Lift
with augmentation.
The most complex procedure in breast aesthetic surgery. Simultaneous volume increase and gland elevation. The subject of Tagir Fayzullin's doctoral dissertation.
lift with augmentation
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procedure diagram
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An implant increases volume but creates pressure on the tissues. A lift restores shape but requires skin tension. When both goals are addressed at once, the techniques begin to conflict. That is the source of most complications.
Skin that is too tight over the implant carries a high risk of edge necrosis. Insufficient tension - recurrent descent within a year. An incorrect implant size choice during a lift - an asymmetric result. Each decision affects the next.
It is precisely because of this complexity that the combined procedure became the subject of a more than 17-year scientific study.
As part of the doctoral dissertation, 5,000 cases were analyzed and a prospective study of 244 patients was conducted.
It was established: the main factor determining surgical outcome is gland tissue density. In patients with dense tissue, complication risk after a single-stage procedure is significantly higher.
The solution is differentiated tactics. Some patients undergo a single-stage procedure; others - a two-stage approach: mastopexy first, augmentation 6 months later. Two-stage tactics in the at-risk group showed statistically significantly better outcomes.
State software registration certificate No. 2021660748. The program analyzes individual risk factors and estimates complication probability before surgery.
90 minutes. Full assessment of anatomy, ptosis grade, and expectations.
Breast ultrasound with tissue density measurement, lab tests, consultations with internist and anesthesiologist.
Joint decision by patient and surgeon based on findings. Selection of implant size, shape, and profile.
Duration 3-4 hours with single-stage tactics. With two-stage approach - two separate procedures 6 months apart.
1-2 nights in hospital. Return to desk work in 10-14 days.
Scheduled check-ups at 1 / 3 / 6 / 12 months. Outcome assessment using the BREAST-Q 2.0 scale.
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