Deciding on a Breast Lift: To Implant or Not to Implant?

Women considering breast enhancement often face the decision of whether to undergo a breast lift alone or to add implants to the procedure.

This choice is significant, as it affects not only the aesthetic outcome but also the surgical approach and recovery process.

Understanding the differences between these options and the factors that influence the best course of action is extremely important for patients seeking to enhance their breast appearance.

Comparison of breast lift and implant options on a sports bra.
The choice between breast lift and implants impacts the outcome and recovery

Dr. Vitenas’ Expert Guidance on Breast Enhancement Options

With over three decades of experience in cosmetic surgery, Dr. Paul Vitenas offers comprehensive insights into breast enhancement procedures. His expertise in reshaping and contouring breasts allows patients to make informed decisions that align with their aesthetic goals.

Whether the aim is to restore the breasts’ youthful position or to add volume for a fuller look, Dr. Vitenas provides personalized treatment plans tailored to each patient’s unique body shape and desires.

Determining Breast Lift Candidacy

Mastopexy, also known as a breast lift, is a surgical procedure that raises the nipple position and removes surplus skin to tighten and reshape the breast contour. Ideal candidates for a breast lift are those whose nipples reside below the breast fold line. This procedure does not alter the overall breast size but instead repositions the breasts to a more aesthetically pleasing location on the chest.

Dr. Vitenas assesses each patient’s condition and objectives during the consultation to determine their suitability for a breast lift.

Breast Lifts Alone vs. Adding Volume with Implants

When considering a breast lift, patients must decide whether they are content with their breasts’ current volume.

If the goal is to not only lift but also enhance the breast size, the addition of implants becomes a pivotal discussion point. Breast implants, available in various sizes and materials, offer a reliable method to add volume and achieve upper pole fullness.

Dr. Vitenas guides patients through the decision-making process, helping them understand the implications of each option on the final breast appearance.

Implant Selection and Planning in Successful Outcomes

Careful implant selection and thorough pre-operative planning are critical components in achieving successful outcomes, especially when a breast lift is paired with implants.

Dr. Vitenas works closely with each patient to select the appropriate breast implant type and size that complements their existing breast tissue and body proportions. This meticulous approach, combined with the use of advanced techniques such as dissolvable meshes, has led to more predictable and stable results for patients who choose to enhance their breast size in conjunction with a lift.

Breast Lift with Augmentation before and after photos in Houston, TX, Patient 27507 Explicit content – Discretion advised.
Breast Lift with Augmentation before and after photos in Houston, TX, Patient 27507 Explicit content – Discretion advised.

The Breast Lift Procedure

The breast lift procedure is conducted under general anesthesia, typically taking 2-4 hours. During the surgery, Dr. Vitenas determines the optimal nipple position, frees the surrounding tissues, and skillfully repositions and secures the breast using dissolvable sutures. If implants are included, their placement occurs before the lift, either above or below the muscle, based on the individual’s anatomy and preferences.

The type of incision used depends on the amount of lifting needed and breast tissue quality to create natural, symmetrical results.

Post-Surgery Care: Pain Management and Activity Restrictions

Post-operative care is paramount for a successful breast lift recovery. Most patients manage discomfort with pain medication for the initial 1-2 days, transitioning to Tylenol or ibuprofen thereafter. Dr. Vitenas advises patients to avoid lifting anything heavier than 10 pounds for the first month to facilitate healing. After this period, gradual resumption of upper body exercises is often possible, with careful monitoring to prevent strain on the healing tissues.

Anticipating Results: The 3-Month Milestone for Breast Procedures

At the 3-month mark, patients can typically expect to see the stable results of their breast lift, with or without implants. By this time, any implants should have settled, and post-surgical swelling subsided, revealing the rejuvenated contours and improved nipple positioning.

Dr. Vitenas ensures that each patient’s progress is closely monitored to confirm that the healing process aligns with the anticipated outcomes.

Revision Rates: What to Expect with Breast Lifts and Implants

The success of a breast lift, with or without the addition of implants, is generally high. However, it’s important for patients to understand the possibility of revisions. The need for revision is low for a breast lift alone, but adding implants increases the need for further procedures slightly.

Research shows a 15% revision likelihood when combining a lift with implants. Most revisions are minor, requiring only local anesthesia in an office setting. However, Dr. Vitenas highlights the necessity of realistic expectations and acknowledges that significant adjustments may occasionally necessitate a return to the operating room.

Breast Lift with Augmentation before and after photos in Houston, TX, Patient 27462 Explicit content – Discretion advised.
Breast Lift with Augmentation before and after photos in Houston, TX, Patient 27462 Explicit content – Discretion advised.

Three Common Considerations for Breast Lifts in Houston

1. Breast Surgery and Its Impact on Breastfeeding Potential

Breast lifts and breast augmentations can potentially affect breastfeeding. While the placement of implants during a breast lift is not believed to significantly impact the ability to breastfeed, it is possible that surgical incisions could harm milk ducts. Dr. Vitenas informs patients that any breast surgery may increase the likelihood of needing to supplement breastfeeding with formula. However, many women are able to breastfeed successfully, and it is encouraged for those who wish to try.

2. Mammograms Post-Breast Lift: Timing and Considerations for Implants

After undergoing a breast lift surgery, with or without implants, it is generally recommended to wait at least three months before having a mammogram. When a patient has implants, it is crucial to inform the technician so they can adjust the imaging technique to ensure a thorough examination of the breast tissue. Dr. Vitenas reassures patients that mammograms do not pose a significant risk to the integrity of breast implants and that the benefits of regular breast cancer screening far outweigh any potential risks.

3. Balancing Implant Safety and Breast Cancer Detection During Mammograms

The safety of breast implants during mammograms is a common concern among patients. Dr. Vitenas ensures that the risk of implant damage during a mammogram is minimal and that modern imaging techniques are designed to protect the integrity of the implant while providing clear views of the breast tissue for cancer detection. The priority is always the early identification and treatment of breast cancer, and implants do not hinder this critical health screening.

Consult with Dr. Vitenas for the Best Breast Lift Results

For individuals considering breast lift surgery, with or without implants, consulting with an experienced and board-certified plastic surgeon like Dr. Vitenas is invaluable. His extensive experience and dedication to achieving optimal results for his patients ensure that each individual receives the highest level of care and attention.

To discuss your breast enhancement goals and develop a personalized treatment plan with Dr. Vitenas, please call 281-484-0088 or contact us and schedule your consultation.