Breast Lift with Implant or Fat
Breast lifts with implants or fat are used to change the size, position, and shape of the breast. Dr. Bray works to improve the breast and/or nipple position, and add size to the breast. He can perform breast lifts on one or both breasts.
BEFORE & AFTER
What is a Breast Lift with Implant or Fat?
A breast lift is a different procedure than an implant or fat transfer; however, Dr. Bray commonly performs them as a pair. This set of procedures is ideal for women with sagging and deflated breasts. A breast lift is a procedure designed to lift, shape, and tighten sagging breasts for a perkier, more projected position. A breast lift on its own does not add any size or fullness. That is why Dr. Bray commonly performs breast lifts in conjunction with implants or fat transfers. And while fat and implants both work to improve the size and shape of the breast, there are crucial differences.
A breast lift with an implant has a more predictable outcome regarding size, and does not require fat removal from another body area. But breast Implants are man-made, artificial objects and therefore also come with potential complications, such as breakage or migration. A breast lift with fat has a less predictable outcome regarding size but does require extraction of the patient’s own fat from another body area, performed by liposuction Although a breast lift with fat is limited by the person’s fat content, it has less complications.
Breast lift with implant
The first factor to note is that implants will not last forever, needing to be changed or removed roughly every 10 years. However, because an implant has a definite size, the outcome of the breast size is very predictable. Women seeking a significant increase in size, a full cup size or more, should consider an implant. Implants also change the nipple position by pushing the breast forward. However, although implants provide a dramatic change in size and shape, there are risks of breakage or migration. Breakage or migration may cause breast pain and change in breast shape. These are not medical emergencies, but require assessment by Dr. Bray followed by surgical correction .
Although an implant on its own has little limitations regarding size, when it is combined with a lift, there may be complications. Thus, Dr. Bray avoids very large implants during breast lifts because the nipple’s bloodflow may be constricted, causing nipple necrosis. If a patient is looking for a breast lift and a very large increase in size, he may have to divide the procedure into two separate surgery days. Previously, surgeons were unable to perform a breast lift and implant on the same day. However, because of medical advancements, Dr. Bray is able to perform them simultaneously depending on the size of the implant. Simultaneous lifts and implants are very useful, especially if the person needs the replacement of an implant.
Breast lift with fat
Unlike an implant, fat is metabolized into the body; therefore, the patient will lose up to 50% of their augmented size. As such, this procedure is best for women looking for a modest increase in size (such as half a cup) or to improve the breast shape due to deflation. The results are natural-looking, soft breasts; however, the size is limited by the patient’s fat content. Since a patient is unable to receive fat from someone else, they are limited by their own. For this reason, liposuction is required. Because the patient uses fat instead of an implant, there are fewer complications. Their fat is not a foreign object, so post-implant pain is nonexistent, and the fat won’t break or migrate.
What Occurs During a Breast Lift with Implant or Fat
Breast Lift – Dr. Bray will determine the incisions’ location and select the appropriate technique based on breast size, shape, and contour. Breast lifts are a more involved surgery than implants or fat transfers. To tighten and project the breast, Dr. Bray removes excess skin, reduces and changes the nipple to a higher position, and tightens breast skin. This results in a shapelier, more projected breast.
Breast Implant – You will be fully asleep for the surgery, performed under general anaesthesia. Dr. Bray makes an incision in a concealed location, usually the breast crease, then creates a pocket to place the implant. Then, the silicone or saline implant is placed under or over the muscle. Afterwards, the incision is closed with dissolving sutures; no suture removal is required. The alternative to implant is a fast transfer. Fat is removed by liposuction from your thighs, tummy, or hips during a fat transfer procedure and then processed and injected into your breasts.
Fat Transfer – Dr. Bray performs liposuction from fatty area(s) which have been agreed-upon in advance. Once the liposuction is finished, he sutures the wound and begins to purify the fat. The closed-system reservoir acts as a centrifuge to separate the high quality fat. Patients can expect up to 50% of injected fat to be absorbed by the body; however, Dr. Bray strategically injects the fat to improve blood flow to retain as much fat as possible. Once the fat is purified, he readies the injection site to insert fat into the breast. Dr. Bray always works to leave the incision sites as concealable and invisible as possible. When finished, the incision marks are sutured.
Custom Options for a Breast Lift with Implant or Fat
Dr. Bray’s holistic approach involves patients having customized options for their procedures. These include size, shape, additional liposuction, and whether fat or implants are used. There are certain aspects of the procedure that Dr. Bray selects himself, scar pattern, and implant position. These are chosen by him for the patient’s safety and outcome effectiveness but will be discussed in detail prior to surgery.
