Breast Lift with Implants (Augmentation Mastopexy)
Breast lift with implants is a combined breast aesthetic surgery where mastopexy and silicone breast implants are applied together to correct breast sagging and add volume in the same session. This operation is one of the most technical and delicate procedures in breast surgery because it balances two opposing forces at once: the volume and weight effect of the implant and the lifting and tightening of the breast tissue. Due to this advanced surgical balance, the operation requires high experience.Who is Suitable for Breast Lift with Implants?
- Breasts that have lost volume and sagged after pregnancy and breastfeeding
- Breast appearance with a hollow upper pole
- Patients who want both lifted and full breasts
- Breasts with downward-pointing nipples and volume loss
- Patients with breast asymmetry
- Patients who previously had breast implants but have developed sagging over time
Why is This Surgery More Challenging?
Technical Challenges
- Two procedures are performed at once (augmentation + mastopexy)
- Tissue tension and implant pressure are managed simultaneously
- The new position of the nipple requires millimetric precision
- Implant pockets must be created symmetrically
- Tissue elasticity varies significantly between individuals
- The healing capacity of scars is individual
Is a Second Session (Revision) Necessary?
Yes. The revision rate in augmentation mastopexy surgeries is higher than other breast surgeries, with an approximate rate of 10-15%.Situations Requiring Revision
- Implant shifting downward over time
- Insufficiently permanent upper or lower pole shape
- Need for adjustment of nipple position
- Widening of scars
- Re-sagging due to tissue weakness
- Asymmetry
- Need for implant replacement
Surgical Techniques
The surgery is planned entirely according to the individual.Main Techniques Used
- Dual-Plane Implant Placement: The most commonly used technique. Provides a smooth transition in the upper pole and is ideal for patients with thin skin.
- Mastopexy Techniques: Vertical (lollipop) technique is used for mild to moderate sagging, and the inverted T (anchor) technique is used for more severe sagging.
- De-epithelialization & Parenchymal Plication: Internal tissue tightening is done to create permanent support.
- Areola Reduction: Provides a more balanced and aesthetic nipple-to-breast ratio.
- Asymmetry Correction: Different implants and mastopexy techniques can be applied to each breast if necessary.
Pre-Surgery Preparation
- Breast ultrasound or MRI
- Simulation and measurement of implant size
- Smoking cessation at least 3 weeks before surgery
- Adjustment of blood-thinning medications
- Evaluation of skin elasticity and nipple position
Surgical Process
- Performed under general anesthesia
- Average duration: 2–3 hours
- The appropriate pocket for the implant is prepared first
- Then, the breast lift procedure is applied
- The nipple is repositioned to the ideal anatomical position
- Excess skin is removed and symmetry is checked
- At the end of the surgery, a medical bra is applied
Post-Surgery Recovery
- The first 3–5 days, some tightness is normal
- Return to social life is possible within one week
- No heavy exercise for 4–6 weeks
- Supportive sports bra should be worn for 6 weeks
- Swelling gradually decreases until the 3rd month
- Final form settles in 4–6 months
- Scars significantly flatten in 6–12 months
Possible Risks and Complications
Early Stage
- Hematoma
- Infection
- Circulation problems in the nipple
- Stitch opening
- Pain and tightness
- Slow skin healing
Late Stage
- Asymmetry
- Re-sagging of the breast
- Implant shifting
- Changes in nipple position
- Double bubble deformity
- Expansion of the lower pole
- Capsular contracture
- Thickened scars
Longevity of Results
The results are generally long-lasting. However, skin elasticity, implant size, pregnancy, weight fluctuations, and the aging process can affect the durability. Wearing a supportive bra and maintaining weight stability helps preserve the results.Personalized Evaluation
Each patient has unique structural characteristics and expectations. Therefore, the treatment process is planned according to individual needs. A detailed examination and facial analysis determine the most suitable approach both aesthetically and functionally.
Advanced Diagnosis and Analysis
Comprehensive diagnostic methods are used to ensure the treatment process progresses correctly. Endoscopic examination, imaging techniques, and functional tests allow detailed evaluation of the nasal structure and help create a more accurate treatment plan.
Process Tracking and Support
All stages before and after the operation are carefully monitored. During the recovery period, regular check-ups, care recommendations, and personalized guidance ensure that the process continues in a healthy and comfortable manner.
F.A.Q
Why is this surgery known as the most difficult breast surgery?
Because both tissue tightening and the dual dynamics of bearing the weight of the implant are managed simultaneously. Surgical experience is of critical importance.
Might a second surgery be necessary?
Yes, due to the nature of this surgery, the likelihood of revision is higher compared to other surgeries.
Will there be scars?
Since the skin is removed, scarring is inevitable, but it fades significantly over time.
Will the results look natural?
With the right implant selection and appropriate mastopexy technique, a very natural shape is achieved.
Does an implant increase sagging?
If skin elasticity is weak, heavy implants can accelerate sagging. Therefore, the implant size is chosen carefully.
If you have general questions about our services, treatment processes, or Dr. Mert Okumuş, you can reach us via email or contact us directly.
dr.mertokumus@gmail.com
Phone
+90 532 781 51 23
