Like many women, you may ﬁnd yourself choosing between these two procedures or choosing both. Each has its own unique goals, and the procedures are often combined to achieve an even more attractive curvature.
Breast Augmentation Goals
The goal of breast augmentation surgery is to make your breasts bigger and/or fuller (more projected). Women diﬀer so vastly in shape, size, and frame that a number of options have been developed that oﬀer something for everyone. You can choose from:
- Silicone gel or saline implants
- Textured or smooth surfaced implants
- Implant placement behind the breast tissue or behind the pectoralis muscle
- Round or tear-drop (anatomical) implants
- Various sizes of implants
- Different sites for the incision (breast fold, armpit or nipple areola complex)
Breast Lift Goals
Breast lift surgery is designed to elevate sagging breasts and restore their youthful, perky stature. Gravity, pregnancy and weight gain have a way of stretching even smaller breasts over time. Weight loss may leave breasts less ﬁrm and a bit saggy. Breast lift surgery involves elevating the nipples and lightening the breast skin to restore breasts to an attractive shape.
Breast Lift with Breast Augmentation Goals
The lift removes the excess skin and reduces sagging (pushes things “up and in”). The implant ﬁlls the remaining breast skin, adding contour and fullness where minimal breast tissue is insuﬃcient (pushes things “out and down”). As you can see, the forces are opposing, and for that reason, there is a 20 % revision rate for this procedure.
What Makes the Diﬀerence?
What makes the biggest difference in outcomes is that the most successful plastic surgeons use the following techniques and protocols:
- Minimal blood loss, bruising and swelling by using electrocautery for dissection of the pocket, as well as, gentle manipulation of the tissues
- Smaller incisions
- No sutures for removal
- Specialised instruments for accurate placement of an implant
- Adequate pain relief postoperatively
- No drains or wraps to manage
- Avoidance of blood thinning agents perioperatively (cease multi-vitamins, aspirin, NSAIDs etc.)
Thanks for reading!
Dr. Tim – Sydney Cosmetic Plastic Surgeon