Breast lift and breast augmentation are among the more popular cosmetic surgery procedures in the United States today. Both procedures are designed to address different aesthetic needs, but in some cases, the plastic surgeon may recommend a combination of the two procedures for more comprehensive results.

Dr. Farbod Esmailian provides breast lift and breast augmentation surgeries separately and also a combined procedure. Sometimes both the procedures may also be a part of a mommy makeover surgery. Patients in Orange County, Newport Beach, Torrance, Los Alamitos, Long Beach, CA, and surrounding areas have an opportunity to receive these procedures from Dr. Esmailian.

Aesthetic Goals

The patient’s personal aesthetic goals will play an important role in determining whether the surgeon recommends breast lift, breast augmentation, or a combination of the two. Sometimes the patient may be keen to receive only breast lift cosmetic surgery to make the breasts appear more youthful. If the existing breast tissue is present in sufficient amount, kit may be possible to meet the patient’s aesthetic goals with breast lift surgery.

However, the procedure may not result in improving the fullness in the upper poles of the breasts, above the nipple-areola complex. Therefore, the plastic surgeon may first ascertain the patient’s aesthetic needs more clearly. If the enhancement of upper aspect of breasts is important to the patient, but she does not have sufficient natural upper pole breast tissue to achieve this goal with breast lift alone, the surgeon may recommend breast augmentation with lift.

In some other cases, if the patient is only keen to augment the size of breasts, but the skin laxity in the breasts is so high that insertion of breast implants alone may make the breasts appear odd and unappealing, the surgeon may recommend breast augmentation with lift surgery. Dr. Esmailian is a double board-certified plastic surgeon providing these procedures to patients in Orange County, Newport Beach, Torrance, Los Alamitos, Long Beach, CA, and nearby areas.

Breast Implants to Correct Drooping

In some cases, breast implants may be more appropriate to correct the sagging breasts. The decision will depend on the breast anatomy and patient’s personal aesthetic goals. Implants alone will usually suffice to correct drooping if the following conditions are met:

  • Sagging of breasts is minor or mild.
  • Nipples are positioned close to the center of the breasts, and do not point downwards.
  • Some amount of skin is visible beneath the nipple-areola complex when looking at the breasts straight on.
  • The areola size is large and the patient wants it reduced.
  • The patient is willing to accept breasts of a larger size.

Breast Lift with Implants

Breast implants can be used in conjunction with a breast lift when the patient desires the breasts of a larger size apart from reducing the sagginess. If the sagging is severe, breast implants alone are insufficient, and breast lift surgery becomes necessary. Patients who are keen to maintain the breast projection and roundness of the breast mound may also have to opt for a combination of breast lift and augmentation


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