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Michael C. Fasching, M.D. F.A.C.S.

Board Certified Plastic Surgeon

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Combination Breast Augmentation and Lift

breast-augmentation-and-liftDr. Michael C. Fasching has helped countless women enhance the size of their breasts with breast implant surgery. For certain patients, however, enhancing the breasts with implants only addresses half of their aesthetic concern. For women who desire breasts that are both more voluminous  and located higher on the chest wall, in a more youthful position, combination breast augmentation and breast lift surgery may be the answer.

Combination breast augmentation and breast lift surgery is designed to:

  • Raise the breasts farther up on the chest wall
  • Improve the appearance of southward-pointing nipples, elevating them to a higher, more central position on the breast
  • Decrease the size of overly large areolas and reposition them higher on the breast, in a more central position, as necessary
  • Enhance or restore breast volume
  • Create a rounder breast shape

Treatment Options

breast-liftDuring consultation, Dr. Fasching evaluates each patient’s body type and frame and listens to her aesthetic concerns. Based on this information, he suggests a suitable treatment protocol — including the type of implant, implant size, incision pattern and placement approach — that will best satisfy the patient’s anatomical needs and surgical goals.

Types of Implants. There are three types of breast implants approved by the FDA for use in breast augmentation surgery: saline, traditional silicone and highly cohesive, form-stable silicone. Each type of implant offers its own benefits and drawbacks, which Dr. Fasching discusses with patients during consultation.

Incision Patterns. Depending on the complexity of the patient’s anatomical needs and aesthetic desires, she may require multiple incisions to attain optimal results. Dr. Fasching uses the following incision patterns for combination breast augmentation and lift surgery.

  • With conventional mastopexy (breast lift surgery), Dr. Fasching positions a periareolar incision around the outer perimeter of the areola (the darker-colored skin surrounding the nipple), a vertical incision that extends from the bottom border of the areola to the natural breast crease and an inframammary incision that runs lengthwise, underneath the breast fold.
  • With short-scar mastopexy, the Minneapolis breast lift surgeon uses both the periareolar incision and a vertical incision
  • With periareolar mastopexy, he makes a single incision around the perimeter of each areola

Note:When combining breast augmentation with breast lift surgery, Dr. Fasching uses one of the incision approaches above to lift the breast and place the implant. No additional incisions are needed to place the implant.

Placement Approaches. Dr. Fasching places the breast implant either under the breast tissue but above the chest muscle (subglandular placement) or under the chest muscle (submuscular placement). Each placement approach offers its own advantages and disadvantages, which, again, Dr. Fasching will review with patients before the day of surgery.

For instance, subglandular placement typically requires a shorter, less intense recovery period, as the chest muscle in not impacted during surgery. However, it is not usually an appropriate treatment option for women with thin skin and little breast fat that is not sufficient to cover and support the implant properly, because the implant might be visible underneath the skin’s surface.

In contrast, submuscular placement typically requires a slightly longer and more intense recovery period. However, this approach provides better implant coverage and is used in most breast augmentation procedures.

The Combination Breast Augmentation and Lift Procedure

Combination breast augmentation and breast lift surgery is performed under general anesthesia, usually on an outpatient basis.

The details of the procedure may differ by patient, predominantly based on the degree of excess skin present and how far the nipple has descended from its ideal position. These considerations will determine the complexity of the patient’s surgical procedure.

For instance, women with only a mild loss of breast volume and minimally descended nipples might require breast implants with periareolar breast lift. In contrast, women with a great degree of breast ptosis (sagging) and nipple descent and a severe loss of volume might require breast implants and a more complex lift approach involving: excess skin excision; reshaping and repositioning the existing breast tissue mound; and repositioning each nipple.

In general, however, Dr. Fasching starts the combination procedure by making the chosen incision pattern. He then creates an implant pocket in the chosen location and places the implant in the tissue pocket. Dr. Fasching removes any surplus skin before reshaping the existing breast tissue mound. He meanwhile moves the breast mound to a higher, more youthful position on the chest wall. The breast augmentation and lift surgeon closes the incision and dresses the treatment area with soft bandages and an overlying surgical bra to minimize postoperative swelling and provide added support to the tissues while they heal.

Recovering From the Combination Procedure

Women who have undergone combination breast augmentation and lift surgery will need to take about one week off from their jobs or their everyday routine. The most intense phase of the recovery process occurs in the initial three to five days after surgery. During this time, any discomfort can be managed by taking oral pain relievers as directed by Dr. Fasching.

During the first week after surgery, patients should get as much rest as possible and avoid strenuous activity, including heavy lifting, raising the arms higher than shoulder height and exercising. During one of the patient’s follow-up visits, Dr. Fasching will tell patients when it is okay for them to resume their fitness regimen and remove the surgical bra.

Although many of the aesthetic benefits of the procedure are visible immediately after surgery, it may take several weeks for the final results to become actualized. This is how long it takes for the implants to settle into a more natural position on the chest wall and for any residual swelling throughout the treatment area to subside fully.

breast-augmentationDiscover What the Combination Procedure Can Do for You

If you would like to restore lost volume to your breasts while lifting them to a more youthful-looking position on the chest wall, it is time to discover what combination breast enhancement and lift surgery can do for you!

To schedule a private consultation with Dr. Fasching to learn more about combining breast augmentation and breast lift surgery, please contact his practice by calling (763) 577-7500.