A common question I hear from patients interested in correcting drooping breasts is whether they would benefit more from a breast lift (mastopexy), a breast augmentation with implants, or both. While the answer to this inquiry will depend on the individual’s unique goals and desired outcome, there are a few generalities that often apply to the majority of patients.
A breast lift alone can be an excellent option when significant drooping and an excess amount of skin are present in the breasts, but the patient is not interested in increasing the size of her breasts. In contrast, a breast augmentation with implants may be the best option for lifting the breasts when dropping is mild, excess skin is minimal, and the patient is okay with enlarging her breasts by at least one cup size.
For those who wish to increase the size of their breasts in addition to correcting a substantial amount of drooping, I often recommend a combination of mastopexy and breast augmentation. This can help lift the breasts while also achieving more fullness in the upper pole for a more youthful contour and projection.
During the consultation process, I discuss all options available to my patients and ensure they know the advantages and disadvantages associated with each approach. Though I will make recommendations based on their specific needs and concerns, the decision is ultimately up to the patient.