Augmentation-Mastopexy

Many patients desire an increase in breast fullness with a simultaneous improvement in breast shape. If the breast starts out droopy, a combination of breast augmentation and mastopexy is usually necessary to achieve this.

What is Mastopexy – Augmentation

Many patients desire an increase in breast fullness with a simultaneous improvement in breast shape. If the breast starts out droopy, a combination of breast augmentation and mastopexy is usually necessary to achieve this. There is a significant increase in complexity when the two operations are combined.

The Incision

Incisions used for combination augmentation-mastopexy are the same as with mastopexy alone as described above. Sometimes, adding an implant will allow use of fewer or smaller incisions than would be needed for mastopexy alone. Usually, the implant is inserted through one of the mastopexy incisions, so that an extra scar is not needed just to place the implant. As with augmentation alone, the implant may be placed on top of or underneath the muscle and either a saline-filled or gel-filled implant may be used.

Touch Ups

Because of the added complexity in the combined operation, there is a higher “touch-up” rate with augmentation-mastopexy procedures. A touch-up is the need to adjust the breast several weeks or months after the initial surgery. Most commonly, these procedures are minor and completed in the office under local anesthesia. From time to time, more major revisions are necessary. Why does this happen? The breast tissue and the implant will settle after surgery and the exact degree to which that will occur cannot always be adequately determined in the operating room at the time of the initial procedure. The forces of tissue stretch, muscle relaxation, and scar / capsule formation can vary from patient to patient and even breast to breast in the same patient. Further, most patients start out with some degree of asymmetry which further adds to the complexity.

Schedule Your Appointment

As with mastopexy, there are many different options when planning an augmentation-mastopexy, so a detailed consultation is necessary. Augmentation-Mastopexy is performed at the Surgery Center under general anesthesia. It is an outpatient procedure.

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Dr. Kirn and Dr. Al Bayati are Plastic Surgeons devoted to advanced techniques in Cosmetic Surgery of the Face, Breast, and Body.

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Frequently Asked Questions

Can I have my breasts lifted without any scarring?

All breast lift operations involve creation of some sort of scar. Our goal is always to keep scars to a minimum and hide them as best as possible. The more droopy the breast is, the more scarring there will be. At a minimum, there will only be a scar around the areola. At a maximum breast lifts use an anchor shaped pattern which includes an incision around the areola, a vertical incision, and an incision underneath the breast.

Will I lose nipple sensation with a breast lift?

Loss of sensation is very uncommon with breast lifts. However, the more droopy the breast is, the more tissue will need to be moved and therefore the greater the risk of disturbance of sensation.

Will my breast sit higher on my chest after a breast lift?

There is no operation which picks the entire breast up and moves it to a higher location on the chest. The inframmary fold (fold at the bottom of the breast) is a fixed landmark which does not move in a lift operation. The breast tissue is brought up to this level.

Will the breasts droop again after breast lift?

After the lift operation, the breast will age naturally. So, some degree of recurrent drooping is to be anticipated with time. Patients who do not have substantial weight fluctuations or pregnancy after a breast lift should maintain the result for many years.

What should I put on my incisions after breast lift surgery?

We will instruct you on care of the incisions after surgery. Although there are many products marketed to apply to scars, we have not found any of them to improve an incision which is healing normally.

Will my breast size be smaller after a lift operation?

All lift operations work by repositioning tissue and then removing skin to create a tighter envelope to hold the breast up. Unless desired, no breast tissue is removed during a lift operation. The breast might be fractionally smaller, but frequently they will appear the same or larger size due to putting the tissue back where it belongs.

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Breast Reduction

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Breast Revision

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Breast Reduction

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Dr. Kirn and Dr. Al Bayati photo

Meet Dr. David Kirn

Dr. David Kirn is an American Board of Plastic Surgery Certified Plastic Surgeon who is devoted to advanced techniques in Cosmetic Surgery of the Face, Breast, and Body. In private practice since 1998, he is located in a state-of-the-art facility which includes a full service skin care center. The practice is focused on personalized patient care and attention to detail. Where possible, Dr. Kirn utilizes minimally invasive procedures.

Meet Dr. Ahmed Al Bayati

Having completed his training in plastic surgery and serving as Chief Resident at the University of Kentucky, Dr. Al Bayati brings a wealth of expertise and dedication to his practice. His commitment to advancing patient care and achieving exceptional outcomes reflects his unwavering passion for plastic surgery.

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