This combination of both breast augmentation and breast lift operations seems to lead to the highest incidence of recurrent sagginess. When you're having a large implant placed under the muscle and lifting the breasts at the same time, that heavy implant will eventually cause the skin to droop once again. I have seen this in my practice on numerous occasions in patients who've had augmentation lifts done by excellent surgeons. A woman who decides to have a breast enhancement and a lift at the same time needs to understand that even though the breasts look beautiful three months after surgery, or even a few years later, her breasts may be saggy again, and she may require a revision breast lift.
The size of the implant you have placed is a major indicator of how quickly your breasts may sag after surgery. The larger the implant, the sooner you're going to need to have a lift once again. You may want to consider going with a smaller implant with your breast lift, in order to lengthen the time between surgeries in the future.
More Answers from Stuart Linder, MD