A breast augmentation with lift is a procedure in which Dr. Mirmanesh is able to improve the position and the size of the breast, by removing any excess skin that may have stretched out due to stress such as weight gain, pregnancy, and even the natural aging process. Typically, the breasts are too droopy or loose to undergo a breast augmentation alone or do not have the volume to undergo a breast lift alone.
This procedure can improve the size of the breasts, the shape of the breasts as well as raise them to a perkier position. Most of the time Dr. Mirmanesh does a breast lift/augmentation during the same procedure. However, there are some patients who will get a safer, more accurate, more complete, and longer lasting result if it is done in two stages.
After proper and thorough evaluation, Dr. Mirmanesh will choose an incision pattern that is right for you, excess breast skin and fat will be removed. Remaining skin and fat will be reshaped to create a more youthful breast contour. A breast implant will then be placed, typically below the muscle. If needed, a bioabsorbable mesh will be placed, which has been shown to maintain breast shape for longer periods of time than without it. Incisions will then be closed with sutures.
There are three basic types of incision patterns when it comes to a breast augmentation with lift.
- The Vertical (Lollipop) Incision incision is created around the areola and vertically down to the breast crease, and is ideal for those with a mild to moderate amount of breast sagginess.
- The Inverted-T (Anchor) Incision is created around the areola, vertically down to the breast crease, and then horizontally along the breast crease. Dr. Mirmanesh is sure to limit the incision to what is only necessary often by evaluating the patient in her most exposing bikini top. This incision is best for those with a significant amount of breast sag. This incision pattern allows for the most control of ultimate breast shape and is typically the longest lasting.
- The Peri-Areolar (Donut) Incision is created just around the areola, and is ideal for those with a mild amount of breast sag. While the lift associated with this procedure is minimal, so is the associated scarring. However, this technique tends to flatten the projection of the breast and can stretch the nipple.
There are two basic types of implants in terms of the material with which the implant is filled. The implant can be filled with either saline(salt water) or silicone gel. Dr. Mirmanesh only uses smooth round implants.
Breast implants are usually placed either over the pectoral muscle in a sub-mammary (under the breast) position or under the pectoral muscle. The downsides of placing the implant under the muscle are weakening of the pectoral muscle, increased postoperative pain compared to a sub-mammary position, and visible deformity when contracting the muscle. The downsides of placing the implant over the muscle are less support for the implant, greater risk of implant visibility or palpability (being able to feel the implant), and increased risk of capsular contracture. In addition, during the breast augmentation with lift procedure, placing the implant above the muscle puts the nipple at risk for sensation loss and healing issues.