Is it possible to have a lift and augmentation at the same time? This is a question I am asked all the time. There are many cosmetic surgeons that feel a simultaneous procedure is not possible. Others feel it is not safe and should not be done. In the recent issue of Cosmetic Surgery Times, the lead article and most of the discussion was centered on this question. In my opinion, there are very few instances when they cannot be done together.
Why would you not want to do them both at the same time? Good question! The reason is multi-faceted. First, the lift. When we do a lift or reduction we are doing a number of things to the breast. We are, most importantly, repositioning the nipple to a more youthful and appropriate position. As the breast ages and is used for nursing, it looses its support and begins to sag. The nipple falls below the fold under the breast and the upper part of the chest takes on the shape of a ski slope.
We can lift the breast in this instance but it will not make the upper part of the chest full. Once the nipple has been repositioned into a more appropriate spot, we have all the skin left below it. This skin must be removed and the skin envelope tightened. We now have a breast that is much perkier with a nipple position that is elevated. 
As you can see, there is a great improvement in shape and nipple position. However, from this 45 degree view, the upper aspect of the breast is very sloped. Many women don't mind this and that is fine but if upper breast fullness is desired an augmentation is required with an implant. That's where the problem comes in. The second problem is this; now that we have a tighter breast skin envelope we are now going to place an implant that will stretch what we have now tightened. This can easily be done and since we have lifted the nipple we put the implant below the muscle. What this does is fill in the upper pole of the breast and helps you regain that youthful breast that was lost.
As you can see from the picture, on the lateral view and 45 degree view the upper pole is now full with good cleavage...nice result.
The third problem...do it twice and make it as identical as possible!!
That is why doing a combined lift with augmentation is challenging to many Cosmetic Surgeons. At Total Body Surgical we do them daily with great results. This procedure can make a tremendous change in how you look in clothes and out of them. Come see us today for a complimentary consultation...call 918-786-7780. Don't forget our other procedures that we have special pricing on...liposuction, breast augmentation, laser hair removal and many others.
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