Newport Beach plastic surgeon, Dr. Edward Domanskis, offers breast augmentation with a lift for patients who desire to improve the appearance of sagging breasts, while at the same time, add volume. It is a two-part surgery that involves removing excess skin and tissue while tightening the underlying muscles to give the breast a firmer, higher appearance. The second part of the surgery involves the placement of a silicone or saline implant to add size and fullness. This combined surgery is very common and the results are long-lasting. During the initial consultation with Dr. Domanskis, an examination will take place so that he can determine if a lift alone will provide the desired results, or if an implant will be needed during surgery to attain the patient’s aesthetic goals.
"Excellent experience with Dr. Domanskis! I had abdominalplasty and liposuction. He explained the procedures very thoroughly as well as what to expect immediately following my surgery. He was in contact with me by phone as well during the first week post op I felt very safe in his hands. My results are absolutely phenomenal I couldn't be more pleased!"- W.P. / Yelp / Aug 29, 2015
"Dr Domanskis saved me! My promised implant job before meeting him ended up not good and me distressed. Dr Domanskis was very compassionate and clear during my consultations. He said i may need 2 surgeries, and incredibely he did it all in one surgery and repaired 2 very different looking breasts to look the same and fuller! I couldnt be happier. His knowledge and skill level is second to none (I have had more than 1 breast surgery in my time). I HIGHLY recommend him and will always go back to him if needed for other things in the future! Thanks Dr. Dom! :)"- Anonymous / RateMDs / Feb 20, 2019
"I'm a new patient of Dr. Domanskis and met him under emergency circumstances (that a previous monster surgeon had done to me.) I was over a month post-op of breast lift, replacement and reconstruction surgery for the second time in less than a year and was left with LITERALLY hundreds of stitches in my breasts and a huge hole for the second time that was the size of a quarter and my implant was exposed and This was not only a repeat of what happened to me in Feb 2018 of last year but this time I knew better from past experience (that ended up putting me in the hospital for a deadly staph infection in July 2018) That it's best I find a competent Dr. Who is highly recommended. I called my Oncologists and immediately they said Dr. Domanskis is the best! Couldn't agree more! Truly from the time I called Initially which was in the AM on a Monday I was taken care of by Rachelle and she made sure I was in to see the Dr by 2:00 that day. When I met Dr. Domanskis I was already so fearful of Dr.'s and the lack of care if I had been shown previously, I was surprised at the time and effort he put into listening to me and removing all the hundreds of stitches that should have been taken out weeks ago and the amount of concern Dr. D shows me when taking a culture of the wound to make sure I did not have another staph infection like last time. He sat and slowly explained everything that was hoiu on and what my options would be. Come Friday I opted to have the implant extracted in his office and to my surprise, it was not only painless but super fast and I'm currently healing and looking forward to having Dr. Domanskis help reconstruct what the monster surgeon had done to my body. I have so much faith in Rr. Domanskis and love this place! I know hands down that I will be cared for and taken care of here. This Dr. and his team (Rachelle) treated me like family or an existing patient, it's not about money here it's about caring for the patient and they really do!!"- H.B. / Google / Jan 25, 2019
"Dr. Domanskis & Rachell - I love this place!! Hands down I will never go to another Surgeon after I have met my forever favorite Dr. Domanskis! I had an emergency situation and was desperately avoiding going back to my previous surgeon (due to having two breast revision and reconstructive surgeries, not by choice but because my prior Surgeon left me each time with a hole the size of a quarter and implant exposure which led me to end up in the hospital last Summer with a almost deadly staph infection and recently leading me to face again the same hole he never repaired originally) I was referred to Dr D. by my oncologists office and so I called and was immediately given the utmost care from Rachelle when explaining my situation to her over the phone she was so sympathetic and quickly fit me into Dr. D's busy schedule. I was seen immediately that same day and was treated like an existing patient and greeted with a friendly and warming Dr. Domanskis. I was so hopeless and afraid after suffering mental anguish, pain and the fear of having to be under the care of a incompetent surgeon, Dr. Domanskis not only helped me right from the first consultation but he and Rachelle helped start the process of wound healing and removal of the implant without pushing me off and saying I should see my original surgeon, like I was told before earlier this year. DR. D made me have confidence again in Dr.'s and I am so grateful that he was willing to help me during this horrible time of fresh recovering that I was in. I am now looking forward in being Dr. D's patient and have so much faith that he will be able to reconstruct what the past monster had destroyed twice. I know that I will not only get the results that are best for me and my body but Dr. D and Rachell genuinely care about the client rather than just the money. THANK YOU SO MUCH DR.D & Rachelle I can't wait to so you soon!!"- Anonymous / Vitals / Jan 24, 2019
"He knows what he is doing - Dr. Domanskis is very intuitive without alot of explaining he was in tune with what I wanted and gave me the hips to balance out my shape! I always had stubborn belly fat and back fat as well as a narrow waistline and flabby arms. After this liposuction my waist has drastically changed into the hour glass shape I wanted and I am happy with the results :)."- D. / RealSelf / Dec 27, 2018
The surgery begins with the breast lift before placing the implant. During the procedure, excess skin is trimmed away, the underlying tissues are tightened with sutures and the breast is reshaped. This completes the lift portion of the procedure. Sometimes the areola is also reduced and the nipple repositioned. When the lift is done, the breast implant will be placed either on top of the chest muscle or underneath it based on the patient’s condition.
