Breast lift or mastopexy and breast augmentation are two of the most popular cosmetic surgery procedures. In fact, according to the report of the International Society of Aesthetic Plastic Surgery (ISAPS) breast augmentation is the 2nd most requested procedure globally. while breast lift ranks 6th. The report of the American Society for Aesthetic Plastic Surgery (ASAPS) concurs with said findings. It reported that breast augmentation is also the 2nd most popular procedure in the US. The Top 5 surgical procedures in 2013 in the US according to their ranking are:

  • Liposuction – 363,912 procedures
  • Breast augmentation – 313,327 procedures
  • Eyelid surgery – 161,389 procedures
  • Tummy tuck – 160,077 procedures
  • Nose surgery – 147,966 procedures

According to the ASAPS statistics, the most popular procedures for women are breast augmentation, liposuction, tummy tuck, breast lift and eyelid surgery in that order.  It also indicated that breast augmentation increased by 62% from 2012 to 2013. Although breast augmentation is still the most preferred procedure for women, request for breast lift is increasing twice the rate of breast implant or breast augmentation with 90,000 performed in 2013. Almost seventy percent (70%) of those who had breast lifts are women between the ages of 30-54.

Difference between breast lift and breast augmentation

Breast lift and breast augmentation are sometimes misconstrued as the same, which is a mistake. These are two different procedures with dissimilar objectives. Let’s check these differences.

  • Procedure

Breast augmentation is a mammoplasty procedure that makes use of implants such as a silicone shell filled with silicone gel or saline solution or it can involve the transfer of fat from one body part of the patient to the breast. Breast lift, on the other hand involves removing excess skin to recontour and reshape the breast plus reposition the nipples.

  • Objective

Breast augmentation is meant to increase the size of the breast to enhance its projection and fullness. It is also meant to add volume to the breast which has lost its volume after a pregnancy or considerable weight loss. Meanwhile,a breast lift cannot enlarge and add volume to the breast. What it does is to lift, reshape or recontour sagging breast by removing excess skin and resetting the remaining skin and repositioning the nipples to enhance the appearance of the breast. The procedure can also scale down the size of the skin around the nipple called the areola.

A recommended procedure

More and more plastic surgeons are recommending a breast augmentation mastopexy to their clients who want to improve the size of their breast as well as enhance its shape and reposition the nipple. It is a procedure which is a combination of breast augmentation and breast lift particularly for women with exceptionally vacuous breasts with drooping nipples. They will need a larger amount of implant and a repositioning of the nipple to the center of the mound.

The procedure starts with a regular mammoplasty or breast augmentation which involves the insertion of a breast implant and ends with breast lift or mastopexy to reshape and recontour the breast and position the areola and nipple at the center of the breast mound.

A breast augmentation mastopexy procedure is a more challenging procedure for plastic surgeons than performing the two procedures in isolation. It is open to a higher risk of complication, but in some specific cases, this is the most applicable procedure.

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