Breast Lift with Implants or Augmentation Mastopexy in Melbourne, Victoria
Breast Lift with Implants is medically known as a Mastopexy Augmentation. Dr Craig Rubinstein, Specialist Plastic Surgeon regularly performs this challenging procedure which aims to lift and fill out droopy or saggy breasts. The Breast lift procedure aims to restore the breasts to a natural position on the chest wall, while the augmentation or adding breast implants aims to return firmness and fullness to the breasts – especially the upper breast or upper pole.
Dr Craig can also perform adjustments to the nipples/areola during your surgery. This can involve resizing or recontouring the nipple/areolas, and relocating them to a more natural position on the breast.
Is a Breast Lift with Implants worth it?
Are You a Good Candidate for Breast lift With Implants?
Sagging, ptotic breasts and heavy breasts can lead to chronic pain or skin inflammation, and in these cases, the breast surgery is more likely to be corrective or reconstructive. Consider the following questions if you are considering a breast lift procedure with implants:
- Do your breasts droop or sag?
- Are they noticeably asymmetric (uneven)
- Have you experienced significant changes to your breasts after pregnancy or weight loss?
- Are you at your ideal weight?
- Do you find your breasts or cleavage hangs too low?
- Have you finished having children?
- Do you have over-stretched or enlarged nipples after breastfeeding?
Considering Breast Lift Surgery? Get the guide Mastopexy surgery guide.
Breast Lift with Implants helps Ptotic Breasts
Breast Ptosis or Ptotic Breasts is the natural consequence of ageing where the breasts and/or nipples gradually droop and sag.
The rate at which a woman’s breasts droop and the degree of ptosis depends on a number of factors. These include:
- Skin heredity and genetics
- Significant weight gain or weight loss – BMI shifts
- Pregnancy and Breast Feeding
- Heavy glandular breasts or
- Having big breast implants in the past
- Impact of Breastfeeding infants
- Effects of Smoking on your skin and blood flow
Post-menopausal women and those with more collagen deficiencies may experience more drastic ptosis due to a loss of skin elasticity.
Conditions of Breast Ptosis
There are varying conditions of ptosis and these will determine the kind of procedure you will require.
Breast Lift with Implants Before and After Gallery
To view some of Dr Rubinstein’s previous breast lift with implants patients, please click the image below.
Four Surgical Techniques for Breast Lift with Implants Surgery
There are a variety of techniques recognised for augmentation mastopexy. In Australia, these include:
1. The Crescent Breast Lift
This is a simple breast lift procedure that corrects only mild ptosis. It is not usually recommended for breast lift with implants as the surgeon only removes a small crescent of tissue above the areola before raising the nipple into a higher position.
2. The Benelli Breast Lift
Also known as a “Doughnut Lift” or “Doughnut Mastopexy” the Benelli breast lift is best used for mild to moderate ptosis. This is generally around Grade I-II on the ptosis scale. Your surgeon removes a doughnut-shaped piece of tissue from around the areola before reattaching it to the remaining tissue to your areola.
3. The Anchor Breast Lift (Robbins Method)
The incision pattern is shaped like an Anchor, it has a large horizontal scar under the breast. This is the classic incision method used by many doctors in Australia. There is a more modern alternative.
4. The LeJour Lift or Lollipop Lift
The LeJour Lift or Lollipop Lift provides more lift than the Benelli, especially for those with moderate ptosis. Dr Craig removes a doughnut-shaped piece of tissue, similar to the Benelli lift. However, in addition to this, a straight incision is made down to the breast crease to provide more lift. This more modern technique, pioneered by Dr Madalaine LeJour, is Dr Craig’s preferred method of performing your breast lift as the scar is shaped like a lollipop and does NOT have the large horizontal scar under the breast.
Breast Lift with Implants Procedure
How is a Breast Lift with Implants performed? When breasts sag, the skin gets looser and the amount of breast tissue decreases. As a result, there are two surgical options to correct this issue. Loose skin is corrected with the mastopexy procedure. The loss of volume or fullness of the breast can be corrected with augmentation or implant at the same time as the lift.
