November 16, 2018

Breast Lift, Augmentation, or Both: How Do I Know Which Is Right for Me?

Breast surgery procedures like breast lift and breast augmentation are popular with Atlanta women. In fact, a large majority of my patients are women who want to change the size and shape of their breasts. Both breast augmentation and breast lift can improve the appearance of the breasts, but they serve different functions. If you’re wondering which is right for you, keep reading to learn more about these popular procedures and their benefits.

Breast Lift

A breast lift is a surgical procedure that helps reshape and lift the breasts so that they appear perkier and more youthful. Breast lift surgery is common in women who are bothered by sagging or drooping breasts that often result from aging, weight loss, or breastfeeding. Usually, the best candidates for breast lift surgery already have a good amount of volume because a lift alone won’t help improve breast size.

During a breast lift procedure, I tighten lax breast skin, reposition the nipple, and reshape the breasts. The incision placement will depend on how complex the procedure is, but it could be as minor as a small incision around the nipple. You can see some of our patients’ breast lift before and after pictures in our photo gallery.

Breast Augmentation

The goal of breast augmentation surgery is to enhance the size of the breasts using either saline implants, silicone implants, or a patient’s own fat (called a fat transfer breast augmentation). The type of implant used is a personal choice and each offers advantages and drawbacks.

  • Silicone implants: Silicone breast implants provide a very natural look and feel that my patients find most similar to natural breast tissue. Today’s silicone implants are safe, cohesive, and durable – meaning they won’t leak into the body. They are FDA-approved for women 22 and older.
  • Saline implants: Many women prefer saline implants because they are filled with a sterile saline solution that poses no risk to the body if the implant ruptures. Saline implants have been used successfully for breast augmentation for several years and are also FDA-approved.

Take a look at our patients’ breast augmentation before and after pictures to get an idea of the type of results that are possible.

What Else to Know Before Getting Implants

In addition to choosing your breast implant type, you’ll have many other decisions to make–including the implant shape, profile, and texture.

Breast Implant Shape

Your breast implant shape can be either round or anatomic. Round implants are most commonly chosen because they enhance the look of cleavage and provide a full, rounded look. Teardrop-shaped implants, sometimes called anatomic implants, give the breasts a more sloped appearance with less fullness in the upper part of the breast.

Breast Implant Profile

The breast implant profile refers to how far the breasts project off the chest wall. Thicker profiles offer more implant projection than thinner profiles. Determining which profile is best for you will depend on your body frame.

Breast Implant Surface

The outer shell of a breast implant can be either smooth or textured. Smooth implants are chosen most often because they allow the implant to freely move in the breast pocket so that there is no distortion of the breast shape. Textured implants have a rough surface and are often chosen to help hold anatomical implants in place.

The American Society of Plastic Surgeons explains more about breast implant options.

Should you get implants with a breast lift?

Sometimes the best option is to combine breast augmentation with a lift. Doing so addresses both breast volume and shape and provides more comprehensive results. Combining two surgeries at once can also save you the trouble of having another breast surgery down the line.

I usually recommend a breast augmentation and lift for women who need to increase their chest size as well as lift their breasts. This combination is very common in women who have had children or any woman who notices that her breasts are not as full and perky as she’d like.

It’s important to note that breast surgery should only be performed by a highly skilled board-certified plastic surgeon. We explain more about how to find a qualified plastic surgeon and what to ask in your breast augmentation consultation in a related blog post.

At Plastic Surgery Center of the South, we can help you create a customized surgical plan to address your breast concerns. To talk about your breast augmentation options with skilled cosmetic surgeons in the Atlanta area, use our online form to request a consultation or call us at (770) 421-1242.

