- Removes skin
- Changes the position of the nipple
- Reshapes the breast
- Adds weight to the breast
- Stretches the skin envelope
Combining these two procedures can potentially lead to serious complications. For example, if the nipple does not have adequate blood supply after surgery it can die. The risk of this happening with either a mastopexy or an augmentation is very small, but when both are done at the same time, the blood supply to the nipple can be compromised.
Even when a mastopexy and augmentation are combined safely, the results are not always predictable. The result could be an implant that is too high or too low, or an implant that is not the right size. If this happens, a second operation is needed to correct the problem. To provide safe, reliable results, I prefer separating the two procedures in most cases. If only a very small mastopexy is done, then I will place an implant at the same time. But if a more significant lift is needed, I do the mastopexy first and let things heal for 6 months before placing breast implants. This provides a safer, more predictable result than combining the two procedures, and some patients even find they don’t need an implant after the mastopexy, because moving the breast tissue back up where it belongs gives a fuller appearance as well.