The breast implant fills up the extra skin of the breast, restoring the fullness of the upper aspect of the breasts. Placing the implant under the muscle is preferred as implants placed over the muscle create additional weight. As a result, this can cause an acceleration of breast ptosis.
Dr Craig Rubinstein will generally recommend you spend 1-2 nights in a hospital, allowing you to rest and recover while having access to medical professionals and your surgeon as needed.
How are Breast Lift Scars minimised?
- All surgery leaves scars, including plastic surgery procedures like breast lift with implants. However experienced surgeons like Dr Rubinstein are extremely careful about scar placement and minimisation, with surgical scars generally fading over time. Dr Rubinstein also conducts follow-up treatments using a Fraxel Laser and Healite II to minimise your scars, with most scars being barely visible after 12 months.
Is Breast Lift and Breast Augmentation Too Much Surgery at Once?
- Dr Rubinstein frequently performs this combination of surgeries without any concern. The downtime for augmentation mastopexy is no more than the procedures on their own. Further, it is found that performing the combined procedures results in less skin removal, therefore resulting in less scarring.
Animated Video of a Breast Lift With Implants Surgery (using the classic Anchor technique)
Your Breast Implant Options
If your breast ptosis requires breast implants – you will need to discuss your breast implant options. There are many different types of breast implant available including:
- Different Brands – e.g. Motiva and Mentor
- Filling – Silicone implants vs Saline Implants
- Shapes – Round vs Anatomical (Teardrop)
- Surface Texture – Smooth vs Textured
- Profile or Projection – Low, Moderate or High Profiles
If you choose a breast lift with implants, Dr Craig Rubinstein will discuss with you the best implant options, size, and locations for you.
For further information on implants, please visit our breast implants page.
Recovery after Breast Lift with Implants Surgery
You will be given specific post-operative instructions to follow after your surgery. It is important you follow these instructions in order to aid your recovery and surgical results.
Post-operative swelling, soreness and other associated discomfort may last for about 6 weeks but this can vary from patient to patient. Visible bruising should begin to subside within 2 weeks. Pain levels will also vary from patient to patient and Dr Rubinstein will work with you to create an individualised pain management plan.
When Can I Return to Work After a Breast Lift?
- When you return to work will also vary from patient to patient. Many patients can return to work after 1-2 weeks, depending on the kind of work you do. However, you should avoid rigorous activity for at least 3 weeks or more and wait to begin exercising until your surgeon has cleared you to do so. It is also incredibly important to avoid heavy lifting or strenuous work until you are fully recovered as activities like this can affect your pain levels, healing and recovery time.
Will a Breast Lift with Implants Affect Breast Feeding later in life
- It is important to remember that many women are unable to breastfeed, regardless of whether they have undergone a breast lift procedure or not. However, a breast lift may affect your ability to breastfeed, especially if you decide to have an incision around the nipple. It is also possible that you may experience a slight loss of nipple sensation, however, these side effects are rare when using “under the muscle” implants.
Will a Breast Lift with Implants affect Breast Screening in the future
- In general, breast implants cause very little, if any, interference with mammography. However, it is important that you discuss your risk of breast cancer with your plastic surgeon and GP, especially if you have a first degree relative with a history of cancer. All women who have had breast implants should inform their radiographer so tests can be adjusted as needed.
Cost of a Breast Lift with Implants – How much is a Breast Lift with Implants Surgery?
The cost of breast lift can vary based on a number of factors including what you need to be performed, the surgeon you choose, where you have your operation, the quality of your implant, etc.
Often sites that post the estimated cost of a breast lift surgery do not include all the related and necessary expenses. As a result, you may end up paying more than you expected. Dr Rubinstein never recommends shopping for low-cost surgery as it is unlikely that a FRACS level plastic surgeon will be performing the procedure. It is important to do your research before deciding on a plastic surgeon for your chosen procedure. Further, revision surgery is costly and is not guaranteed to fix the issue you experienced with your initial surgery if you chose to explore cheaper surgical options.
It is always important to pursue plastic surgery based on skill, not cost.