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Can A Breast Lift Be Performed With Breast Implants Alone? Dr. Sam Jejurikar, Breast Augmentation Specialist, discusses breast lift and breast implants in Dallas, Texas.

Tag Archives: breast lift

It is not uncommon for many patients to ask me whether they can avoid the scars associated with a breast lift by simply placing a really big breast implant.  This notion may have been placed in their mind by other surgeons, or by information that they have picked up from the Internet.

I certainly understand the motivation behind this question.  I have never had a patient come to my office requesting more scars than necessary for surgery.  Ultimately, people want to avoid scars on their breasts, and I am no different in this regard.

However, only a very minor breast lift can be accomplished with a breast implant.  There are surgeons out there, many of who are not plastic surgeons and do not have specific training or experience with breast lifts, who will attempt to place an overly large breast implant into the patient’s breast rather than perform a breast lift.  Not only can this give patients larger breasts than they want, but it can cause long-term negative consequences on the breast tissue and breast-supporting ligaments.  It is in these situations that long-term complications such as implant malposition (the implant sliding down too far) are more likely to happen.

Ultimately, my goals for the patient always remain the same.  First, it is important that the patient have a nice breast shape and size.  This differs from patient to patient, but it is important for me and the patient to come to a mutual understanding of this prior to surgery.  Two, if a breast lift is needed, I want to do it with the fewest number of scars possible, as well as the most aesthetically pleasing scars as possible,.

If you have more questions about breast implants and breast lift surgery, do not hesitate to contact me at 214-827-2814.

It is common for patients to negotiate an appropriate level of activity after undergoing tummy tuck, breast augmentation, liposuction, or any other combination of surgeries that make up a Dallas mommy makeover.  The thought is, if they can convince me that they need less time to recover than other patients, somehow the surgery will be lessened in magnitude, or that they will be able to recover more quickly after the procedure.

Childbirth takes a dramatic toll on the female body.  To reverse those changes with a mommy makeover, significant surgery is involved.  With a Dallas tummy tuck (abdominoplasty), in addition to removing skin, extensive sculpting of the waist and upper abdomen is performed with liposuction, and the muscles of the abdominal wall are significantly tightened.  Undue straining for a period of time after surgery can disrupt the sutures, and lead to a less then desirable postoperative result.  In addition, straining after surgery can cause problems with wound disruption and bleeding, not to mention prolonged swelling in the abdomen, breasts, and lower extremities.

I usually recommend that my patients take 1-2 weeks off of work after surgery.  Some patients will take less time and others more, depending on the level of physical exertion required at their work place.  I also strongly advise my patients to refrain from any vigorous exercise for 6-8 weeks after surgery.  Although it is important to walk almost immediately after surgery to prevent blood clots and respiratory problems, too much activity can lead to infection, bleeding, and wound healing problems.

Ultimately, to get the best result after mommy makeover, a patient has to allow herself the appropriate amount of time to recover.  Should you have any questions, please do not hesitate to contact Dr. Jejurikar’s office at 214-827-2814.

Many women experience changes in the appearance of the breasts after massive weight loss, pregnancy, or breast-feeding.  Oftentimes, these women will come in for consultation, looking for either a breast lift or placement of breast implants.  It is important to realize that breast implants are primarily aimed at increasing lost volume in the breasts, particularly in the upper portion of the breasts, and have very little effect on sagging breast skin and on downward-pointing nipples and areolas.

For patients that do suffer from severe droopiness of the breasts, as well as sagging breast tissue, breast lift (mastopexy) tends to be the best option.  Oftentimes women are resistant to hearing this, as they do not want the scars that are associated with the operation.

There are a large variety of incisions that can be utilized for performing a breast lift.  In the most limited incision form of breast lift, known as a circumareolar lift or Benelli mastopexy, an incision is made just around the areola (the pigmented skin surrounding the nipple).  This operation is useful only for very mild forms of breast droopiness, and is best performed in combination with placement of a breast implant.  The reason for this is that be Benelli mastopexy does very little to restore lost volume in the upper portion of the breasts, which is usually seen in association with mild droopiness.  For mild forms of droopiness (ptosis), however, the performance of a Benelli mastopexy in combination with breast implants can lead to a very pleasing shape.

The next form of mastopexy is known as a circumvertical, or lollipop mastopexy.  In this form of breast lift, an incision is made around the areola, and a vertical incision is made from the areola along the middle portion of the breast to the crease at the bottom of the breast.  This is far and away the most common type of incision utilized for mastopexy.  This access allows the surgeon to reshape breast tissue, and place a large portion of breast tissue from the bottom portion of the breast into the upper pole of the breast, where breast volume is lacking.  It can be utilized for mild to severe forms of breast droopiness.  It can be performed in combination with either saline breast implant or silicone breast implant placement, but can also be performed without breast implant placement.

The last form of mastopexy is known as a Wise pattern mastopexy or anchor pattern mastopexy.  This involves an incision around the areola, a vertical incision from the areola to the crease at the base of the breast, and an incision along the very base of the breast.  This is the traditional type of incision utilized for mastopexy, and is most often reserved for patients that have lost massive amounts of weight, and have a severe amount of extra skin.  Like the lollipop mastopexy, it can be performed with or without the placement of breast implants.

If you have any questions, please do not hesitate to contact Dr. Jejurikar’s office at 214-827-2814.