You can choose the size of your breast implants or transfer before you get them. Dr. Bray works to create natural-looking cosmetic results. There, he will always suggest the size and shape he thinks will help you look the most natural. There are also certain guidelines for your safety and that he follows. These include but are not limited to oversized implants combined with a breast lift. Dr. Bray will also give patients a size range that they can work with prior to the procedure.
Patients can select from low, medium, or high profile for implants, fat transfers, and lifts. Dr. Bray always assists his patients in selecting what is most natural and ideal for their goals.
Dr. Bray helps patients select the most in-need locations for fat transfers to create a symmetrical, lifted, and volumized breast. Patients have options between the upper, cleavage, and lower areas of the breast to target. There is more flexibility with fat transfers, allowing patients to select rounder appearances and changes in cleavage.
For every breast lift by Dr. Bray, some liposuction is performed to enhance the shape of the body. This is to create a more proportional and youthful appearance to complement the new breasts. Additional liposuction is required for fat transfers, which Dr. Bray also takes into account when shaping the body. It should be noted that the liposuction inherent in breast lifts and fat transfers should not be substituted for larger scale liposuction. If patients are looking for liposuction to for a more dramatic appearance, they should consult with Dr. Bray during their meetings.
Preparing for a Breast Lift with Implant or Fat
Medical conditions, such as heart disease, hypertension, thyroid problems, diabetes or the regular use of certain medications might affect your surgery. If any of this applies to you, please consult with Dr. Bray first.
No smoking of any sort of nicotine, vape or marijuana products for approximately 6 weeks before your procedure. Continuing to do so might adversely affect your surgical outcome. We also advise not consuming alcohol at least a week prior to surgery.
Follow Dr. Bray’s instructions concerning diet, hygiene and medications. Before any kind of surgery, your stomach should be empty, which is why you should not eat or drink after midnight the day before the procedure.
Make sure to wear comfortable clothes and shoes to allow easier change of clothes before and after surgery. Please arrive without any jewelry, makeup and nail polish on the day of the procedure. If you wear contact lenses, please switch them out for glasses.
Plan enough time for your recovery. Taking a few days off from work will be essential. Patients usually require between 3 and 7 recovery days before returning to office-type work. Those with physically-demanding jobs will require more time, typically 2-3 weeks.
Ask someone to drive you to your appointment and pick you up after surgery. By law, you cannot drive after your surgical operations, thus you will need to arrange a ride home.
In line with COVID-19 regulations, we have reassessed our cleaning and sterilization protocols. Upon arrival in our office we conduct symptom screenings with a questionnaire and check our patients’ temperature. We also require mask wearing for our staff and patients. COVID-19 testing before surgical procedures is mandatory in order to protect our staff. Please inform yourself regarding testing centers in your area and arrange for testing prior to your surgery.
We require a number of lab tests, diagnostic tests and medical evaluations leading up to your surgery. The nature of these tests will vary according to the procedure, your age, health, history, and other key health factors. Make sure to run all the necessary blood work and receive clearance before any surgical procedure. Necessary testing may change based on procedure, age, health, history and other factors.
Two weeks before surgery
It’s of utmost importance to follow all of your surgeon’s instructions regarding diet, supplements and medications. Stop drinking alcohol and smoking of any kind. Avoid exposure to sick people and quit taking blood thinning medications, such as Aspirin, Ibuprofen and a number of supplements. Post-surgery preparations should be made, such as arranging transportation, getting time off from work, stocking up on food and anything else you will need post-surgery and making sure someone will stay with you during the first two days after the procedure.
Day before surgery
Figure out what you are going to wear, follow your surgeon’s instructions regarding pre-surgery fasting and any other preparation measures. Go to bed early and get well rested before your big day. We also recommend getting your house in order and buying ice packs to help with swelling after the surgery.
What to Expect After Breast Lift with Implant or Fat Transfer
Recovery after the surgery depends on various factors including previous exercise regimen, diet, and overall health. One of the most important factors, however, is how committed a patient is to Dr. Bray’s instructions. Dr. Bray is very involved in the post-operative care process. Patients will meet him regularly to discuss healing processes, check for complications, and remove sutures. Typically, patients can expect 6 weeks to heal.
After waking up from anaesthesia, grogginess and soreness is expected. The first three days are generally the most uncomfortable; however, Dr. Bray will prescribe pain medication for the three days. Refraining from strenuous exercise is crucial, however, walking is highly encouraged for blood flow. The first few weeks are characterized by significant swelling, but subsides by the first month. Compression garments are essential, reducing swelling to the breasts. If at any point the pain is unbearable, patients should contact Dr. Bray immediately.
RECOMMENDED SURGERIES WITH BREAST LIFT WITH IMPLANT OR FAT
*INDIVIDUAL RESULTS MAY VARY
Schedule a private consultation with Dr. Bray by submitting the form below or calling his offices directly at 416-323-1330.