Understanding Two-Stage Augmentation Mastopexy: Why It May Be Recommended
Breast augmentation (breast implants) and mastopexy (breast lift) are commonly performed together to increase breast volume while correcting ptosis of the breast. However, in some cases, a one-stage approach may not be ideal, leading to the recommendation of a two-stage augmentation mastopexy. Dr. Chinsee may suggest this method to ensure optimal results and reduce potential complications.
Why Dr. Chinsee May Recommend a Two-Stage Approach
A two-stage augmentation mastopexy involves performing the breast lift first, allowing the tissues to settle and heal before proceeding with the augmentation, approximately 6 months late. Dr. Chinsee may recommend this approach for several reasons:
Significant Ptosis (Sagging): If a patient has severe breast sagging, lifting the breast and tightening the skin before placing an implant can help achieve a more natural result.
Thin or Weakened Breast Tissue: If the breast tissue is too thin or weak to support an implant immediately, performing the lift first allows the tissues to strengthen before augmentation.
Better Implant Positioning: Separating the procedures allows for precise implant placement once the breasts have healed from the lift, minimising risks of asymmetry or bottoming out.
Reduced Tension and Scarring: A combined one-stage procedure can place excessive tension on the incisions, increasing the risk of poor wound healing, excessive scarring, and implant malposition.
Customised Implant Selection: Waiting for the lift to heal first allows for a better assessment of the breast shape and size, leading to a more tailored implant choice.
Risks of One-Stage vs. Two-Stage Augmentation Mastopexy
Both approaches have their own risks and benefits. Understanding these can help patients make an informed decision about the best surgical plan for their needs.
One-Stage Augmentation Mastopexy Risks:
Higher Complication Rate: Performing both procedures at once can increase the risk of wound breakdown, delayed healing, and implant exposure.
Implant Malposition: The weight of the implant may shift the newly lifted breast, leading to asymmetry or bottoming out.
Compromised Blood Supply: The combined stress of lifting and inserting an implant can reduce blood flow to the nipple or skin, increasing the risk of tissue necrosis.
Greater Need for Revision Surgery: Due to the unpredictable healing process, some patients may require revisions for asymmetry or scarring.
Two-Stage Augmentation Mastopexy Benefits:
Lower Risk of Implant-Related Complications: By allowing the tissues to heal first, the implant can be placed in a more stable and aesthetically pleasing position.
Better Scar Healing: Performing the lift first allows incisions to heal without the additional tension of an implant, leading to better scar quality.
More Predictable Results: Staging the procedures allows for adjustments based on how the tissue settles after the lift.
Dr Chinsee Brisbane
While a one-stage augmentation mastopexy may be appropriate for some patients, a two-stage approach can offer safer, more controlled results, particularly for those with significant sagging or weak breast tissue. Dr. Chinsee carefully assesses each patient’s anatomy and goals to determine the best approach, prioritising both aesthetics and safety.
If you are considering a breast lift with augmentation, a consultation with Dr. Chinsee will provide personalised recommendations tailored to your needs. Understanding the advantages and risks of each method ensures that you can make an informed decision for your body and long-term satisfaction.