A breast augmentation with a breast lift is a combination aesthetic procedure designed to enhance and increase breast size, while also lifting and firming the breasts.
Breast augmentations are also known as “boob jobs”, or augmentation mammoplasties. Breast lifts, also known as mastopexies, are also performed separately, but can also be combined with a breast augmentation for a comprehensive revision for the appearance of the breasts. These procedures add volume to the breasts with the placement of implants and remove excessive breast tissue so that the breasts are elevated to a more youthful and aesthetically-pleasing location on the chest. Nearly 300,000 women receive breast augmentation on an annual basis.(1) When combined with a lift, women see enormously successful results. If you’ve been looking to restore breast proportion and shape after pregnancy, aging, weight fluctuations, and enlarge breast size while restoring symmetry and resolving sagging, a breast augmentation with lift may be a rewarding procedure. Dr. Alyson Wells provides outstanding patient care and results, and helps women in the Baltimore area look and feel their very best. Schedule a personal consultation to learn more about this transformative procedure and what it can do for you. You can reach The Valley Plastic Surgery and Medi-Spa’s Cockeysville offices by calling (410) 628-8200 or filling out this online form.
- 1 About Breast Enhancements
- 2 Before and After Photos
- 3 Finding the Right Doctor
- 4 Is a Breast Augmentation with Lift Right for Me?
- 5 Personal Consultation
- 6 Breast Implants: Silicone or Saline?
- 7 Procedure Preparation
- 8 Procedure Process
- 9 Breast Augmentation with Lift Recovery and Results
- 10 How Much Does Breast Augmentation with Lift Cost in Baltimore?
- 11 FAQ
- 12 References
About Breast Enhancements
A breast lift, or mastopexy, focuses on correcting the shape of your breasts. During a breast lift, your surgeon will remove excess skin to raise, reshape, and firm the breast. This includes repositioning the location of the nipple-areolar complex higher on your chest wall, which creates a perkier, more youthful appearance. While breast lifts won’t change the overall size of your breasts, the combination procedure of a breast augmentation with lift is a way to achieve multiple aesthetic transformations in one surgical session.
Before and After Photos
Finding the Right Doctor
If you or anyone else you know is considering breast surgery, the first step is to find an exceptional plastic surgeon. Because breast augmentations and breast lifts are invasive surgeries, it is important that you feel comfortable and at ease when preparing for the surgical process. Dr. Alyson Wells is an experienced, double-board certified plastic surgeon with a formidable track record! Dr. Wells attended medical school at Washington University School of Medicine in St. Louis, Missouri, which is considered one of the top medical schools in the country. Not only did she study and complete her degree here, but she also ranked in the top 10% of medical students nationally. Her post-doctoral training took place at Johns Hopkins Hospital, where she is currently a teaching physician. Dr. Wells is ultimately passionate and motivated to help patients achieve their goals and transform their confidence. Whatever your personal needs are, Dr. Wells will be here to help fulfill them.
Is a Breast Augmentation with Lift Right for Me?
Typical candidates for breast augmentation with lift are those who are in good health and looking to boost the overall volume and shape of their breasts. There are several reasons why someone may consider breast surgery. However, women looking to combine a lift with their augmentation are typically seeking to improve the appearance of breast ptosis. Ptosis, or sagging, is identifiable in breasts in which the parenchyma, or breast mass, rests below the inframammary crease, where the underside of the breast meets the chest wall. Women troubled by a “deflated” appearance or downward-pointing nipples can benefit from an augmentation with lift. This combination of procedures can raise the position of the nipple, as well as increase the fullness of the upper pole of the breast: the area of the breast above the nipple.
While breast augmentation with lift is a common surgical procedure, it is not performed without prior appointments with a surgeon. A personal consultation is always done before a patient is approved for plastic surgery. This essential appointment is intended to provide you and Dr. Wells one-on-one time to talk through the procedure, and for her to review your medical history, and discuss your needs. This will also include a discussion of the reasons why you’re interested in breast augmentation, and you’ll be able to explore the many implant options available.
Breast Implants: Silicone or Saline?
Dr. Alyson Wells performs breast augmentation using both silicone gel and sterile saline implants by Mentor, which are considered the gold-standard for implants. While both implant types boast aesthetically successful results, it is still important to know the difference between the two in order to select the implant that will best meet your needs. Your unique goals as well as your height, weight, and overall body composition must be taken into consideration to determine your personalized implant specifications.
Saline implants consist of sterile salt water encased in a silicone exterior. Saline implants have long been preferred by women concerned with complications from ruptured silicone implants. In the rare event of implant breakage, saline implants will simply deflate as the sterile salt water is absorbed by the body.
However, today’s silicone breast implants are safer than ever, and their inert silicone gel is encased in multiple layers of durable silicone shells. Silicone implants are the most popular choice for breast implants in the United States today. Mimicking your natural breast tissue, silicone gel implants have a movement and feel that is similar to natural breast tissue. According to FDA regulations, women must be 22 or older to receive silicone gel implants.
