Do I need a breast lift with an implant or just an implant alone?
Dr Alex Phoon discusses a very common question patients have which is “Can I have a breast implant alone or do I need a lift?”
This question is often asked by women who might have lost a lot of weight, had children, or have a lower position of the nipple relative to the fold under the breast. The breast sometimes has lost volume and can look deflated.
The medical word for having a lower nipple position is called ptosis (pronounced toe-sis). Sometimes if one chooses an implant that has a bit more boost in it we can elevate the nipple to a high position just with the implant alone and therefore avoid having the lift. Using a much larger implant to create a lift will not always work and can sometime make the droopiness even worse sometimes
There is no substitute for having a physical examination.
During your consultation your surgeon will look at your existing breast shape and feel the tissue to make sure it’s not too stretchy and the nipple position isn’t too low.
If having a larger type implant is something you don’t want or you desire a more athletic look then you need to be thinking about other procedures that will achieve that look. This classically means undergoing a breast lift with an implant. The medical term for this is called an Augmentation Mastopexy.
What is an Augmentation Mastopexy
Historically, this procedure was performed in two stages which involved the lift surgery then returning at a second stage to have the implant placed in.
Dr Moradi and Dr Phoon perform this procedure in a single stage unless there is a reason such as massive weight loss. Performing the operation in one stage involves placing the implant then lifting the nipple in a higher position, now perfectly located over the implant. Augmentation mastopexy is not without risk however and there is approximately a 35% chance that there might be some kind of secondary procedure to alter the nipple position once the swelling goes down.
Unfortunately, when lifting the nipple to a better position there will always be additional scarring over a simple implant alone.
A traditional implant procedure alone will result a small scar in the breast crease. With an Augmentation Mastopexy the scarring will include a scar around the nipple and then straight down to the crease. This is often referred as a lollipop incision.
The slight variation on this lollipop incision is called the anchor incision. This incision is reserved for those that have some skin laxity between the nipple and the IMF breast crease. The additional incision is only performed when required and is tolerated exceptionally well.
What is the best option for you?
This really needs to be discussed with your surgeon when your personal situation is fully considered.
Choose a surgeon that has a fair amount of experience with Augmentation Mastopexy as it is a more technically demanding procedure than traditional Breast Augmentation alone.
If you would like more information or would like to find out whether a Breast Augmentation, Breast Lift or Augmentation Mastopexy is best for you do not hesitate to contact us to arrange a consultation.