Loss of breast volume secondary to weight loss, pregnancy results in saggy breasts with a deflated appearance. As the skin loses its tone and the attachments of the breast to the muscle weaken, the breasts sag with time. Certainly, pregnancy makes things worse due to the hormonal changes that occur during this time. Youthful and fuller breast can be restored with a breast augmentation and a lift. These two procedures can be done at the same time. If you have considered having a breast lift with an augmentation, this information will help you understand what to expect after the surgery, the surgery itself, postoperative care among others. Dr. Cortes performed the Wonder Breast Lift with augmentation. This is a different approach in a spectrum of multiple procedures to enhance your breast.
Dr. Cortes performs the Wonder Breast Lift with augmentation. With this technique, he uses a
different approach to provide you with long-term result. When a breast augmentation is performed with a breast lift, it is essential to choose the right breast implant. That will provide you not only beautiful results and nice fullness but also will minimize immediate breast sagginess or bottoming out of the implant secondary to the weight of the implant. He uses suture suspension of the breast implant to prevent the implant from bottoming out while the healing process continues. With a traditional breast lift, the surgeon typically relies on a weak skin
envelope to support the implant. Historical data has demonstrated that a weak breast will not support an implant for very long time. This is the reason he uses different techniques to make sure that the implant and the relationship with the breast mound stays in the right place for an long time.
There are many different types of breasts. Typically patients that have lost significant amount of
volume are the best candidates for this procedure. Lifting a breast by default will make your breasts smaller. If you desire to restore volume of your breasts then this procedure will be the best option for you. Other factors that determine if you are going to be a good candidate for this procedure is a very asymmetric breast. When you have very asymmetric breasts with a breast volume significantly different, performing a Wonder Breast Lift without implant is not a good option. In these patients, the volume can be matched by providing 2 different breast implants to match the volume and shape of the breast.
Dr. Cortes has created multiple vides to educate his patients better you can watch the videos on
his YouTube channel drwilbertocorteslive.
During the consultation, Dr. Cortes will assess your breast. He will determine the relationship
between your nipple-areolar complex to the general breast mound. He will do some measurements from the nipple all the way to the breast inferior fold as well as from the nipple to the sternal notch. He will also determine the breast volume and he will document any asymmetry not only in volume, shape, breast distribution, among others. In order to choose the best breast implant for you, he will measure your breast width, in other words how wide your
breast is. Using these measurements, he will suggest a type of implant that will be suitable for you. You will also be able to try some breast sizers. These sizers will help you visualize the correlation between implant volume and cup size.
It is very important that you understand that when it comes to a breast lift with an augmentation, we need to be careful on the size of the implant that your body will accept versus the one that you desire. Remember the reason you need a breast lift is because your breasts are weak. If you put a big implant, your breast will sag early after surgery. You can also develop back pain and wider scars among other things..
He will assess also your medical history including any medical problems that might need to be taken into consideration and be under control prior to surgery. If you are more than 50 years of age, he will require you to have a mammogram in order to have the baseline prior to doing the surgery and make sure that you do not have breast cancer or mass.
Breast lift like any other surgery has risks related to anesthesia and the surgery itself. For
example, you can have bleeding or an infection. An infection can be just the skin or the implant can get infected. If the implant get infected, it needs to be removed. You have to understand that your scars can get widened. The implant can bottom out, you can have malposition on the implant among other things. All these complications and risks will be discussed with you during your preoperative visit and Dr. Cortes and his staff will explain to you page by page.
One of the main things that need to be determine before surgery is the size of the implant that will fit you better. The bigger the implant that you want the more complications you can have. This is for the simple fat that you will be at higher risk of having implant related aesthetic complications.
Dr. Cortes performs his breast lift with augmentation under general anesthesia. The surgery is
complicated and extensive surgeries that can last 2 to 4 hours depending on how much of a sagginess you have. A Board Certified anesthesiologist will provide anesthesia with his assistant, a nurse anesthetist. Typically, you will go home the same day but if you combine this procedure with other procedures like tummy tuck, then you might need to stay overnight at the hospital.
The techniques to lift the breast depends on the level of sagginess that you have. If your nipples
are off by about 2 to 3 cm, Dr. Cortes will be able to perform what is called a minor lift where the scar is going to be around the areola. In more severe cases where your sagginess is more than 4 cm, you are going to need a Wonder Breast Augmentation with lift, where the scar will go around the areola and down like a lollypop and many times with a horizontal short limb to the side. Dr. Cortes does not perform the inverted T or the anchor scar. He believes this provides a very bad scar that extends all the way to the midline. If you wear or show any cleavage with any underwear, bikini, or nightdress, this scar can show. The procedure starts by first Dr. Cortes assessing what is the smallest breast that you have. Dr. Cortes already would have predetermined the range of implant sizes that he will use during your surgery. The smaller breast will have a bigger implant and in the larger breast, he will use a sizer to match the volume to the other breast. An incision is performed and the implant is placed in a submuscular plane. Once the implant is placed in the right breast pocket he will tailor tacking the skin to remove the excess skin. In this way the new breast the skin will redrape the new breast mound perfectly.
After your surgery, your breast will be swollen.Nipple sensations can change and many times it
either stays the same or actually increase in sensation. Rarely you can have complete loss of nipple sensation, which is one of the risks of the procedure. In general, breast surgery is not very painful but it feels more like a soreness. You will be bruised and swollen. You need to start massaging your breast lightly. Your stitches will be removed within 7 days. You will wear a support bra for about 2 to 3 months. You will be able to start exercises and doing regular activities in about 3 to 4 weeks. You need to take about 10 to 14 days off work prior to going back. You should be avoiding any heavy lifting at the beginning for about 3 to 4 weeks. We will provide you with instructions on when to have sex and when to return to work. You will feel with less energy the first 2 weeks but then you will slowly get back to your normal energy levels. You should limit the exercises to just cardio and heavy lifting for about 4 to 6 weeks.
Your breasts will settle with time. Initially, the breast implant might look very high and this will change slowly throughout the month. Dr. Cortes will make sure that your scars are closed the best he can but you need to understand that in a severe breast lift you are going to have longer scars that are permanent. Nevertheless scars mature with time and your scars will be looking much better with time. Remember to wear a support bra or a regular bra. A breast lift is not a procedure to avoid using any support. Anecdotal studies have shown that a bra will help slow the sagginess process in the future. Remember that breast lift will recreate your breast relationship between the nipple-areolar complex and the breast mound, but it is not an anti-gravity procedure or an anti-aging procedure. With time, your breast will sag again.
You will notice that your breast will be fuller right after surgery. You need to give time to let the breasts settle and get use to your new lifted breasts. The process will take about 4-6 weeks after surgery.