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Breast Augmentation vs. Breast Lift: Which One Do You Need?

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Many women seek breast enhancement for a variety of personal reasons, from naturally small or asymmetrical breasts to changes in shape or volume following ageing or pregnancy. These procedures can help align appearance with personal preferences and restore body confidence.

Two commonly performed procedures are breast augmentation and breast lift (mastopexy). Each is designed to enhance breast appearance in ways that support greater comfort and self-assurance.

What Is Breast Augmentation?

Breast augmentation is a surgical procedure designed to enhance both the size and shape of the breasts. This is typically achieved by placing implants, either silicone or saline, beneath the breast tissue or chest muscles. Alternatively, breast augmentation can also be performed using fat transfer, a technique that involves taking a patient's own fat from another area of the body and carefully transferring it to the bust.

Women commonly choose breast augmentation to increase their breast size or to restore lost volume, often after pregnancy or significant weight loss.

What Is Breast Lift (Mastopexy)?

Breast lift, medically termed mastopexy, is a surgical procedure focused on elevating the bust by excising redundant skin and tightening the surrounding mammary tissue. Its primary objective is to lift, reshape, and firm the breasts, rather than significantly altering their size.

This procedure effectively corrects breast ptosis, a condition characterised by breast sagging, often accompanied by downward-pointing and stretched areolas. Patients typically observe an immediate improvement in breast contour, with a more youthful and elevated appearance.

What Are the Differences Between Breast Augmentation and Breast Lift?

While both procedures enhance the appearance of the breasts, breast augmentation and breast lift have several differences:

  • Purpose
    Breast augmentation increases breast size and fullness, while a breast lift reshapes and raises sagging breasts without adding volume.
  • Volume vs. Position
    Augmentation adds volume but does not correct drooping. If the breasts sag or nipples fall below the breast crease, a lift is needed to restore a youthful shape. Conversely, a lift improves position and firmness, but may reduce the appearance of breast size due to skin and tissue removal.
  • Nipple and Areola Position
    In breast augmentation, the nipples and areola stay in their original place. In contrast, breast lift involves repositioning the nipple and areola to a more proportionate position.
  • Materials Used
    Breast augmentation enhances breast size using implants (silicone or saline) or through fat transfer using the patient’s own body fat. A breast lift, on the other hand, does not use any implants or added materials. It works with existing breast tissue and skin.

Which Procedure Is Right for You?

The decision between breast augmentation and a breast lift is a deeply personal one, as there is no single solution suitable for everyone. A thorough consultation with a qualified plastic surgeon is, therefore, essential to determine the procedure that will best help you achieve your desired aesthetic outcomes.

The "right" procedure for you will depend on several key factors:

  • Breast Shape and Volume: If you are looking for more fullness or improved symmetry, augmentation might be ideal. However, if you have sufficient volume but are unhappy with your breast shape, a lift could be more beneficial.
  • Degree of Sagging: The more significant the breast sagging, the more likely a breast lift will be necessary to achieve your desired outcome.
  • Skin Elasticity: Good skin elasticity is crucial as it contributes to a firmer and more lasting result from a breast lift.
  • Personal Aesthetic Goals: Being clear and direct about your specific goals will significantly help your surgeon tailor the procedure to achieve the outcome you desire.
  • Age and Lifestyle: Your age, overall health, and any future pregnancy plans can influence the recommended surgical approach and your recovery expectations.

When Are Combination Procedures Needed?

In certain instances, a combination of breast augmentation and breast lift (mastopexy) may be recommended to restore volume and correct sagging simultaneously. This combined procedure is known as augmentation-mastopexy. It is typically advised when a patient seeks both increased breast size and experiences noticeable ptosis.

For expert guidance, we recommend scheduling a consultation with our experienced plastic surgeon in Singapore. During this session, we will assess your unique anatomy and aesthetic goals to determine whether breast augmentation, a breast lift, or a combination of both will best achieve your desired outcome.

Frequently Asked Questions

Is breast augmentation safe?

Yes, breast augmentation is generally considered a safe procedure. However, like all surgeries, it does carry some risks, including infection, bleeding or implant complications. A thorough consultation with our surgeon will help you understand these risks.

How long do the results of a breast lift or augmentation last?

Breast implants typically last 10 to 15 years if there are no complications. Similarly, the positive effects of a breast lift can be appreciated for a decade or more before natural ageing or future pregnancies might subtly influence the shape.

Will a breast lift affect breastfeeding?

In some cases, a breast lift may affect a woman’s ability to breastfeed. If you are planning to have children in the future, it is important to discuss your breastfeeding goals with your surgeon during the consultation. This enables them to recommend the most suitable surgical technique to help preserve your ability to breastfeed.

Will I have visible scars after a breast augmentation or lift?

Breast augmentation doctors typically make the scars small and discreet. A breast lift, by contrast, often requires more noticeable incisions. This results in more visible scars, often in a "lollipop" or "anchor" shape.

How soon can I return to work or physical activities after the procedure?

Most patients can return to desk work within 1 to 2 weeks after surgery. However, strenuous activities, including heavy lifting and exercise should be avoided for at least 4 to 6 weeks.

Our Doctor
Dr Andrew Tay - Plastic Surgeon

Dr Andrew Tay

MBBS (S’pore), FRCS (Edinburgh)
Fellow, Academy of Medicine, Singapore (Plastic Surgery) Registered Specialist Plastic Surgeon, Singapore Medical Council

Dr Andrew Tay is a consultant plastic surgeon who specialises in facial and body cosmetic procedures, including breast augmentation and mastopexy. He brings international experience to his practice, having completed his plastic surgery training at the University Hospital Basel in Switzerland. Dr Tay is a member of the Singapore Association of Plastic Surgeons, the Singapore Society of Cosmetic (Aesthetic) Surgeons, and the International Society of Aesthetic Plastic Surgery.

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