The Surgeon Minute

Breast Lift with or without Breast Augmentation

Breast Lift with or without Breast Augmentation

Breast lifts can be performed with or without breast augmentation. In this video, Dr. James Namnoum tells patients what to expect.

Plastic surgeon Dr. James Namnoum says breast lifts, with or without having a breast augmentation or breast reduction, are a popular procedure with women who have had children.

“These patients are thinking to themselves that they want to recover their breast tissue, they want to have a rejuvenated breast, they want a filled breast mound, they want a more feminine look,” he says. “In addition, they want to overcome the changes they have experienced in their breast and in their body since they’ve carried their children and perhaps breast fed them.”

Often, women have lost volume in the “upper pole” area of the breast – the area between the collarbone and the nipple. Making an aesthetically pleasing adjustment can involve what is called a mastopexy, or breast lift. In this procedure, a surgeon remodels the breast by shaping the glandular tissue, moving the nipple upwards and re-draping the skin.

Namnoum adds that in other cases, most often in America, women want their breasts lifted and made larger at the same time.

“This can be done, but has to be done with an emphasis on safety,” he says, pointing out that keeping blood circulation to the nipple during such procedures is difficult but crucial.

Beyond the operation, women are curious about what kind of scarring to expect. It varies, but Namnoum performs breast procedures that often create scarring around the areola and sometimes underneath the breast mound.  The scars do go away, but not immediately. Over a long period of time, they change color and texture and can appear to get better, then worse. In some cases, steroid injections are necessary when scar tissue gets itchy or irritated.

“I think patients should be thinking in terms of 12 months to two years,” he says about scar fading. “It’s not going to happen overnight.”

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