Many patients have asked me if they can smoke cigarettes up to the time of their cosmetic surgery.  The procedures most often in question are breast lifts with or without implants, breast reductions, tummy tucks and facelifts.  Simply put, smoking and these procedures can be recipes for disaster.  I strongly encourage smokers to quit smoking before these surgeries, as tobacco, nicotine, and carbon monoxide, all of which are within cigarettes, can impede wound healing.  In operations which involve lifting and tightening large amounts of skin, this can result in skin separation, or worse yet, skin loss.

Most board-certified plastic surgeons are selective in the procedures that they will offer to tobacco users.  Some procedures that do not require a significant amount of skin lifting, such as rhinoplasty, liposuction and breast augmentation, are thought to be somewhat safer to perform in smokers than procedures that require more skin manipulation.  For that reason, most plastic surgeons will perform these surgeries in smokers, but will still extend significant disclaimers and warnings.

Virtually everyone knows that smoking can cause pulmonary problems, heart disease and lung cancer.  For those reasons alone, I encourage all patients to quit using tobacco products.  In regards to cosmetic surgery, tobacco usage can cause significant problems with healing.  Because cosmetic surgery is elective, it only makes sense to quit tobacco usage prior to surgery to minimize this potential risk.

This is taken directly from a press release from the American Society for Aesthetic Plastic Surgery

New York, NY and Arlington Heights, IL – What people find beautiful about themselves may be different than what they find appealing in another person. That’s just one finding from a recent consumer survey conducted on the BeautyforLife website (a joint venture of the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery.) Visitors were asked “What aspect of physical beauty do you find most appealing in another person?” In their 20s, 30s, and 40s, respondents look for a fit, well proportioned body; youthful skin ranked at the top for respondents in the 50s and 60s. When considering “Which part of your body are you most concerned about?” respondents ranked their abdomen/hips number one in their 30s. But surprisingly, respondents listed the face, not their body, as the most popular choice in the 20s, 40s, 50s and 60s.

“It is always important to understand what our patients are most concerned about at different stages of their lives. We want to be equipped to help our patients make the right decisions to maintain their beauty at every age—no matter which type of cosmetic medical procedure they are interested in.” said ASAPS President Renato Saltz, MD.

Additional results were revealed when answering “Which part of your body are you most concerned about?” While respondents primarily chose their face, significantly more respondents are concerned about their abdomen/hips than their breasts (chest)—with the disparity increasing throughout the decades:

  1. 30s – 37% chose abdomen/hips as their top concern while only 18% chose breasts
  2. 40s – 32% selected abdomen/hips and only 10% breast
  3. 50s – 25% chose abdomen/hips compared to 7% breast
  4. 60s – 23% indicated concern about their abdomen/hips, while only 7% selected breast

Community members were also asked to consider “The most important reason to maintain your physical appearance.” “To boost self-confidence” was the top choice across all decades, with “To attract potential partners” a close second for the 20s. In the 30s and 40s, the second-most popular choice shifted to “To increase professional opportunities,” which remained the number two choice in the 50s, but by a much smaller percentage. In the 60s, increasing professional opportunities fell to third behind “To help make friends.”

“The survey on the BeautyforLife website has provided interesting data about patients’ attitudes, motivation and perception. Our goal is to provide useful tools for prospective patients to help them first decide if a cosmetic medicine procedure is right for them and then to provide information on how to choose an appropriate provider,” said Dr. Richard D’Amico, past president of ASPS.

Another question asked members to contemplate “The most important factor in maintaining beauty.” While adherence to a healthy diet, regular exercise and skin care were popular choices, approximately one in five members felt that a cosmetic medical procedure was most important in the 50s and 60s.

This survey was conducted by The American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery, via their Beauty for Life program—a series of patient education tools.

About ASPS
The American Society of Plastic Surgeons is the largest organization of board-certified plastic surgeons in the world. Representing more than 6,700 physician members, the Society is recognized as a leading authority and information source on cosmetic and reconstructive plastic surgery. ASPS comprises more than 94 percent of all board-certified plastic surgeons in the United States. Founded in 1931, the Society represents physicians certified by The American Board of Plastic Surgery or The Royal College of Physicians and Surgeons of Canada. For more information, please visit the ASPS website at www.plasticsurgery.org.

Having a child usually is the one of the most magical and emotionally-fulfilling experiences of a woman’s life.  Unfortunately, the physical toll that pregnancy, childbirth and breastfeeding can have on a woman’s body often is devastating. Even with proper diet and exercise, it usually is nearly impossible to restore a youthful, pre-pregnancy body.

Women come in with a litany of complaints, including loosening and bulging of the abdominal wall muscles, stretching and loosening of the skin of the breasts, thighs, and abdomen, and extra fat of the belly, back and thighs.  For those women out there who want a firmer, tighter body, even after childbirth, there is the Mommy Makeover. This cosmetic procedure is individualized for each patient.  One patient may need a breast lift and a tummy tuck; another may opt for liposuction and breast augmentation.  No two patients are the same, so the mommy makeover combines the best of several popular procedures to restore a youthful, pre-pregnancy body.

Through the end of October 2009, we are offering 10% of all surgeon’s fees on breast and body contouring surgery.  Call today (214-827-2814) to schedule a consultation!

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Our Location Dallas Plastic Surgery Institute

9101 N. Central Expwy.
Suite 600, Dallas, TX 75231
Tel: 214.827.2814
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