Changes in breast shape and size can be disheartening, especially when they prevent you from enjoying your favorite tops, swimwear, and eveningwear. With aging, pregnancy, or weight fluctuations, the breasts can lose volume, sinking down on the chest wall with low-hanging nipples.
A breast augmentation with lift combined addresses these cosmetic issues comprehensively, combatting breast ptosis while restoring a full, plump, and youthful breast aesthetic. Dr. Cohen is a master of his craft, delivering personalized results that are elegant and nuanced.
What is breast augmentation?
Breast augmentation is a procedure to help create rounder, larger, more feminine breasts. It can be performed using saline, silicone, or Gummy Bear implants, or it can be performed via a fat transfer procedure using the client’s own body fat to enhance the breast mounds. Dr. Cohen is experienced in both types of surgeries and will gear your treatment to reflect your wishes for improvement.
What are the different implant options?
Saline – Saline implants are filled with sterilized saltwater and have a rounded shape. They are considered very safe, as in the event of rupture, the saline solution is harmlessly absorbed by the body. Another benefit is that they can be inserted unfilled, resulting in small incisions with minimal scarring.
Silicone – Silicone implants are made with silicone gel in a silicone shell. They tend to feel and look more natural than saline implants, yet there are a few drawbacks. If silicone implants rupture, you may not be able to tell right away. For this reason, clients need to undergo diagnostic testing on a regular basis. Furthermore, silicone implants tend to be a bit more expensive than saline.
Gummy Bear – Gummy Bear implants are considered “form-stable”, meaning they keep their shape. Their tear-drop design means an authentic look and feel that many women find desirable. Gummy Bear implants are more expensive than their counterparts, however.
What are the possibilities when it comes to incisions?
Areolar – Here, the incision is made encircling the nipples. Scars are hidden within the darker pigments of the areolas. While this approach works best for those pursuing smaller cup sizes, it affords the surgeon ease of movement and precision in placing the implants. The incision can also be used in the future for any additional procedures. The downside of this placement is that it can complicate the process of breastfeeding, interfering with the milk ducts.
Inframammary – During this option, the incisions are placed within the breast creases where they are difficult to detect, especially when wearing a bra or bathing suit. This approach gives the surgeon the most ease of movement when it comes to performing augmentation and mastopexy. The incisions can be reused for future breast surgeries as well. The inframammary incisions can support minor to significant increases in cup size. Nipple sensation is preserved.
Transaxillary – The benefit of this approach – placing the incisions in the armpits – is that the scars are much smaller than usual. It is most appropriate for women who are using saline implants that are inserted unfilled. Another major advantage of this option is that the nipples are spared so that breastfeeding can occur without complications. The downside of this surgical approach is that the surgeon may lose accuracy by tunneling the implants through to the chest.
What is fat transfer breast augmentation?
If the patient is not interested in enhancing the breasts with implants, fat transfer represents a safe, viable alternative. Since the fat is taken directly from the patient’s body, there is little risk of allergic reaction as might occur with silicone implants. The end result with fat transfer is a highly organic look and feel. Clients enjoy the long-lasting benefits of not having to undergo MRI’s or worry about exchanging their implants down the line.
During the treatment, fat is harvested from a donor area such as the hips, stomach, or thighs using liposuction. This provides an extra advantage of slimming and sculpting the donor regions. Next, the fat is sterilized and purified, readying it for transfer. The last stage is to inject the fat into the chest area, strategically enhancing the breast mounds to appear fuller. Unlike with breast implants, the patient can only expect to achieve a modest increase in cup size by choosing fat transfer augmentation.
What is a breast lift?
Breast lift surgery, also called mastopexy, helps elevate sagging breasts that have lost their elasticity. During surgery, the projection of the breasts is corrected, and the nipples are repositioned in a more attractive, youthful location. When combined with breast augmentation, mastopexy can transform the chest, boosting the client’s self-image and opening up their wardrobe choices.
What are the benefits of breast augmentation with lift?
