American Society of Plastic Surgeons
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williams
4 years ago
Answered

Reductive augmentation

Thoughts on reductive augmentations?

Procedure: Breast Reduction
Location: seattle, WA

Replies 4

Lawrence Glassman
ASPS Surgeon

To most people, doing a breast reduction and augmentation is counterintuitive. However, patients who undergo breast reduction, often have or shortly after the operation, have lack of upper breast fullness. Adding a breast implant will better preserve and create upper fullness of the breast. The tradeoff is the additional cost and uncommon additional risks of breast implants.

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Nelson Castillo

Thank you for sharing your question. A very rare combination, it is the best way for a woman with a large amount of natural breast tissue to seek a more “implant” look with upper pole fullness an a rounder shape. Depending on the starting breast size, this may require a staged approach. Hope this helps.

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Andrew Rosenthal
ASPS Surgeon

This is often called a "plus/minus" operation because you are adding implant volume (plus) where you want it and removing breast volume (minus) where you don't. This can be a great operation in a breast with undesirable architecture for just a lift and give you a lot of flexibility in size. I rarely find it needs to be done as a staged procedure if done with the "vertical" technique with a superior-medial pedicle. Make sure it is being performed by a board certified Plastic Surgeon with extensive experience in this type of procedure. Also experience in difficult breast reconstruction is a benefit.

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Adolfo Sesto
ASPS Int. Surgeon

Hello Williams. I call it Breast Reduction with Implants. Breast implants are not only use to give more volume to the breast but in certain cases to keep the breast tissue in place, and also give support and keep fill the upper and lower poles, avoiding the fallen of the breasts.

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