The Benefits of Combining Breast Augmentation and a Breast Lift

What is breast augmentation?

Breast augmentation, also known as augmentation mammoplasty, is a surgical procedure that changes the size and shape of the breasts using implants or the patient’s own fat. When implants are used, the incisions are commonly placed in the crease beneath the breast. This approach is associated with a low complication rate, and the resulting scar is usually well concealed. An incision in the armpit may be considered as an alternative. Implant-based breast augmentation is performed under general anaesthesia and takes approximately one hour. Breast augmentation with fat transfer involves two stages: 1. Fat is first removed from areas such as the abdomen, hips, buttocks or thighs, then processed under sterile conditions. 2. The prepared fat cells are injected into previously defined areas of the breast. Fat transfer can increase breast volume whilst also allowing precise contouring of the breast shape. As the fat must first be harvested and prepared, the procedure takes around two hours and is therefore somewhat longer than augmentation with implants.

What is a breast lift?

A breast lift, or mastopexy, can restore a firmer contour and improve the position of the breasts. It may be performed once breast development is complete. In a conventional breast lift, incisions are placed around the areola and generally fade over time. If a more substantial lift is required, the Lejour technique uses a vertical incision beneath the nipple. This may be combined with a T-shaped or L-shaped incision. Excess skin is removed, and the nipple is usually repositioned higher on the breast. A breast lift can be performed using the patient’s own tissue or combined with implants. When natural tissue is used for additional support, some of the tissue that would otherwise be removed can be shaped around the lower part of the breast like an internal belt and secured with sutures. If silicone implants are used, incisions may be placed around the areola, vertically downwards and horizontally within the breast crease. Excess tissue is removed, the nipple is repositioned and the implant is inserted.

Combining breast augmentation with a breast lift

Combined breast augmentation and lift surgery is commonly performed for patients between the ages of 30 and 60 who are dissatisfied with the appearance of their breasts. The breasts may lose shape and firmness, particularly after pregnancy or significant weight loss. This procedure may be appropriate if you have

• sagging or flat breasts,
• asymmetrical breasts and/or
• moderate skin elasticity

and are also dissatisfied with your breast size. Suitability for combined breast augmentation and lift surgery is assessed individually during a consultation.

Benefits of breast augmentation combined with a breast lift

Combining breast augmentation with a breast lift can be an effective option for women who are unhappy with the appearance of their breasts and would like to improve both their shape and size.

Greater self-confidence

If sagging or disproportionate breasts affect how you feel about your body, combined breast augmentation and lift surgery may help improve your confidence. Breast augmentation alone may not adequately address sagging and, over time, the added volume can contribute to further descent. A breast lift alone, meanwhile, can make the breasts appear smaller. Combining the two procedures can create fuller, firmer and better-shaped breasts. This approach can achieve the desired volume whilst often providing a more balanced and long-lasting result than either procedure alone.

Improved symmetry

Every woman has different needs and expectations regarding breast surgery. Combining breast augmentation with a breast lift allows me to tailor the procedure to your individual anatomy and goals. I can adapt the size, shape and position of the implants whilst removing excess skin and tissue to lift the breasts. This approach can also improve the balance between asymmetrical breasts.

Reduced anaesthetic exposure

Combining both procedures means that only one general anaesthetic is required, avoiding the additional anaesthetic exposure associated with two separate operations. You also undergo a single recovery period rather than two, which can make the overall treatment and healing process more manageable.

What happens during surgery?

Breast augmentation with implants and a breast lift are usually performed during a single operation under general anaesthesia. The procedure takes approximately two to three hours. I first insert silicone implants to achieve the planned breast volume. Several factors influence the outcome of breast augmentation, including the choice of implant, the surgical technique and the position of the implant. Different incision patterns may be considered depending on the amount of excess skin, including T-, L-, I- or O-shaped techniques. I will discuss the most appropriate incision pattern with you during your consultation and use the technique that is expected to achieve the required lift with the least conspicuous scarring possible. I then perform the breast lift, removing excess skin and redraping the remaining skin around the newly shaped breast. Where appropriate, I use an internal bra technique to provide additional long-term support. The aim is a firmer, lifted breast with the desired volume.

Potential risks and side effects

As with any surgical procedure, combined breast augmentation and lift surgery involves potential risks and side effects. These may include bleeding, infection, altered nipple sensation, pain, swelling and bruising. Before you decide to proceed, I will discuss the relevant risks, possible complications and expected recovery with you in detail.

Aftercare

A dressing is applied around the breasts after surgery. You should return to the practice after 24 hours so that I can examine the wounds. The dressing is usually changed after three to four days. During recovery, you should rest and avoid heavy lifting. It is important to sleep on your back and care for the scars as instructed. I will prescribe pain relief, which may also help reduce inflammation and swelling. Light office work can usually be resumed around five to ten days after surgery. You should wear a special support bra for four to six weeks. Light exercise can generally be resumed after approximately three weeks, subject to your individual recovery.

Breast augmentation and lift surgery at the Caletti practice

If you are considering combined breast augmentation and lift surgery, it is important to seek advice from a qualified and experienced plastic surgeon. During your consultation, I encourage you to discuss your expectations, wishes and any concerns openly. I will answer your questions, examine your breasts and assess which approach may be suitable for your anatomy and goals. You are welcome to book a consultation at my Berlin practice.

Do you have questions about breast augmentation and lift surgery?

I would be pleased to advise you on breast augmentation and lift surgery during a personal consultation in Berlin. You can book an appointment with the practice at any time.