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In the high-stakes professional environments of Atlanta—from the boardrooms of Buckhead to the innovative hubs of Midtown—presence is often defined by confidence. For many women, physical proportion plays a significant role in how they carry themselves and how their professional attire fits. However, the modern approach to breast augmentation has shifted away from the pursuit of maximum volume. Today, the focus is on "proportional harmony"—a strategic alignment between your surgical goals and your unique physical frames. At Plastic Surgery Center of The South, we view breast augmentation not as a standalone procedure, but as a corrective and enhancing measure designed to bring the body into balance. Understanding that "size" is a subjective metric is the first step toward achieving a result that looks natural, feels comfortable, and enhances your professional silhouette. Beyond the CC: Understanding the Mechanics of Proportion Many patients begin their journey by researching a specific volume, often measured in cubic centimeters (CCs). However, focusing solely on a numeric value is a common pitfall. A "300cc" implant will look radically different on a tall, athletic frame than it will on a petite, narrow-shouldered individual. As your dedicated partner in aesthetic health, our approach prioritizes your specific anatomy. We evaluate several critical factors: Chest Wall Width: The diameter of your breast tissue and the width of your ribcage dictate the "footprint" of the implant. An implant that is too wide can lead to unnatural contours, while one that is too narrow may not provide the desired cleavage. Existing Breast Tissue: The amount of natural tissue available to cover the implant affects the final aesthetic. This is a critical consideration when discussing the nuances of silicone vs saline options. Torso Length: A longer torso can often accommodate more projection without appearing "top-heavy," whereas a shorter torso requires a more subtle profile to maintain a balanced midsection. Selecting the Right Catalyst: Silicone vs. Saline The choice of material is often a matter of tactile preference and long-term maintenance. Both silicone and saline implants have distinct characteristics that contribute to the overall proportion and feel of the breast. Silicone Gel Implants - Silicone is frequently the preferred choice for patients seeking the most natural mimicry of human fat and breast tissue. Modern "form-stable" or cohesive gel implants maintain their shape exceptionally well, which is vital for maintaining a consistent profile under professional garments. They are particularly beneficial for patients with less natural breast tissue, as they are less prone to "rippling." Saline Implants - Saline implants are filled with sterile saltwater and offer the benefit of a smaller incision, as they are filled after insertion. While they can feel slightly firmer than silicone, they allow for precise, intraoperative adjustments to volume, ensuring that symmetry is achieved to the milliliter. During your consultation at Plastic Surgery Center of The South, we provide a comprehensive breast augmentation size guide through physical "sizers" and expert assessment, helping you feel the weight and see the projection of each option before your procedure. The Professional Silhouette: Symmetry and Clothing Fit For many of our patients in the business community, the primary motivation for surgery is the "proportional fit" of professional attire. When the bust is out of proportion with the hips and shoulders, blazers, sheath dresses, and tailored button-downs rarely fit off-the-rack. A successful augmentation achieves "The Balanced Profile": Shoulder Alignment: The bust should complement the width of the shoulders, creating a classic hourglass or athletic V-taper. The Lateral View: Proper projection ensures that the profile is feminine yet understated, avoiding an aggressive appearance that may feel out of place in a conservative corporate setting. Upper Pole Fullness: We focus on a natural slope rather than an artificial roundness, ensuring the results are indistinguishable from natural anatomy. Establishing Expertise: Why Local Specialization Matters At Plastic Surgery Center of The South, Dr. Corey Harkins, MD, who is a board-certified plastic surgeon in greater Atlanta is committed to his core values of ethics, integrity, honesty and education. His practice draws patients from Atlanta and across the U.S. The geographic context of his practice allows him to understand the lifestyle of his patients. Whether you are prepping for a keynote presentation or maintaining an active lifestyle your results must be durable, comfortable, and visually seamless. Long-Term Considerations for the Executive Lifestyle Breast augmentation is a long-term investment in your self-image. It is important to consider how your results will evolve over time. Longevity: While implants are not lifetime devices, choosing the right size and weight initially can prevent premature sagging or the need for a lift (mastopexy) later in life. Overly large implants can strain the skin envelope over time; choosing a proportional size ensures longevity. Recovery Management: For the busy professional, we utilize recovery protocols designed to minimize downtime, allowing you to return to your leadership role with minimal disruption. Health and Wellness: We prioritize your systemic health, ensuring that your implants do not interfere with mammographies or physical fitness routines. Actionable Takeaways for Your Transformation If you are considering breast augmentation, keep these strategic points in mind: Prioritize Dimensions Over CCs: Focus on how the breast will look in relation to your shoulder and hip width. Test Your Wardrobe: Bring a favorite professional blazer or dress to your consultation to see how different "sizer" volumes change the garment's fit. Consult the Experts: Avoid "template" surgeries. Ensure your surgeon provides a customized plan based on your unique chest wall measurements. Understand the Material: Weigh the benefits of silicone's natural feel against saline's adjustable volume and smaller incision. Your Path to Proportional Balance At Plastic Surgery Center of The South, we believe that aesthetic procedures should empower you to feel more like yourself. By moving beyond the simple metric of size and embracing the philosophy of proportion, you can achieve a result that enhances your confidence both in your personal life and your professional career. Our practice is dedicated to providing an executive-grade experience, from your initial private consultation to your final post-operative milestone. We invite you to explore how a tailored approach to breast augmentation can refine your silhouette and bolster your professional presence. To schedule an expert consultation and develop your personalized surgical plan, contact Plastic Surgery Center of The South today. Call us at (770) 421-1242 and let us help you find the perfect balance for your frame!
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