- Creates a fuller, rounder bust
- Lifts and elevates sagging breasts
- Corrects nipple position
- Rolls back the clock on aging
- Natural-looking outcome
- Enhances self-confidence
- Increases wardrobe options
- Long-lasting results
Who makes an ideal candidate for the procedure?
Breast augmentation with lift is an excellent choice for women who are battling both volume loss and sagging in the breasts, as commonly occurs with pregnancy and aging. Breast asymmetry, enlarged areolas, and downward-facing nipples can all be corrected during the process. The best way to tell for sure if the treatment fits your needs is to schedule a private consultation with Dr. Cohen, who will perform a physical evaluation and thorough review of your medical history.
Breast augmentation with mastopexy candidates should be:
- Healthy, both emotionally and physically
- Free from any major medical concerns
- Realistic and positive in their outlook
- Willing to follow the doctor’s instructions
- Not pregnant or nursing
What happens during my recovery?
Thanks to Dr. Cohen’s advanced techniques, most patients are able to recover quickly with a minimum of discomfort. Many can return to work within a week. Dr. Cohen will provide you will pain medications to help offset any swelling, bruising, or tenderness. You will not typically need prescription painkillers past the first few days.
If you do experience some numbness, tingling, or loss of sensation in the nipples, this is usually temporary. Feeling returns over time for most patients. You will be able to resume your normal exercise routine within 4-6 weeks. Wearing a sports bra is advised, as this can help preserve your new, improved breast shape.
Why choose Dr. Cohen?
Through rigorous training and dedication, Dr. Cohen has mastered the art of breast surgery and now provides stunning yet natural-looking results that reflect his clients’ wishes. Dr. Cohen does not cut corners or pressure patients in order to upsell them. His integrity demands that he only perform procedures he genuinely believes are in the client’s best interest. Every procedure is personalized from start to finish. When it comes to breast augmentation with lift, Dr. Cohen is passionate about tailoring his techniques to suit your anatomy, lifestyle, aesthetic tastes, and comfort levels.
At the Tulane University School of Medicine in New Orleans, Dr. Cohen distinguished himself as a leader, earning top honors for his in-depth research. He was then selected to attend a prestigious plastic and reconstructive surgery training program at the Dartmouth-Hitchcock Medical Center. Dr. Cohen is a thriving member of the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery.
Will I still be able to have a mammogram after a breast augmentation with lift?
Your mammogram will be somewhat affected by having implants, so you need to find a practitioner to perform the test who has experience with augmentation surgery. The mammogram will have to be taken from multiple angles.
Will breast augmentation prevent me from breastfeeding?
Breast surgery will not affect your ability to nurse. One of the possible complications, however, is temporary numbness in the nipples, which may inhibit breastfeeding. This happens most often when patients undergo augmentation using an areolar incision. If you are planning to breastfeed, let Dr. Cohen know during your consultation so he can plan your surgery accordingly.
Does breast augmentation leave scars?
Dr. Cohen does everything possible to minimize your scarring through careful placement of your incisions in areas where they are the least conspicuous. For instance, incisions placed in the areolas are hidden by the darker pigments, while incisions placed in the inframammary folds are well-hidden beneath the bra lines. However, every surgery comes with some scarring. We will provide you with options for scar revision and write you prescriptions for medical-grade scar creams.
Is breast augmentation painful?
Breast augmentation is performed under general anesthesia or local anesthesia with IV sedation so you will be completely comfortable and relaxed during the process. Afterward, Dr. Cohen will provide you with prescription pain medications that can help ease any postoperative discomfort. Most clients find the whole experience of undergoing breast augmentation with lift to be quite manageable and stress-free.
Is breast augmentation with lift covered by insurance?
Unfortunately, procedures deemed solely cosmetic are not typically covered by insurance carriers. Breast augmentation with lift is usually performed as a strictly elective surgery, so it doesn’t meet the requirements for reimbursement. However, it’s always a good idea to check with your individual carrier.