Cost of a Breast Lift with Implants
$11,500 - $12,500
cost varies depending on the type of implants used.
Who is a good candidate for a breast lift with implants?
Patients who have a higher degree of breast sag or ptosis who also want to go larger in size are good candidates for a breast lift and augmentation. Sometimes, a breast augmentation alone with an implant can help achieve enough lift to avoid having to do a formal lift, however when this is not the case (or in the case of a tuberous breast such as the patient shown to the right) a lift is done at the same time as the augmentation. If a patient is on the border between having their goals met with just an augmentation, and needing a lift with their augmentation, the augmentation is often first and the lift done later in a staged fashion if goals are not met.
Choosing Breast Implant Size
Everyone has different shaped breasts and different degrees of ptosis. This does influence how the patient will look post operatively. Sizing in our office is done first by asking the patient’s current breast size and seeing what their goal breast size is. On the day of the consultation, we will go over this, and we will size the patient at the time of consultation or at the time of their pre-surgery appointment. Bring a sports bra and clothing such as a tank top, as this will help most with seeing the appearance with different sized implants. We will try on various sizes under the clothing to help narrow down the range. We usually order a range of sizes on the day of surgery, so the patient is not committed to any size until the day of surgery. Photos of desired size/shape as well as what the patient feels is too small or too large are helpful.
Out sizing policy: Those wanting to upsize or downsize within 1 year after surgery will just need to cover the cost of the implants and operating room/anesthesia, the surgeon's fee is waived. Our primary goal is to ensure the patient is happy with their results.
The Procedure for a Breast Lift with Implants
The surgery is done at an outpatient surgery center under general anesthesia, and usually takes around 2 hours. The augmentation is typically done first as an incision within the area that will be incised for the lift, so there is no separate incision for the augmentation. The lift is either done as a Wise (anchor) pattern or a lollipop pattern which does not include the scar underneath the breast, depending on the patient's goals and preferences. All incisions are closed with dissolvable sutures and glue, and patients are wrapped tightly with gauze padding and an ACE wrap. Drains are not typically used.
Breast Implant Types
Both saline and silicone implants are commonly used, and both are FDA approved and safe. In addition to the price difference (saline implants are less expensive), there are other important differences. Both have an outer shell made of silicone. Saline implants come deflated and are filled with sterile saline during your surgery. Silicone implants come pre-filled and with set sizes. Projection refers to how much the implants project forward from the body - moderate, high and extra high. We have sizers for each one to determine what the patient's goal look is. Silicone also comes in different levels of cohesivity and in textured and anatomic types. The most commonly used implants in our practice are smooth round silicone implants, and among this group, it is the patient's choice if they want regular gel, the most cohesive gel, or the hybrid type. Prices differ between each type, with a higher price for each level of extra cohesivity. The advantage of a more cohesive implant is less likelihood that if it ruptures, silicone gel can leak into the surrounding tissues. More cohesive implants also have less tendency to ripple, which is advantageous if a patient is very thin with very little breast tissue. The only difference in feel is that more cohesive implants can feel firmer.
Recovery After a Breast Lift with Implants
The ACE wrap and gauze can be removed after 24-48 hours, and patients may shower. After showering, if there is a lot of swelling, it is advised to wear the ACE wrap, or transition to a front closure sports bra if it is easier or more comfortable. Overhead reaching is not permitted for 2 weeks, nor is high-end exercise or lifting more than 5lbs. permitted for 4-6 weeks after surgery. At first, the breast implants will appear to sit high up on the chest but will settle into place over 1-3 months. Scars will fade after about a year, and final results are visible after anywhere from 6-12 months, depending on patients age and skin elasticity.
Long Term Maintenance of Breast Implants
If a saline implant ruptures, it is noticeable quite quickly as the breast will return very quickly, usually in less than a week, to its original size. If a silicone implant ruptures, it is not obvious. The FDA recommends that patients with silicone breast implants get an MRI 3 years after their initial surgery, and every 2 years thereafter to screen for implant rupture. The lifespan of a breast implant is 10-15 years.
Breast Lift with Implants
Frequently asked questions
What type of anesthesia is used for a breast lift with implants?
A breast lift with implants is performed under general anesthesia.
Where are the incisions for a breast lift with implants?
A breast lift with implants is most commonly performed using a Wise pattern. There will be incisions around the entire nipple with a vertical incision from the nipple to the underside of the breast, and then horizontally along the inframammary fold.
Other techniques include a "lollipop" incision and a "donut" mastopexy incision.
How long is a breast lift with implants procedure?
A breast lift with implants surgery is typically about 2½ hours.
What is the recovery time after a breast lift with implants?
The patient will have lifting and activity restrictions for 4-6 weeks after surgery. Those with sedentary jobs may consider returning to work 2 weeks post-op.
What is the cost of a breast lift with implants?
$11,500 - $12,500
What types of breast implants does Dr. Kayan use?
Dr. Kayan uses saline or silicone implants depending on patient preference. While in clinic, you will have an opportunity to feel samples of each type with different levels of cohesivity.
What should be expected after a breast lift with implants?
The patient may resume showering and can remove the dressings 48 hours after surgery. Compression with an ACE wrap or open front sports bra must be worn 24/7 for 4-6 weeks. We advise patients not to do any overhead reaching for 1 week or lifting more than 5lbs. or high-end exercise for 4-6 weeks after surgery. After 6 weeks, the patient may be fitted for an underwire bra. The implants will sit high on the chest immediately after surgery and will begin to settle/drop after about 1 month. At first, the breast implants will appear to sit high up on the chest but will settle into place over 1-3 months. Scars will fade after about a year, and final results are visible after anywhere from 6-12 months, depending on patients age and skin elasticity.
How long do breast Implants last?
The lifespan of a breast implant is 10-15 years. If a saline implant ruptures, it is noticeable quite quickly as the breast will return very quickly, usually in less than a week, to its original size. If a silicone implant ruptures, it is not obvious. The FDA recommends that patients with silicone breast implants get an MRI 3 years after their initial surgery, and every 2 years thereafter to screen for implant rupture.