{"id":663274,"date":"2023-11-06T13:41:20","date_gmt":"2023-11-06T17:41:20","guid":{"rendered":"https:\/\/hauteliving.com\/hautebeauty\/?p=663274&"},"modified":"2023-11-06T13:41:20","modified_gmt":"2023-11-06T17:41:20","slug":"choosing-between-a-breast-lift-with-or-without-implants-what-you-need-to-know","status":"publish","type":"post","link":"https:\/\/hauteliving.com\/hautebeauty\/663274\/choosing-between-a-breast-lift-with-or-without-implants-what-you-need-to-know\/","title":{"rendered":"Choosing Between a Breast Lift With or Without Implants: What You Need to Know"},"content":{"rendered":"

Whether you're considering a breast lift, augmentation with implants, or both, it's essential to understand the factors that influence candidacy, the procedures themselves, and their potential effects on your breast symmetry and shape. Dr. Josh Waltzman<\/a><\/strong> offers\u00a0expert advice to help you make informed decisions on your path to achieving your desired breast appearance.<\/p>\n

\"\"Photo Credit: Courtesy of Shutterstock<\/span><\/p>\n

Determining Your Candidacy<\/h3>\n

A breast lift, or mastopexy, is a procedure designed to elevate the nipple position and remove some skin to tighten the breast.\u00a0 If a patient\u2019s nipples sit below the level of their breast folds, then they are likely a good candidate for a breast lift.\u00a0 A breast lift does not change the size of the overall breast but rather repositions it to a better place on the chest.\u00a0 So, there is one main question a patient needs to answer.\u00a0 \u201cDo you like the way you look and feel in a bra?\u201d\u00a0 If the answer is \u201cYes, \" they probably need a breast lift.\u00a0 However, if they say \u201cNo, I don\u2019t have enough volume\u201d, then we need to talk about the possibility of adding more volume.\u00a0 The most common and predictable way to add volume to the breast is by adding an implant.<\/p>\n

Exploring Breast Lift and Implant Procedures: Incisions, Recovery, and Results<\/h3>\n

A breast lift with or without implants is a surgical procedure that I perform under general anesthesia in my surgery center with a board-certified anesthesiologist.\u00a0 The entire procedure usually takes between 2-4 hours depending on what needs to be performed.\u00a0 The patients recover and go home the same day.\u00a0 During a breast lift the new position of the nipples is determined.\u00a0 The surrounding tissues are freed and the breast is repositioned and sewn in place with several layers of dissolvable sutures.\u00a0 If implants are going to be placed, then this is done before the breast is lifted.\u00a0 Implants can go above or below the muscle, which is something that is discussed with your surgeon before surgery.\u00a0 Once the implants are placed, the breast tissue is then lifted and positioned around the implant to create a more youthful and perky breast.<\/p>\n

The type of incision that is necessary will vary based on how much lifting is necessary and the quality of the tissues.\u00a0 The three basic types of incisions are circumareolar (around the areola), vertical (lollipop), and Wise-pattern (anchor or inverted-T).\u00a0 In general terms, the more lifting someone needs, the more incision they will need.\u00a0 Patients are sometimes reluctant to commit to larger incisions, but I always tell my patients that it is much better to have a great-looking breast and a little longer scar, than to have a shorter scar and a weird-looking breast.<\/p>\n

Most of my patients only take pain medication for 1-2 days, and then just Tylenol or ibuprofen.\u00a0 For the first month, they need to allow their body time to heal and avoid lifting anything more than 10 pounds.\u00a0 After 4 weeks, they can usually resume upper body exercises and weights.<\/p>\n

At the 3-month point, the results are usually very stable.\u00a0 Implants have settled by this time and any swelling is typically completely gone.\u00a0 Patients should enjoy a rejuvenated appearance to their breasts with improved contours and nipple position.<\/p>\n

\"\"Photo Credit: Courtesy of Shutterstock<\/span><\/p>\n

Balancing Breast Symmetry<\/h3>\n

Breast asymmetry is extremely common, and essentially everyone has at least some degree of asymmetry.\u00a0 \u00a0Significant asymmetry can oftentimes be addressed during surgery.\u00a0 Sometimes it means doing a lift on one breast and then a reduction and lift on the other side.\u00a0 Sometimes it means using two different size breast implants to improve the asymmetry.\u00a0 Personally, I try to correct as much of the volume asymmetry as possible before I place implants.\u00a0 I think that using implants that are more similar in size will result in breasts that tend to look more similar over the years.<\/p>\n

Revision Chances in Breast Procedures<\/h3>\n

The likelihood of needing a revision after a breast lift is very low.\u00a0 The vast majority of patients who have a breast lift are very happy with their decision and their outcome.\u00a0 The revision rates start to go up when you add an implant at the same time as a lift.\u00a0 Patients need to think about these as two separate operations that are being done at the same time.\u00a0 One operation makes the breast higher, and one makes the breast larger. There are many forces at work when these two operations are combined.\u00a0 Most studies that have been published show that there is about a 15% revision rate when a lift with implants is performed.\u00a0 In my practice, most revisions after a lift with implants are minor in nature and can usually be performed in the office under local anesthesia.\u00a0 However, all patients need to understand that a revision could necessitate going back to the operating room for more significant adjustments.<\/p>\n

Proper implant selection, pre-operative planning, and use of dissolvable meshes have also contributed to more predictability and stability in outcomes when combining a lift with implants.<\/p>\n

Future Considerations: Implications for Breastfeeding and Mammograms<\/h3>\n

I don\u2019t think the decision to have implants with a breast lift has any real impact on someone\u2019s ability to breastfeed.\u00a0 Anytime someone has breast surgery incisions are being made through breast tissue, and this could hypothetically injure one or multiple milk ducts.\u00a0 For this reason, I tell all my patients that any time you have breast surgery you are increasing the likelihood that you may have to supplement your breastfeeding with formula.\u00a0 There is no reason they can\u2019t try to breastfeed, and there is no reason they can\u2019t be successful, but I have no way of predicting this for every patient.\u00a0 There are millions of women who have never had any breast surgery, and they still need to supplement their breastfeeding with formula.<\/p>\n

There is no impact on a woman\u2019s ability to have a mammogram after having a breast lift with or without implants.\u00a0 I usually recommend that my patients wait at least 3 months after surgery to have their mammogram (if they are due for one).\u00a0 If they have implants, it is important to alert the person performing the mammogram so they can properly displace the implant and effectively image all of the breast tissue.\u00a0 There is little to no risk of harming or rupturing an implant during a mammogram, and it certainly does not outweigh the risk of missing a breast cancer.<\/p>\n","protected":false},"excerpt":{"rendered":"

Whether you’re considering a breast lift, augmentation with implants, or both, it’s essential to understand the factors that influence candidacy, the procedures themselves, and their potential effects on your breast symmetry and shape<\/p>\n","protected":false},"author":259,"featured_media":663281,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5254,1402],"tags":[1824,2154,1384,13011,8947],"class_list":["post-663274","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-beauty-news","category-doctors-talk","tag-breast-augmentation","tag-breast-lift","tag-cosmetic-surgery","tag-doctors-advice","tag-womens-health","market-los-angeles","speciality-breast"],"yoast_head":"\nChoosing Between a Breast Lift With or Without Implants: What You Need to Know - Haute Beauty by Haute Living<\/title>\n<meta name=\"description\" content=\"Whether you're considering a breast lift, augmentation with implants, or both, it's essential to understand the factors that influence candidacy, the procedures themselves, and their potential effects on your breast symmetry and shape\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Choosing Between a Breast Lift With or Without Implants: What You Need to Know - 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