In addition to implant material, other implant considerations include:
- Size: Implants are measured in cc’s rather than cup size. Your current breast dimensions and ultimate goal will determine the size of the implants that will best meet your desires.
- Projection: Projection describes how far the implants extend from the chest wall.
- Shape: Round or tear-drop shaped implants are available. Round implants are chosen in 95% of breast implants performed in the United States. (1)
During your consultation, Dr. Wells will thoroughly walk you through the entire procedure, start to finish. She will discuss with you all important and significant aspects about the surgery and how it is done. Dr. Wells will also detail preoperative and post-operative instructions so that you’re prepared for the procedure. Dr. Wells will describe the realities of the surgery, the recovery, and the results you’ll be able to realistically anticipate. The goal of a personal consultation is not only for medical purposes, it is also for emotional and mental clarity. Dr. Wells believes that patients deserve to be well-informed and excited about their results, and takes the time with each patient to ensure that they have the best possible experience. To learn more about the other procedures that Dr. Wells performs, and the latest in plastic surgery, follow her blog!
To achieve the greatest benefits and satisfaction from a breast augmentation and breast lift, it is very important to follow proper care guidelines and preparation. If you aren’t attentive to your body’s needs throughout the preparation process, your risk of developing side effects or complications is increased. Patients who stay on top of pre and postoperative care are more likely to experience less pain, quicker results, and a smooth recovery. You’ll be provided with a personalized list of preoperative and postoperative instructions throughout the duration of your care, so you will know exactly the correct steps to take.
- As with any medical procedure, it is very important that you adjust or stop taking medications following your doctor’s orders. Herbal and other supplements and certain medications have been shown to increase bleeding. Therefore, it is crucial that share any medications that you are taking with Dr. Wells, and discontinue the specified medication as instructed.
- Do not smoke or drink before surgery, as both of these activities can impede the healing process, and increase the risk of complications during surgery.
- Fast as instructed, beginning at midnight before the procedure.
- Try to fuel up on nutritious, wholesome foods before and after surgery to enhance the healing process. Stay well hydrated after surgery, and be sure to always listen to your body.
- Prioritize sleep. Sleep promotes overall health and optimizes healing.
The process of breast augmentation with lift consists of several steps, beginning with patient education and ending with established postoperative treatment.(2) General anesthesia is typically used for this procedure, as it is an invasive surgery.
Breast implants are placed in either the submuscular or subglandular areas of the chest. In subglandular placement, the implant is placed beneath the breast tissue, and above the pectoralis muscle. In submuscular placement, the implant is secured beneath the pectoralis muscle. Each location has its own unique advantages. However, for women without sufficient existing breast tissue, submuscular placement ensures more natural-looking results, although the recovery is slightly longer. Once the implants are secured in the designated location, Dr. Wells will continue to sculpt the breast tissue with a breast lift. During the breast lift, she will place incisions around your areola and vertically down to the breast crease. Women with more extensive laxity may require an additional incision placed along the inframammary crease, along the underside of the breast. As the incisions are closed, the remaining skin is then tightened, lifting the breast mass higher on the chest.
Breast Augmentation with Lift Recovery and Results
After your procedure is complete, you’ll be dressed in a supportive surgical bra, which you’ll continue to wear throughout your recovery. Plan on taking at least a week off work to focus on rest and recovery. Most patients are able to return to sedentary work within a week. More strenuous activity can be resumed four to six weeks after surgery. Breast implants typically take several weeks before they “settle” into their permanent location, and swelling will need to fully subside before your final results are evident.
After recovery is complete, breasts will appear plump, elevated, and balanced. Breast augmentation with lift is a highly customizable procedure, and as such, the results look different on every patient, depending on their unique anatomy and desired results.
How Much Does Breast Augmentation with Lift Cost in Baltimore?
The cost of breast augmentation with lift varies depending on the details of your individualized treatment plan. As a result, the final cost varies slightly from patient to patient.
Following your consultation, will provide you with an accurate procedure estimate. To schedule a personal consultation with Dr. Wells or to ask any questions/concerns, you can contact our office at 410-628-8200, or request a consultation online.
How long is the recovery after a breast augmentation with lift?
Recovery time varies slightly from patient to patient following breast surgery. Four to six weeks is the minimum average time for recovery, although in some cases it can take 3 – 6 months to see full results.
What size implants should I get?
When choosing the size implants you should get, consider the ultimate appearance you want to achieve, as well as your physical characteristics. Body shape and size are two primary features to keep in mind when considering implant size options. Your surgeon will discuss all possible choices with you in the decision-making process.
How often will I need my implants looked at?
So long as there are no complications with the implants, you will need an annual checkup with your doctor to ensure the implants are functioning properly.
- Coombs DM, Grover R, Prassinos A, Gurunluoglu R. Breast augmentation surgery: Clinical considerations. Cleveland Clinic Journal of Medicine. 2019;86(2):111-122. doi:10.3949/ccjm.86a.18017
- Adams WP Jr., Mallucci P, Breast Augmentation, Plastic and Reconstructive Surgery. 2012; Volume 130(4): 597e-611e, doi: 10.1097/PRS.0b013e318262f607