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The Battle Between Breast Lifts and Breast Implants

More often than not, Mastopexy and Breast Augmentation are performed at the same time. This video explores some reasons why that might not be such a good idea. No woman wants to be told she might need two operations…but when is that really the right thing to do? Breast implants make a breast bigger. Breast lifts make the breast envelope smaller…hmmmm…to decrease risks, Dr. Tebbetts stages the two operations – this video will help you understand why.

Video Transcription:

I want to ask you a question. Does it make sense to make something smaller and bigger at the same time? Think about it. Is that really logical? Well that’s what Mastopexy breast aug does every time.

In our last video we talked about how to tell whether you need a breast lift or a breast implant. If the nipple to fold distance exceeds the limit set by High 5 then there’s too much excess skin. So in mastopexy seeks to remove all the excess skin and make the breast perkier, firmer, tighter, but most importantly, the skin in the loop is smaller.

A breast implant seeks to make that same breast envelope bigger. What sense does it make to do both of those at the same time? These two operations are diametrically opposed. They’re fighting each other. And with that fight comes at least 12 variables that surgeons can’t control during the healing process, making this a very risky and uncontrollable operation.

If a breast needs a lift, it needs it because it didn’t hold it’s own weight well over time, either through weight gain and loss or pregnancy and nursing. So a surgeon can operate on your tissue but no surgeon can change the genetic qualities of your tissue. So once we lift it you’re always going to be more prone to what your body’s already shown you. You’re going to be more prone to stretch. So having said that, anyone who needs a lift to begin with is never really a great candidate for a breast implant, because a breast implant is nothing but a fake weight.

What kind of sense does it make when you hear that someone had a breast lift and had a 450cc implant put right back in? Remember, perkier and bigger never go hand in hand. Doctor Tebbitt’s approach to this dilemma is staging the procedures. Do the breast lift first, then wait six months and then remeasure the nipple to fold distance. If it hasn’t stretched under the weight of your own tissue more than 20% then it’s reasonable to put in an implant. But what if it has stretched more than 20% in just six months under the weight of just your breast tissue? Does it really make sense to add the extra weight of an implant?

Most surgeons will do this operation at the same time because they’re scared to tell you you need two operations. And quite frankly most patients don’t want to hear it. But the beauty of staging this operation is you could end up being happy with a perky, firmer breast and never, ever have to deal with everything that goes with adding an implant to your body and what that weight will do to your tissue over time.

I know it’s hard. If you need a lift then you’ve probably always been pretty busty, so it’s kind of hard to imagine not having the same type of look, or certainly being smaller. But there are certain things that you simply can’t change and neither can we. So it’s best that you know what we know so that we can all be on this level playing field and understand what all of our options are, before you decide to make a change to your body or simply hope that a procedure will do what you want it to do.

The moral of this battle between lift and implant is that they should really never be on the same battle field at all. There is a type of breast that need a lift, there is a type of breast that an implant. Rarely is there a type of breast that can handle both successfully.

The Best Breast

John B. Tebbetts, M.D., is a plastic surgeon in Dallas, Texas, specializing in primary breast augmentation. Dr. Tebbetts has revolutionized the landscape of breast implant surgery through his 24 Hour Recovery® and High Five Measurement® System.

As a premier plastic surgeon in Dallas, Dr. John Tebbetts has an unmatched track record among breast augmentation surgeons. Dr. Tebbetts developed the High Five Measurement® System which allows a woman’s body to choose breast implant size for her. His breast augmentation 24 Hour Recovery® has changed the way women expect to recover after breast augmentation. Dr. Tebbetts’ method means women can routinely have breast implant surgery in the morning and be out shopping the in afternoon.

Dr. John Tebbetts regularly produces breast augmentation video content. His practice blog, The Best Breast Blog, focuses on breast augmentation patient education. It is published weekly with the latest news about breast implants, both saline and silicone implants, and answers to the most frequently asked breast surgery related questions.

Dr. John Tebbetts is the only surgeon to have a proven zero percent reoperation rate in consecutive FDA PMA studies. View the results of his case studies and before and after breast implant photos on this website.

To have the best breast implants in Dallas, contact Dr. John B. Tebbetts’ office by calling (214)220-2712 or filling out a contact form.