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Dr. Beverly Friedlander

Breast Augmentation with Lift


Breast augmentation with breast lift surgery is ideal for women who are unhappy with their sagging appearance and desire breast enlargement at the same time. This procedure can also restore a fuller, rounder, and perkier shape. It is often used to provide fullness in the upper portion of the breasts when a lift alone is inadequate. Dr. Friedlander often performs these two procedures together to improve the appearance and self-esteem of her patients.

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Am I a good candidate for a Breast Augmentation with Lift?


Sagging seen in women who also have a loss of breast fullness is not a youthful trait. Women with sagging and deflated breasts caused by pregnancy and nursing can benefit from breast augmentation with lift. Women having experienced large swings in weight as a result of gastric bypass, loss of hormonal support as seen with menopause, genetics, or gravity are also ideal candidates. Candidates who struggle with the nipple and areola sitting low on the breast or point downward may undergo this procedure as well.

During your consultation, Dr. Friedlander will examine your breasts and review with you the amount of sagging which is present. This will help determine the best technique needed to provide you with the results you desire. While most women needing an augmentation and lift have nursed their children, women with sagging for any reason who are interested in lifting and increasing the size of their breasts in a single operation are also good candidates for this procedure.

How does sagging and deflation occur? What is pseudoptosis?


Sagging is caused by a loss of intrinsic or structural ligamentous support of the breast and skin. Deflation results from weight loss or loss of hormonal stimulation. Sometimes a condition known as pseudoptosis occurs, which means there is a loss of breast volume that can cause a woman’s skin to look like an empty sack. However, the nipples may still be in a good position resting high on the breasts. If this is your situation, even though you may feel like you need a lift, an augmentation is the only thing required to restore fullness.

How is a Breast Augmentation with Lift performed?


Breast augmentation with breast lift surgery is an outpatient procedure. During your surgery, Dr. Friedlander will begin by inserting the implants, followed by the lift to reposition the nipple. Then she will tighten the skin, which will allow her to tailor the lift over the implant. The implant selected will depend on how much enlargement is desired—subtle or noticeable, as well as the natural elasticity of the skin. The breast shape, size, and degree of sagging will also determine the best type of uplift to achieve your desired result. Breast augmentation with breast lift surgery can also be combined with other surgical procedures, such as Mommy Makeover surgery, or be used to lift and tighten the breast after massive weight loss.

Before and After Photo

Before Patient Photo After Patient Photo

Implant Size: 275 CC SRM  Silicone Implants. She was  looking to restore breast volume after after nursing quadruplets.  Mommy Makeover (Tummy Tuck) performed at same time.

Patient Age: 39
Patient Height: 5’2
Patient Weight: 120lbs
Cup Size Before: 34 B/C
Cup Size After: 34D
Procedure: Full Mastopexy with submuscular implant placement
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What are my incision options?


The surgical options and the incision location are determined by a number of factors, including the degree of sagging.

  • Mild sagging: Mild sagging can be associated with a loss of fullness. In some instances, mild sagging can be improved with an implant only.
  • Moderate sagging: Moderate sagging can be improved with a “lollipop” or vertical mastopexy. An incision is placed around the areola, and a vertical incision extends down from the areola to the breast crease.
  • Severe sagging: Severe sagging will need an additional incision in the natural breast crease to reduce the excess skin.
  • Misshapen breasts: In some instances, as with constricted or tuberous breasts, the uplift and implants are performed using an incision around the areola alone.

Can this surgery be done without an implant (Auto-Augmentation)?


An auto-augmentation is a very nice procedure that combines some of the benefits of an augmentation and a lift. Breast augmentation using an implant is an excellent procedure to improve both the size and shape of the breasts since the implant provides fullness in the upper portion of the breast where it is often lacking. The lift restores a more youthful shape. There is another option for a woman who wants a lift with additional fullness above but does not want an implant. This is called an auto-augmentation. This procedure is done with a lift that repositions some of the breast tissue behind the nipple, creating more fullness on the superior portion of the breast. It is ideal for women who have a lot of sagging, and are seeking an improvement in shape, but do not wish to have a significant change in size. Even more fullness can be added with fat transfers.

What results can I expect?


Following your breast augmentation with a lift procedure, you can expect long-lasting results that will boost your appearance and self-esteem. Your new breasts will settle over a period of months and subtle changes in appearance will occur. Dr. Friedlander has performed countless numbers of these procedures and understands the issues involved. Her procedures are performed with great care and precision, optimizing outcomes and reducing complications.

What is the recovery like from a Breast Augmentation with Lift?


The recovery is similar to breast augmentation or breast lift alone. Combining the two procedures will not lengthen the recovery. A sports bra is recommended after your surgery for support. You will be able to return to work like activities between five and seven days after surgery. There is no working out or strenuous activity permitted for four weeks. Mild swelling, and in few instances, bruising will occur but should resolve rapidly.

What risks and side effects are involved?


As with independently performed breast augmentation and breast lift surgeries, complications do occur, but they are rare. Common side effects are bruising and swelling, but these are temporary and are part of the overall healing process.

Schedule a Breast Augmentation with Lift consultation


For more details and to find out if you are a candidate for a breast lift with augmentation, please contact us to schedule a consultation or call our office at (973) 524-7124

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Beverly Friedlander MD
636 Morris Turnpike, Suite 1A
Short Hills, New Jersey 07078

Phone: (973) 524-7124

Fax: (973) 912-8070

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