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Breast Augmentation Mastopexy (Combined Breast Enlargement with upLift)

What is a Breast Augmentation Mastopexy?
A Breast Augmentation Mastopexy is a combined surgical procedure designed to address both volume loss and sagging of the breasts. It involves placing breast implants to restore or enhance breast size, while simultaneously removing excess skin and reshaping the breast tissue to create a more lifted, youthful contour. This procedure is ideal for patients who want fuller, rounder, and more uplifted breasts in a single operation.

Who is a good candidate?
You may be a suitable candidate for this procedure if you:

  • Have lost breast volume due to pregnancy, breastfeeding, weight loss, or aging
  • Experience sagging or drooping of the breasts (ptosis)
  • Desire both increased fullness and improved breast shape
  • Are in good general health and a non-smoker
  • Have realistic expectations about the outcomes

What happens during the surgery?
The surgery is performed under general anaesthetic and typically takes 2 to 3 hours. Mr Ibrahim uses a tailored approach, which may include:

  • Incisions: Depending on your anatomy and goals, incisions may be made around the areola (periareolar), vertically down from the areola to the breast crease (lollipop), or in an anchor shape. Every effort is made to minimise visible scarring.
  • Implant Placement: Implants are carefully positioned either under the breast tissue or beneath the chest muscle to achieve a natural look and feel.
  • Lifting and Reshaping: Excess skin is removed, the breast tissue is reshaped, and the nipple-areola complex is repositioned to a higher, more youthful position.
  • Closure: Incisions are closed with fine, dissolvable sutures, and a supportive surgical bra is applied.

What is the recovery like?

  • Hospital Stay: Usually an overnight stay for monitoring.
  • Initial Recovery (1–2 weeks): You will wear a support bra day and night. Swelling, bruising, and mild discomfort are normal and managed with prescribed medication. Light walking is encouraged, but avoid lifting or strenuous activity.
  • Returning to Work: Most patients return to desk-based work within 2 weeks.
  • Exercise: Avoid heavy lifting and upper-body workouts for at least 6 weeks. Gradual return to light cardio can begin after 3–4 weeks.
  • Final Results: Swelling subsides over several weeks, with final shape and implant settling evident after 3–6 months. Scars will fade significantly over 12–18 months.

What are the potential risks?
As with all surgeries, risks include infection, bleeding, and anaesthetic complications. Specific risks of this combined procedure include:

  • Changes in nipple sensation
  • Scarring, though efforts are made to place incisions discreetly
  • Implant-related risks such as capsular contracture, rupture, or asymmetry
  • Rare complications such as poor wound healing or revision surgery

Mr Ibrahim will discuss all risks in detail during your consultation to ensure you are fully informed.

Why choose Mr Ibrahim for your Breast Augmentation Mastopexy?
With advanced training in both aesthetic and reconstructive breast surgery, Mr Ibrahim brings a unique understanding of breast anatomy, symmetry, and aesthetics. His meticulous approach ensures that your results look natural, proportionate, and beautifully contoured—whether you desire a subtle enhancement or a more dramatic transformation.

 

FAQ

This combination addresses both volume loss and skin laxity/sagging. An implant restores upper pole fullness, while the lift removes excess skin and repositions the nipple to a youthful height. It is ideal for patients post-pregnancy or weight loss or who have deflated, sagging breasts.

Yes. It is technically more challenging as it combines two procedures with opposing forces: the implant pushes down, while the lift tightens skin upwards. This requires precise planning and skill to ensure good healing, symmetry, and long-lasting results.

In addition to the individual risks of augmentation and mastopexy, combined surgery carries a slightly higher risk of complications such as poor wound healing, asymmetry, and issues with the nipple’s blood supply or sensation. Choosing an experienced surgeon like Mr Ibrahim is paramount.

The scar pattern is determined by the degree of lift required, not the presence of an implant. The scars will be the same as for a mastopexy alone (lollipop or anchor pattern). Good surgical technique ensures the best possible scar outcome.

For most patients, a single-stage procedure is successful. However, in cases with significant sagging or very tight skin, Mr Ibrahim may advise a staged approach: performing the lift first, followed by implant placement several months later to ensure optimal safety and results.

The size must balance adding volume with the need for the lifted skin envelope to close securely without tension. Mr Ibrahim will recommend an implant size range that achieves your desired fullness while respecting the limitations of your tissues for safe healing.

Recovery follows the guidelines for both procedures. There may be more initial swelling and discomfort. The recovery timeline is similar to a breast reduction, with a need for 1-2 weeks off work and 6 weeks without strenuous activity. Careful adherence to post-operative instructions is essential.

While every effort is made to achieve your desired outcome and that is achieved by trying different samples of implants within your bra before surgery until you decide on your desired suitable implants, implant size exchange is possible if you are significantly unhappy. This would require a secondary surgery, typically after the breasts have fully healed and settled (around 6-12 months post-op)

www.ahmedibrahim.co.uk – Ahmed Ibrahim Plastic Surgeon ©

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