Breast Lift vs. Breast Augmentation

Dr. Sorokin finds that many of the women who visit him for breast augmentation actually need a breast lift. To get a better sense of which surgery is best for you, it’s important to clarify if you’re bothered by your breast size, breast shape, or both. This information will help guide you and Dr. Sorokin in selecting the right breast enhancement procedure for you.

Want to learn more about the difference between breast enhancement procedures? New Jersey plastic surgeon Dr. Evan Sorokin can help. Request a consultation to get started.

Choosing Breast Enhancement

Dr. Sorokin takes the time to explain breast lift and breast augmentation to women who are candidates for both procedures. Many women considering breast augmentation also need a breast lift, and many women who are interested in breast lift also need breast implants to create their desired look.

Breast Lift (Mastopexy)

This procedure raises and reshapes sagging breasts. If you are looking to elevate drooping breasts or nipples and don’t mind being a little smaller, a lift by itself may meet your goals. During a breast lift, New Jersey surgeon Dr. Sorokin moves the nipple and areola to a higher position on the breast, removes excess skin, and closes the remaining skin underneath the breast to tighten and lift the breast.

There is a classic “pencil test” that often helps ladies determine whether or not they need a lift. When looking at the breast, if a lady can place a pencil under the hanging breast skin between the breast and chest wall and it will stay there when she lets go, chances are a breast lift will be needed. This is an important physical examination point as simply placing an implant will give a bigger version of the current breast, not lift the hanging skin.

There are different types of breast lift to consider. There are minimal scar techniques with incision only around the areola. These can be used when only a minimal amount of lift is needed. A moderate amount of sag will require a vertical mastopexy or an incision often described as a “lollipop lift,” as there is a circle around the areola and a vertical scar extending downward from the areola. Larger amounts of lifts will require larger incisions usually in an anchor (inverted T) shape. Lifts usually result in more scarring due to the need to move around significant amounts of skin and tissue.

Breast Augmentation

New Jersey breast augmentation patients choose this procedure to increase the size and volume of their breasts. During this procedure, Dr. Sorokin places an implant in a pocket directly under the breast tissue or under the muscle of the chest wall. This increases the size of the breast and gives the upper pole more fullness.  It can also change the shape of the breast by providing a more rounded appearance, but will not lift skin that has sagged.

Implants can be placed above or under the breast wall muscle (pectoralis major) depending on many factors. While for many women submuscular (under the muscle) implants will be a better location sometimes the best choice for a particular patient is above the muscle. While in past years this above the muscle (subglandular) pocket location was considered by many to be an inferior location, many thought leaders in the field of plastic surgery have returned to subglandular augmentation as an excellent alternative for certain patients. While Dr. Sorokin usually places implants under the muscle he feels strongly that for some ladies above the muscle is the place to go. Sometimes implants are placed in a dual-plane position meaning partially above and partially below the muscle. A reason to do this might be a breast with just a little big of sag. This is something to discuss with Dr. Sorokin in consultation as it truly needs to be an individualized decision.

If you seek fuller, firmer breasts, Dr. Sorokin may recommend a combination of these procedures. Combining breast lift and breast augmentation minimizes scarring and recovery time through the use of a single surgical session.

Breast Lift or Augmentation: Which is Right for You?

To determine which surgical options are right for you, there are a number of questions to answer at your consultation with Dr. Sorokin.

  • Are your breasts currently a satisfying size?
  • Do you feel that they sag or droop more than you would like?
  • Are you happy with the position of the nipple on each breast?
  • Are you happy with the size of the areola?
  • Do you have excess skin and lost volume from pregnancy or weight loss?
  • Are there stretch marks on your breasts?

During your consultation Dr. Sorokin will perform a brief physical examination to help determine what type of surgery is best for you. When looking at your breast from the side, if the nipple hangs below the breast crease (the area under the breast where the breast joins to the chest wall), Dr. Sorokin usually will recommend a breast lift, but if the nipple sits above the breast crease, breast augmentation alone may provide a satisfying result.

Why Choose Dr. Sorokin?

Dr. Sorokin focuses his practice on breast enhancement such as augmentation mastopexy. He is known as The Breast Doctor as he performs hundreds of breast enhancements every year, and patients come to him from not only New Jersey but from all over the East Coast. When Dr. Sorokin started his practice, he enjoyed a wide range of plastic surgery procedures from facelifts, trauma, and even hand surgery; however, eventually he found his true passion was for breast enhancement surgery. He has directed his focus toward breast procedures. He performs difficult revisions on patients who have had suboptimal outcomes elsewhere and thus many patients have been willing to travel distances for this specialization. Word has now spread and it is common for patients to come to us from Pennsylvania, New York, Maryland and more recently even international clientele. Shouldn’t you consider a surgeon who focuses on the procedure you are looking for?

Dr. Sorokin was one of the first surgeons in New Jersey to have access to and use the newer gummy bear style of silicone breast implants. He has all currently available silicone implants and will help you pick the right implant for you based on your body type and surgical goals. Dr. Sorokin uses implants from Mentor, Allergan, and Sientra. From each of these manufacturers there are various options of implants available. In addition, not all surgeons have access to all implants as at the time of writing this there are shortages throughout the country on some implant types. This is something to discuss with your prospective surgeon.

Through his extensive training and experience with breast augmentation and breast lift, Dr. Sorokin is able to help you understand your surgical options and make the right choice. Request a consultation at our office in Cherry Hill, New Jersey to discuss your options in detail, or call us at to set up an appointment.



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