Why I Perform Breast Augmentation & Lift Together

Learn about breast augmentation and lift in Louisville, KY.

Often, when a patient comes in seeking a breast augmentation at our Louisville, Kentucky practice, the discussion needs to shift a bit after I perform her initial examination. This is because, for many women, an augmentation on its own won’t produce the desired result, and I recommend adding a breast lift (mastopexy) for the best outcome.

Combining Breast Augmentation & Breast Lift

Some women have stretched breast skin; others have nipples that point downward or breasts that have begun to sag and droop. This can happen after having children, losing or gaining a significant amount of weight, entering menopause, or other life events. But regardless of the cause, placing an implant in a sagging or droopy breast is never a good idea.

Instead, it’s best to first lift the breasts to a higher position and remove excess skin, which gives the breasts the ability to properly support the addition of implants.

This woman underwent a combined breast augmentation and breast lift to both address sagging tissue and add volume to the breasts in Louisville, KY.

For these women, I develop a surgical plan that includes both an augmentation and a breast lift in a single procedure. The goal of a breast lift is to reshape and reposition the existing breast tissue, along with the nipple/areola, so that they sit at a higher placement on the chest and regain a youthful appearance. You might say it takes a droopy breast and makes it “perky.”

In this way, I differ from many surgeons, who prefer to do a staged procedure — i.e., completing the breast lift, allowing the result to heal, and performing a second surgery for the augmentation in 6 months to a year. In the interview video below, I talk about who needs a breast lift and why I prefer combining the lift with breast augmentation.

It’s Convenient, Safer, and More Affordable

My main motivation for combining procedures is simple: Patients prefer 1 surgery over 2 because of the time commitment and the healing process. The preparations beforehand, the downtime, the gradual return to normal activities — in my opinion, that’s a lot to ask patients to go through twice.

Moreover, surgery is surgery, and every procedure carries with it a (very small) risk of complications that can develop during the operation and the healing process. For this reason, performing everything at once is simply a safer bet. It’s also cheaper, because many of the fees associated with undergoing surgery — such as use of the operating room and anesthetic — would double if the procedures were staged in 2 separate surgeries.

Overall, about half of all the breast enhancement procedures I perform involve a breast lift, whether on its own or in combination with a breast augmentation. I say this because I think many women are unaware of how common sagging or droopy breast tissue is — and given that it is fairly common, women who undergo a breast augmentation increasingly pair it with a lift for the optimal results.

About Dr. Bradley Calobrace

M. Bradley Calobrace, MD, FACS is a board-certified, Los Angeles-trained plastic surgeon who established Calobrace Plastic Surgery Center in an effort to bring the latest technology and techniques in plastic surgery to the Louisville area. He has established himself as a leader in cosmetic surgery and received recognition in Louisville Magazine as one of Louisville's "Top Docs" and "Best of Louisville." Dr. Calobrace is board-certified by the American Board of Plastic Surgery and is a member of numerous professional organizations, including the American Society of Plastic Surgeons, American Society for Aesthetic Plastic Surgery, Kentucky Society of Plastic Surgeons, and American College of Surgeons. View all posts by Dr. Bradley Calobrace

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