsular contracture, or implant rupture over time.
Combining the procedures can sometimes slightly increase the risk of wound-related complications since the skin is under more tension. For this reason, surgeons are often cautious when recommending a combined approach and will assess the patient’s needs carefully during a consultation process.
What should patients expect during a consultation?
During a consultation, your surgeon will assess breast tissue, skin elasticity, nipple placement, and overall proportions to determine whether both procedures can be performed together. Implant size, shape, and profile are discussed, as well as incision placement for the lift.
The consultation is also the stage where patients can learn whether their goals are achievable in one surgery or whether a staged approach might be more suitable. Detailed discussions about recovery, risks, and long-term considerations are usually covered, as well.
Specialist Plastic and Reconstructive Surgeon A/Prof Bish Soliman: Breast Lift and Breast Augmentation Procedures in Sydney
If you’re currently researching your breast procedure options and want to find out if you should combine more than one approach, we recommend seeking personalised advice.
An experienced and qualified plastic surgeon will be able to carefully assess your needs, understand your goals and recommend a suitable approach for you.
Based in Sydney, Specialist Plastic and Reconstructive Surgeon A/Prof Bish Soliman is trained in performing aesthetic procedures of the breast, body and face, as well as complex microsurgical reconstruction.
If you would like to discuss your specific needs and the potential details of a personalised surgical plan, please get in touch with our team so that we can assist in scheduling your consultation. You are also welcome to contact us with any questions you may have about any of the procedures that A/Prof Bish can perform.
