Just the Lift You Need Breast augmentation with breast lift surgery is ideal for women who are unhappy with their sagging appearance and desire breast enlargement at the same time. This procedure can also restore a fuller, rounder, and perkier shape. In addition, it is often used to provide fullness in the upper portion of the breasts when a lift alone is inadequate. Dr. Friedlander often performs these two procedures together to improve the appearance and self-esteem of her patients. Breast Augmentation with Lift Procedure The breast shape, size, and degree of sagging will also determine the best type of uplift to achieve your desired result. Breast augmentation with breast lift surgery is an outpatient procedure. During your surgery, Dr. Friedlander will begin by inserting the implants, followed by the lift to reposition the nipple. Then she will tighten the skin, which will allow her to tailor the lift over the implant. The implant selected will depend on how much enlargement is desired (subtle or noticeable) and the natural elasticity of the skin. With Dr. Friedlander's breast augmentation with lift New Jersey patients can also combine other surgical procedures, such as Mommy Makeover surgery, or lift and tighten skin after massive weight loss. Am I a good candidate for a Breast Augmentation with Lift? Women with sagging and deflated breasts can benefit from breast augmentation with lift. Sagging seen in women who also have a loss of breast fullness is not a youthful trait. Women having experienced large swings in weight as a result of gastric bypass, loss of hormonal support as seen with menopause, genetics, or gravity are also ideal candidates. Women who struggle with the nipple and areola sitting low on the breast or point downward may also undergo this procedure. During your consultation, Dr. Friedlander will examine your breasts and review the amount of sagging you currently experience. This will help determine the best technique needed to provide you with the results you desire. While most women needing augmentation and lift have nursed their children, women with sagging for any reason — deflation results from weight loss or loss of hormonal stimulation. In addition, sometimes, a condition known as pseudoptosis occurs, which means there is a loss of breast volume that can cause a woman's skin to look like an empty sack. However, the nipples may still be in a good position resting high on the breasts. If this is your situation, even though you may feel like you need a lift, augmentation is the only thing required to restore fullness. Your Incision Options Dr. Friedlander will guide you through your aesthetic journey. The surgical options and the incision location are determined by many factors, including the degree of sagging. Mild sagging Mild sagging can be associated with a loss of fullness. In some instances, mild sagging can be improved with an implant only. Moderate sagging Moderate sagging can be improved with a “lollipop” or vertical mastopexy. An incision is placed around the areola, and a vertical incision extends down from the areola to the breast crease. Severe sagging Severe sagging will need an additional incision in the natural breast crease to reduce the excess skin. Misshapen breasts In some instances, as with constricted or tuberous breasts, the uplift and implants are performed using an incision around the areola alone. Can this surgery be done without an implant—(Auto-Augmentation)? An auto-augmentation combines the benefits of augmentation and lifts. Another option for women who want a lift with additional fullness above but do not want an implant is called auto-augmentation. Breast augmentation using an implant is an excellent procedure to improve the size and shape of the breasts since the implant provides fullness in the upper portion of the breast where it is often lacking. This procedure is done with a lift that repositions some of the breast tissue behind the nipple, creating more fullness on the superior portion of the breast. It is ideal for women who have a lot of sagging and seek an improvement in shape but do not wish to have a significant change in size. Even more, fullness can be added with fat transfers. Breast Augmentation with Lift Recovery Combining the two procedures will not lengthen your recovery. The recovery is similar to breast augmentation or breast lift alone. A sports bra is recommended after your surgery for support. You will be able to return to work-like activities remotely a day or two after the surgery. You may return to work site activities between five and seven days after surgery. There is no working out or strenuous activity permitted for four weeks. Mild swelling, and in a few instances, bruising will occur but should resolve rapidly.