Breast Lift Incision
All breast lift procedures will require incisions due to the removal of skin. There are several incision patterns that can be considered:
- Incision made along the line surrounding the areola;
- Incision made along the line surrounding the areola plus a vertical incision down to the natural crease below the breast; and,
- Incision made along the line surrounding the areola plus a vertical incision down to the natural crease below the breast, then another horizontal line following the direction of the fold under the breast.
Peri-Areolar Uplift & Implants
Dr. Domanskis frequently performs a modified version of a traditional breast augmentation with breast lift, known as a Breast Augmentation with Peri-Areolar Uplift. The procedure is a modified (Nipple) uplift to increase the distance between the lower edge of the areolar and infra-mammary fold. The incision is made along the upper edge of the areola, and an ellipse of skin (maximum 1 inch) is removed. The augmentation is performed through this incision and once the augmentation is complete the incision is closed, creating the lift. This procedure is not to be mistaken for a Full Mastopexy, or Full Breast Lift, but rather a modified lift to enhance a breast with slight to moderate ptosis.
Breast augmentation is a common procedure in plastic surgery. Patients can choose between a silicone implant and one that is filled with saline. The type of implant chosen depends on the patient’s aesthetic goals and the chest form. Some surgeons prefer to do a breast lift, and then see how the shape is affected before moving forward with implants. There are cases when patients are content with the results of the breast lift and no longer desire to have the augmentation portion.
Many patients that visit Dr. Domanskis for a breast lift already know they want a larger size and will discuss this during the consultation. Depending on how much native breast tissue resides in the breast and how large the patient desires to go, usually determines the type and size of implant used. Patients who undergo breast lift surgery will now have breasts that are surgically tighter and higher on the chest wall. Depending on size, some patients will seek to have a silicone or saline implant to enhance the size. For patients who desire a much larger size, or for those who wish to have an extra large breast implant, Dr. Domanskis may recommend B-Lite breast implants.
B-Lite implants are made with small microspheres that reside within medical silicone that are strong, yet extremely light. In fact, studies have shown these implants to be 30% lighter in weight than standard silicone or saline implants, which makes them a great alternative for some patients following a lift surgery. With the capability to increase breast size by up to 920 CC, it is a better option for many women after a breast lift so that the surgical results are not compromised by the added weight of additional CCs. B-Lite implants offer a very stable option for breast lift patients. Dr. Domanskis will discuss all of the implant options for size enhancement after a lift during the consultation.
This surgery is an outpatient procedure and is performed in an accredited surgical facility. General anesthesia is used. Following the procedure, patients will need to limit movement, especially in the chest area for approximately 48 hours. Because this surgery represents a combination of procedures, the recovery is a bit longer and can take up to 8-10 weeks to recover. Optimal results will be evident within 6-12 months. This is the time period it takes for the implants to settle in their new position and for the scars to heal.
Breast augmentation with a lift averages in cost between $9,000 to $12,000. The factors for this price range include what type of implant is used and the complexity of the surgical case. Cosmetic surgeries of this nature are typically not covered by insurance.
Plan Your Procedure
- Average Cost
- $9,000 - $12,000
- Recovery Time
- 2-4 Weeks
- Average Procedure Time
- 2-4 Hours
- Post-op Follow-up
- 2 Weeks
- Procedure Recovery Location
Breast Aug With Lift FAQs
Implants for Breast Sag?
Implants will surely help increase breast size, but it is a breast lift that resolves the sagging. Breast sag is caused by overstretched skin that has lost its elasticity due to natural conditions such as pregnancy, weight loss or aging. Placing an implant does not correct the breast projection, in fact, it could make it worse. A lift corrects any sagging to create a tighter breast appearance.
Breast lifts can last for years, especially when patients adhere to a healthy lifestyle. Any significant weight gain or additional pregnancies could compromise the results of the surgery. This is why it is recommended to have this type of surgery when the patient is at or near their goal weight and do not plan to become pregnant in the future. As for breast implants, while they may not last a lifetime, they are manufactured to last up to 15 years or longer
Due to the nature of the procedure, scarring is unavoidable. The incisions made during a breast lift are patterned to best meet the aesthetic goals of the patient. Although these incisions can be concealed under clothing, they will still exist. The good news, is that over time and with proper scar care, they do fade and become barely noticeable. Most women find that their new shape and beautiful figure outweigh the scarring.