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
"I could not imagine having a better experience! I have had nearly 10 surgeries in my life (never plastic surgery before) and have never been treated so well and been taken care of so competently before. I am a medical student, so I have very high standards for care, and I can tell you that you will not find a better surgeon! Not only did he perform superior work and completely exceed my expectations, but he was also very accommodating and thorough. He changed his schedule to fit my school schedule, he gave me his personal cell number for questions since I am from out of town, he called and texted me to make sure I made it home okay and was feeling better, and he made the experience very enjoyable. His office administrator, Rachelle, was SO kind and helpful! She was such a joy in the entire process and seemed genuinely happy to help every time I called-such a breath of fresh air from so many other doctors' offices. There really aren't enough good things I could say about his health care team and I would 100% recommend trusting them with your care."- L.B. / Google / Aug 26, 2018
"I feel so bad, thought I had left a review. Couple things first, my review has value, the reason is that I'm rarely satisfied, and have had many things done over the years, what I received was unexpected and why I came back for more. I have psoriasis, for years I put Clobetesol on my face, which thinned it out and gave me a lovely TURKEY NECK, yikes, nothing I could do, but I had a friend who had a neck lift and it was awful, that is he had pain, weird scary looking wraps, so while things like that rarely bothered me I just wanted him to pull it up or put in fillers to tighten it. I finally ceded to neck lift, and what I got I did not expect. Not only did I get a PERFECT NECK, but I got back my best feature, my chin, I have a long, manly chin, that had been obscured with fat and loose skin, now you have to understand I went from a single guy with no prospects to back to how I was in my 20's, what is that worth?? Hock the house, seriously, to get young, hot girls again? And then the love of my life who I'm still with, all because, yes appearance, it matters people don't let anyone lie to you, I basically got to go back in time. Second, I had got used to "man boobs", and fat over my stomach, I'm athletic so figured I could handle it, but after seeing a side picture of myself, I went for it. At first he thought I'd need a tummy tuck, we avoided that, and I got what every man should get, ETCHING, first he removed all of the fat on my chest, then ETCHED the stomach, if you've never heard of it neither had I, he makes a indentation around your abs so you have them whether you work out or not!! Result? I was in seeing my dermatologist, female with her assistant, she asked me to remove my shirt, something I used to dread, I took it off and she looked at her assistant and said "What do you do", "What do you mean", "You have a great body", this all without working out, though I'm motivated and doing that now. What can I say? I have the mind and experience of an older guy, with the face and body of a much younger guy, say what you will, judge all you like, BUT I LOVE LOOKING GREAT AGAIN, getting a compliment "You have a great body", you can't imagine how often I hear "Handsome", oh that word I hadn't heard for such a long, wasted period. I had stated I was important to listen to because of experience, I've had IPL's, fillers because of my thin skin, lasers, must be over 25 doctors I've seen over the years and what do they have in common? They talk FAST AND OVER YOU, they charge to for a consult!! What nerve. Dr. Domaskis though a amazing doctor ACTUALLY LISTENS AND RESPONDS TO WHAT YOU SAY, it's why I'll NEVER pay for a consult, what arrogance what if we don't like the doctor? I want to end with this, I was staying at a hotel when I had my procedure, that is neck lift, though his directions were right on, I made a mistake and was uncomfortable, well I can be quite a nuisance, that is complainer, so I got angry, what did Doc do? HE CAME TO MY HOTEL AND FIXED IT HIMSELF!!! Tell me what plastic surgeon have you heard of doing that? Trust me the guy cares, I screwed up, he gets in his car, drives to my hotel and fixes MY MISTAKE. Thanks Doc!!!"- M.H. / Yelp / Jul 21, 2018
"Dr. Domanskis is top notch. He is a perfectionist, cares about what his patient thinks and listens to what your concerns are. He is very honest and when he does not think you need a specific procedure he will tell you. I have had 3 surgeries with Dr. D and every one has been amazing. The first surgery was a breast augmentation going from a B to a large C. He asked me to show him several pictures of what I would like and he nailed it to a T. That was over 10 years ago and they are still amazing and not in need of replacement whatsoever. My breasts are just as perfect as when he did my procedure.Three years ago I went to another person - BIG MISTAKE . Dr. Domankis is a plastic and RECONSTRUCTIVE surgeon. He took the ridiculously botched up job this Dr. did and fixed my face. He did scar revision which is impeccable. The outcome of his work is amazing. He's your man! Dr. D's nurse Rachelle is wonderful as well."- K.C. / Yelp / Feb 22, 2018
"Dr. Domanskis is top notch. He is a perfectionist, cares about what his patient thinks and listens to what your concerns are. He is very honest and when he does not think you need a specific procedure he will tell you. I have had 3 surgeries with Dr. D and every one has been amazing. The first surgery was a breast augmentation going from a B to a large C. He asked me to show him several pictures of what I would like and he nailed it to a T. That was over 10 years ago and they are still amazing and not in need of replacement whatsoever. My breasts are just as perfect as when he did my procedure. Three years ago I went to another person - BIG MISTAKE . Dr. Domankis is a plastic and RECONSTRUCTIVE surgeon. He took the ridiculously botched up job this Dr. did and fixed my face. He did scar revision which is impeccable. The outcome of his work is amazing. He's your man! Dr. D's nurse Rachelle is wonderful as well."- K.C. / Yelp / Feb 22, 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.