Augmentation-mastopexy (Breast Augmentation with Lift) is a technically challenging procedure, which has ambitious goals: a) symmetry; b) longevity; c) mobility of the breasts; d) equal and sensate nipples; & e) minimal scarring. Women >22years of age can elect silicone gel devices while younger women are currently limited to saline implants. Candidates for a breast lift with implants are diverse. Postpartum (pregnancy) changes of the breast include loss of volume, change of shape, sagging and exaggeration of asymmetries. Age and genetics can also produce these unwanted effects. Factors which must be considered include a patient’s breast history of mastitis, biopsies, mammograms, personal and/or family history of breast cancer. Patients are encouraged to visit BreastImplantSafety.org, which is an independent website sponsored by ASPS (American Society of Plastic Surgeons) to inform themselves on many of the regulatory issues pertinent to silicone gel implants. It has been suggested that beauty is in the eye of the beholder and we request patients’ input on what they consider esthetic ideals. Conventional wisdom holds that breasts change at least 3 times during a woman’s adult lifetime: puberty, pregnancy/lactation, and menopause hence surgical planning also factors in a woman’s age and preferred sports & activities.
A Breast Augmentation with Lift procedure is performed under monitored anesthesia care in our office. Patients often inquire which comes first, the lift or the implant. Typically, the mastopexy or lift is the first stage, so that equivalence of the skin envelope, nipple position, and breast volume is assured, taking care to preserve the blood and nerve supply to the nipple areolar complex. The pattern of scars are discussed and agreed upon at the pre-op and depends on a) the amount of skin laxity and quality of the skin; b) the patient’s aesthetic ideals; c) the size/projection of the implant used; d) the patient’s history of scarring. Meticulous and gentle tissue handling is essential for good wound healing and minimal scarring. Silicone gel implants are inserted using a Keller funnel, thereby ensuring a pristine “no touch” technique, to reduce the possibility of infection and capsular contracture. Drains may be used, and the incisions are closed with multiple layers of dissolving sutures.
The typical time for recovery is 7-14 days, although many patients resume driving and/or working, as soon as they have discontinued pain medications. Often, Neodyne Embrace Silicone Therapy is used to improve scar appearance.Some patients may experience a temporary burning sensation, which represents sensory nerves regaining function and is a temporary inconvenience. We encourage all patients to call with any questions.
The decision to have cosmetic surgery is a deeply personal one and Dr. Chong is firmly committed to helping her patients make the best choices to fulfill their goals. She will be happy to personally consult with you to discuss your desires and help you formulate a treatment plan.