Some patients may wish to have, or may be recommended to
have, based on their pre-operative assessment, both an
augmentation with a breast implant, as well as a breast lift
at the same time. This would depend on the degree of sag (ptosis)
in the breast tissue, before surgery.
To a certain
degree, and depending on the size of the implants being
placed in, the implants alone will lift the breasts.
However, if there is marked ptosis, then a specific lift
procedure would be recommended.
There are various
techniques for breast lifts available, each with a different
pattern of scars they would leave on the breast. For a minor
lift, a periareolar (scar hidden around the nipple only)
scar is utilised. For a medium lift, a periareolar scar and
a vertical up and down scar would be required. For a more
significant lift, an inverted T-scar would be required, part
of which would be hidden in the fold below the breast.
One of the risks of this combined procedure is
subsequent recurrent ptosis of the breasts, due to the sheer
weight of the implants used for the augmentation. One
advance in this procedure, which is likely to help avoid
this problem, is the utilisation of a special implant that
has a greatly decreased chance of drop, as it has a greater
adherence to the surrounding breast tissue. The use of this
implant, in addition, is likely to sustain the longevity of
the surgical results.