Breast Augmentation & Lift

A More Youthful Orientation Will Change Your Perspective

Breast augmentation with a lift combines the benefits of two classic procedures to give your bust a comprehensive enhancement in both size and orientation. Could your looks use a little lift? Breast augmentation with implants is one of plastic surgery’s most popular procedures. There are a variety of sophisticated implants that can improve the size and shape of a woman’s chest. But, as we all age, skin laxity becomes an issue as well. A breast lift can correct sagging breasts! Breast augmentation and breast lift are better together.    

Contact Dr. Markmann at Metamorphosis Plastic Surgery to bring back your bustline and send it soaring to new heights! Your private consultation is the first step of your public transformation. Our Baltimore-area office is conveniently located to serve you. Some patients opt for our new Virtual Consultations—whatever your preference, we’re here to accommodate you.

About

A woman will undergo breast augmentation surgery when she decides to surgically increase her breast size. This involves the placement of a silicone or saline breast implant to add volume to the breast.

Sometimes, Baltimore plastic surgeon Dr. Daniel Markmann will recommend a lift if there is any sag associated with the breast. Patients who wish to have fuller breasts but have sagging, due to weight loss or pregnancy, may benefit from a breast augmentation with a lift, which is actually two procedures combined into one.^[1] During surgery, Dr. Markmann brings the breast to a more elevated, higher position, and then increases the size with an implant. 

Also known as augmentation-mastopexy, breast augmentation and breast lift are a potent combination.

Breast Augmentation

Many other women are seeking bigger breasts. Breast Augmentation is a procedure to increase the size of a woman’s bust. As many know by now, the classic “boob job” achieves its enhancement ends through the use of silicone or saline implants. Some women seek augmentation to undo the effects of age. Skin becomes laxer with the years, which can contribute to a loss in breast size and volume. Breast augmentation can certainly add volume. There is no denying the attention arresting effects of an artistically executed breast augmentation.  

Breast Lift (Mastopexy)

Sagging breasts present a slightly different issue than those posed by mere size. A Breast Lift (or Mastopexy) is designed to adjust the breasts’ orientation. Young, perky breasts are inclined to tilt upward. However, as time marches on, the issues of skin laxity discussed above begin to have their insidious effect. Pregnancy exacerbates the process. Severely sagging breasts can only be corrected by a breast lift.^[2] Because, no matter their size, a pert and perky pair of breasts present an aesthetic associated with youth and vitality.  

If the subtleties of our procedure’s interest you, check Dr. Markmann’s blog for the latest news and updates about our practice. 

Before and After Photos

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Benefits

Breast augmentation with lift combines the benefits of two great procedures. Augmentation increases the size and responsiveness of small and listless breasts by adding to their overall volume. Dr. Markmann employs silicone or saline implants to make small or flat breasts look fuller and rounder. And, since breast implants are most commonly placed under the muscle, the muscle supports the implant, so your skin doesn’t have to and therefore, the implant doesn’t make you droop.  

A breast lift, on the other hand, sets the nipples in a buoyant orbit. Breast lift brings a more youthful vector to the bust by removing the excess, sagging skin that has accumulated with age. A breast lift will do nothing to address issues of size. But, when paired with breast augmentation, an aging bustline is granted new life and increased size. You could look better than ever! 

Candidates

The technical term for sagging breasts is “ptosis,” derived from the ancient Greek word meaning “to fall.” Aging women who have been pregnant are the ones most likely to experience ptosis. Changes in their body that have occurred because of age and childbirth leave their breasts looking droopy and deflated, like a balloon at the end of a birthday party. The transformative wonders of augmentation-mastopexy shall ensure that the party isn’t over. The combined procedure achieves remarkable results by granting breasts both size and vibrancy. 

Procedure

During this procedure, Dr. Markmann will insert implant sizers first, then perform the lift. This begins with the surgeon removing excess skin residing on and around the breast in order to reshape it. The skin and underlying tissue will be pulled tight and lifted so that the breast sits in a higher position. In addition, the nipple is usually repositioned. For excessively large breasts, the colored skin around the nipple (known as the areola) will often need to be surgically reduced.^[4] The surgeon will remove the outer circle and reposition the skin. The permanent implant is then inserted.

Breast Lift Incision

Breast lifts are performed with varying incision patterns. Some common incision patterns include:

Which Incision Is Best?

During your consultation, the incision placement will be discussed after your breasts have been thoroughly assessed. Women with smaller breasts will usually benefit from an incision that circles the areola only. Larger breasts, or those that have severe sagging, may need the anchor-shaped incision in order to garner the best results.

Breast Augmentation

Breast augmentation with a lift can usually be performed as a single surgery.

Some patients will choose to have the surgery broken into two separate procedures. Some women are unsure of how large they want to go or how they will feel about their breasts’ appearance after the lift has been accomplished. To help ease this concern, Dr. Markmann uses The VECTRA 3D Imaging System.  This device shows you what your breasts will likely look like with a lift and the exact appearance you will have with any implant size you choose.  

Breast implant placement is usually positioned below the pectoralis muscle. This adds additional support to the breast and acts as an internal bra, which results in Better cancer detection on mammograms, minimal chance of drooping again as well as softer implants and a longer-lasting outcome.

Recovery & Results

After surgery, we ask patients to come back for several postoperative appointments. The first of these normally take place two to three days after surgery. We will schedule further follow-ups and space them out strategically over the next several months, for up to a year later. At Metamorphosis Plastic Surgery, we have all our breast implant patients return for a follow-up visit once every year for life, at no charge.

FAQ

References

1. Strasser, E. (2006). Results of subglandular versus subpectoral augmentation over time: One surgeons observations. Aesthetic Surgery Journal, 26(1), 45–50.
2. Breast lift. (2018, July 21). Retrieved December 10, 2019, from https://www.mayoclinic.org/tests-procedures/breast-lift/about/pac-20393218.
3. Margulies, I. G., & Salzberg, C. A. (2019). The use of acellular dermal matrix in breast reconstruction: evolution of techniques over 2 decades. Gland Surgery, 8(1), 3–10.
4. Weichman, K., Doft, M., & Matarasso, A. (2014). The Impact of Mastopexy on Brassiere Cup Size. Plastic and Reconstructive Surgery, 134(1). doi: 10.1097/prs.0000000000000288