This small framed woman in her 40's went for a more subtle change in her figure, using 225 cc silicone implants inserted under the muscle through an incision under the nipple.View Patient Details
Breast Lift With Implants
What is a Breast Lift with Implants?
This procedure combines a breast lift with a breast augmentation in a single operative session. The lift is used to reposition the breast higher on the chest while the implant is used to give, or restore, upper pole fullness at the top of the breast. This procedure may be performed for cosmetic purposes, or as part of a reconstructive procedure.
A full discussion of breast lift without an implant may be seen by reading our breast lift procedure information page.
What concerns does a Breast Lift with Implants address?
I liked how my breasts looked when I was pregnant. Now they look deflated.
It's normal for the breasts to sag as you grow older. The breasts, like the rest of the body, tend to sag with age. The sagging can be exacerbated by childbirth, genetics, stretch marks on the breast skin, weight gain, and weight loss.
Many women seeking a breast lift in our Baltimore office wish to regain the full, pert, projecting breast that they had in their teens and some say they dislike the scooped out appearance of the breasts and the loss of fullness in the upper part of the breast. As we age, the breast skin and ligaments that hold the breast to the muscle beneath (the structures that support the breast) become stretched and weaker.
Women who find they liked the fullness of their breasts during pregnancy better than post-pregnancy are good candidates for a breast lift with implants. Augmenting while lifting the breast often solves the following concerns:
- sagging or 'hanging' breasts
- loss of fullness in the top portion of breasts
- loss of shape and volume
- stretch marks on the breasts
- asymmetry of one or both breasts
How is a Breast Lift with Implants performed?
Your breast augmentation and lift procedure is performed by me, Dr. Rodriguez, in our AAAASF Accredited Surgery center located here in Baltimore. I use IV sedation instead of General Anesthesia to make your recovery as quick as possible. For the utmost safety, your anesthesia is administered only by Board Certified Anesthesiologists.
Breasts sag when the skin gets looser and when the amount of breast tissue decreases. There are two ways to tackle the problem. The problem of loose skin is covered with the breast lift (mastopexy) procedure.
To address the issue of loss of volume or fullness in the breast, a breast augmentation (implant) is often recommended at the same time as the lift. The breast implant fills up the extra skin of the breast. Breast implants manufactured by Allergan Corporation and Mentor Corporation work well to restore the fullness that was in the upper aspect of the breasts.
In some cases with just slight sagging of the breasts, an implant alone without any additional mastopexy (breast lift) may lift the breast. In most cases, the implant is placed beneath the pectoral muscle and the breast lift is then performed. The shape of the breast mound is usually better when both breast augmentation and breast lift are performed together.
The placement of an implant (even a small one) will fill out the top part of the breast and improve the projection. This additional weight on the chest may accelerate the rate of ongoing breast ptosis if the implant is placed above the muscle. For this reason, the implant is usually placed below the muscle.
Is that too much surgery to do on the breast all at one time?
No. We perform the combination breast lift with breast augmentation on a frequent basis. The down time for a breast lift with implants is no more than if either procedure was performed alone.
We find that when mastopexy (breast lift) and augmentation are done at the same time, less skin has to be removed, therefore resulting in less scarring. Most of our mastopexy-augmentations are done using the crescent or partial circumareolar incision. Only in very droopy breasts do we use the 'lollipop' incision. To get a better idea of the various techniques and the types of scars associated with each one, see our blog post that covers the scars associated with different breast techniques?.
Can I get more cleavage from a lift with implants?
Yes, increased cleavage is easily attained with this procedure. However, there are two types of cleavage: medial cleavage and upper pole fullness. Dr. Rodriguez discusses the difference between the two in his blog post covering the types of breast cleavage.
Beyond cleavage, you'll also be discussing the implant sizes and types during a breast lift with augmentation consultation. Dr. Rodriguez will explain all of the options you'll need to consider in choosing the perfect implant to meet your goals. In this YouTube video, see him talk about the shape of the anterior part of your chest affects how your breast implants will ultimately look.
What are the pre-operative requirements?
We require patients to get a medical clearance two weeks prior to having surgery in my surgery center. An H&P (history and physical) and a CBC blood test are the minimum requirements if you are a healthy adult. You should stop smoking at least 4 weeks prior to surgery, as well as stop aspirin products 1 week before surgery. On the evening before surgery, you may not eat or drink anything after midnight.
What is the post-operative recovery like?
Following your breast lift with implants you'll be given specific post-op instructions to follow. You'll likely have swelling and soreness four to six weeks. If you have opted for a pain pump, you'll be wearing it for 2 to 5 days following your surgery to help miminize post-op pain.
- follow up appointments on day 2, at 1 week, 1 month, and 4 months
- drains removed at first post-op follow up appointment, 2-3 days post op
- some swelling for 4 to 6 weeks
What are the risks and possible complications?
Any surgery poses a certain amount of risk and potential complications. Potential complications include, but are not limited to:
- poor scarring
- seroma (accumulation of fluid)
- implant issues (wrinkling, leakage, rupture)
- capsular contracture
How much does Breast Lift with silicone implants cost?
For the remainder of 2015, the total cost for a Breast Lift with silicone implants is $8400. This includes the surgical fee for breast augmentation with lift, silicone implants, anesthesia fee (Board Certified Anesthesiologist), the Facility Fee (AAAASF accredited), and a pain pump (valued at $250). This is a special promotional price for procedures performed by December 31, 2015, and we believe this is one of the best prices in the Baltimore area! Call the office at 410-494-8100 or contact us to make your appointment!
Can I finance my procedure?
Yes, we work with several finance companies. Please see our financing section to find out more information or call the office and ask to speak to Molly, our Finance Coordinator.
Before and After Breast Lift with Implants Photos*
See our patient gallery of before and after breast lift with augmentation photos, all performed by Dr. Ricardo Rodriguez. Please note that all of the patient featured there have given written consent to use their photos. We are very grateful for their participation in patient education!
Case Study of Breast Aug patient both with and without a Breast Lift
If you are contemplating whether your breast augmentation should include a lift, it might be helpful to see my blog post about a patient who had her breast augmentation procedure performed both ways--with and without a lift. For the first surgery she did not elect to have a Breast Lift. However, in the second procedure she did get a Breast Lift. See what a difference a Breast Lift can make with implants!
Having Your Surgery in Baltimore
I have extensive experience in breast augmentation and reconstruction surgery, and many of our patients come from out of town. Baltimore is only 30 miles from BWI airport and we are only 20 minutes from the downtown Amtrak train station. Give us a call at +1-410-494-8100 or Contact Us online to set up a consult. We're happy to schedule a time for you to visit our offices or participate in a virtual consultation, after which I'll be able to explain your options fully to help you decide if a breast lift with implants is right for you.
Updated October 18, 2015
Ricardo L Rodriguez M.D.
Board Certified Plastic Surgery
Note: Patients depicted in photos and videos have provided written consent to display their photos online. Every patient is unique, and surgical results may vary. Please contact us if you have any questions.