When it comes to creating the “beautiful breast” via surgery, Eugene, OR plastic surgeon Mark Jewell, MD says one way to achieve an optimal outcome is through a lesser-known option called augmentation mastopexy—otherwise known as a breast lift–implant combination procedure.
“The typical ‘Masto-BAM’ or mastopexy and breast augmentation patient is on the more mature side,” explains Pasadena, CA plastic surgeon Lily Lee, MD. “They have lived long enough to have developed some sagging in their breast skin and lost volume in actual breast tissue. Of course, there are exceptions, as I have seen the rare young female, who has never been pregnant or breast fed, who genetically developed smaller breasts that are ptotic.”
Dr. Lee also points out that this particular procedure is really two surgeries in one and, similarly, it accomplishes two things: “One, it gives the breast more volume via enlargement with implants and, two, it creates a skin envelope that perfectly fits around the new volume.”
New York plastic surgeon Daniel Y. Maman, MD concurs and says that, usually, the woman he sees as a candidate has both breast ptosis (drooping and skin laxity) and deflation (loss of breast volume). “Doing a lift alone provides inadequate breast volume and projection, and doing an implant alone fails to address the skin laxity and ptosis.”
It’s a significant decrease in breast size—mainly due to pregnancy or weight loss—that Encino, CA plastic surgeon George Sanders, MD says is usually what propels a patient to seek this specific surgery. “They have less breast tissue and more skin, producing a deflated look. When the person puts on a bra to simulate an uplift alone, the breasts are lifted, but the bra appears empty. On the other hand, putting a large implant into the breast without a lift produces a larger, but still sagging breast, which is a poor outcome. The best option is a combination of lift and implant insertion.”