Breast Lift With Implants2024-02-06T14:09:58-05:00


Combining a Breast Lift with Implants for Beautiful Results


Overview of A Breast Lift with Implants

The Teardrop Augmentation Mastopexy

What may not be apparent to most people is that there are different types of breast sagging (clinically referred to as breast ptosis), and that developing a truly effective treatment plan that meets the unique needs of the individual requires an intimate knowledge of these different types. This surgical approach to a breast lift is unique to Dr. Robert Freund and why so many of his patients are extremely pleased with their results for years on end.

Drawing upon a rare combination of experience, education, training, surgical skill, and an unrivaled eye for aesthetics, Dr. Robert M. Freund has produced consistently exceptional results for patients who undergo breast lift at his New York plastic surgery practice. Not only is Dr. Freund proficient in a wide range of breast lift techniques that can be adapted to the unique needs of each individual patient, but he pioneered the innovative Teardrop Augmentation Mastopexy. In entrusting your body to Dr. Freund, you will receive personalized care of the highest standard at every stage of your treatment.

The Teardrop Augmentation Mastopexy Technique

The Teardrop Augmentation Mastopexy technique is a technique to lift and augment the breast (i.e. add volume with an implant) by lifting the breast tissue under the skin while naturally augmenting the volume with minimal removal of the skin around the areola (commonly known as a “donut incision”). Dr. Robert Freund pioneered this technique and has presented his unique breast lift technique to many plastic surgery and aesthetic medical symposiums over the years. You may have heard of the term “donut incision” when reading about other circumareolar incision breast lift techniques, but the Tear Drop Augmentation Mastopexy is very different.

Most plastic surgeons perform a breast lift by creating an incision around the areola, removing excess skin, and then lifting and tightening the breast into a more youthful position. These techniques may temporarily raise the breast but will result in a wide, flat breast with wide scars. These undesirable results are caused because the removal of the skin and tightening of the breast is the primary force behind the lift. When a patient combines a traditional breast lift with an implant, it’s synonymous to re-inflating a balloon.

The Teardrop Augmentation Mastopexy technique is different in that it physically lifts the breast tissue from underneath the skin and secures it to the upper chest wall. A minimal amount of skin is removed, but unlike a traditional breast lift, the excision of the skin is not the force behind the lift. The breasts are still lifted into a more youthful position, but because there is minimal skin excision, there is less tension on the incision resulting in less scarring, less flattening of the breasts, and less loss of natural breast volume. And because there is less loss of natural breast volume with the Teardrop Augmentation Mastopexy technique, patients achieve greater projection and volume when the breast implant is added.

Types of Breast Sagging

Ideally, a woman’s nipple and areola should be located above the infra mammary fold, the point at which the underside of the breast meets the chest. There are four classifications of sagging based on this standard:

  • Type I
    The areola is located at the same level as the inframammary fold
  • Type II
    The areola falls below the inframammary fold
  • Type III
    The areola falls below the infra mammary fold, and the nipple points downward
  • Pseudoptosis
    The areola is located above the infra mammary fold, but the breast tissue beneath the areola sags below the fold

The most effective technique for performing breast lift surgery depends entirely on the type of sagging that a woman is experiencing.

Overview of Breast Implants

Saline vs. Silicone, Breast Implant Placement, Size, & More.

There are many myths and misconceptions about breast implants. It is important that, if you are considering breast augmentation with implants, you understand the facts about the procedure. At present, both silicone and saline breast implants are approved for use in plastic surgery by the United States Food and Drug Administration (FDA). Between 1992 and 2006, saline implants were the only type available in the U.S.; however, after extensive studies had proven their safety, silicone implants were reintroduced onto the market.

Each type of implant creates a different shape and feel, and both have unique benefits and risks. There are two basic shapes of breast implants: round and anatomically shaped. Together, we will decide which shape is best suited to your case. While there are risks associated with any surgery, saline and silicone implants are generally considered safe and do not pose any serious health risks.

Although the type of implant used in your procedure is ultimately your choice, Dr. Freund prefers to use round, smooth-walled silicone implants during the teardrop augmentation mastopexy procedure. Silicone has a more natural appearance and texture than saline implants. By using round implants, the breasts will not take on an asymmetrical appearance if the implants happen to shift or rotate.

Dr. Freund works closely with each of his patients to understand their aesthetic goals and preferences, so he can help you determine which implant is best for you.

Saline Breast Implants

Saline breast implants are approved by the Food and Drug Administration (FDA) for patients over the age of 18. Saline implants are made of a silicone shell filled with saline, or salt water. Saline implants come in a variety of sizes, which are filled after they are placed within the breasts. Because they are filled after they are inserted, Dr. Freund is able to adjust their size slightly by adding or removing saline to create precise symmetry between both of your breasts.

Saline implants can be placed through a variety of incisions because their deflated shells can be folded and moved through a small space. This type of implant can be placed through incisions at the bottom of the breasts where they meet the ribs, around the nipples, or under the armpits.

In the rare case that a silicone implant should rupture, the solution is completely harmless to your body. Saline water is absorbed into your body, and the shell will need to be surgically removed and replaced.

Silicone Breast Implants

Silicone breast implants are FDA-approved for patients 22 years of age and up. They are made from a silicone shell filled with viscous silicone gel. Silicone implants come pre-filled in a wide range of different sizes and projections. Silicone implants can be teardrop-shaped, in addition to round. Many patients find that silicone implants have the most natural look and feel because the material mimics breast tissue. However, you can achieve great, natural-looking results with either type of implant.

Because they come pre-filled, silicone implants must be placed using a larger incision than saline implants. In the case that a silicone implant ruptures, it is more difficult to detect so they require periodic monitoring. While silicone generally stays coagulated, there is a risk that it can spread within the breast tissue and must be surgically removed.

Frequently Asked Questions About Breast Lift with Implants

What factors determine the cost of my breast enhancement surgery?2019-07-26T13:29:32-04:00

The total cost of your procedure varies on a case-by-case basis. Some major factors that will determine the total price of your procedure include:

  • The type of breast implants you choose.
  • The incision used during placement of the implants.
  • Anesthesia.
  • Whether you combine the procedure with additional surgery.
  • Associated medication costs, such as prescription pain relievers and anti-inflammatory drugs

One of the most important steps you can take in planning breast enhancement surgery is to choose a trusted, reputable surgeon to perform your surgery. The longevity of your results, as well as your satisfaction with your results, is largely determined by the skill of the surgeon. Dr. Freund has years of experience improving patients’ lives through breast enhancement, as well as a variety of other procedures, including body contouring, cosmetic facial surgery, and non-surgical facial treatments. His patients are so satisfied with the results that he regularly sees new patients referred to him by previous patients.

Where is the ideal placement for my breast implants?2019-07-26T13:01:34-04:00

Breast implants can be placed either below or above the pectoral muscle, depending on the aesthetic goals of the patient. While placing the implant beneath the pectoral muscle results in a more natural appearance, it also entails a more complex surgical procedure and a longer healing time with greater discomfort. That said, Dr. Freund is able to produce excellent results with either placement technique.

Typically, Dr. Freund inserts breast implants through one of three possible incision sites: under the breast, around the areola, and in the underarm. Some surgeons place breast implants through the belly button, a technique that Dr. Freund has rejected as too risky.

Do you offer any financing options?2019-07-26T13:04:57-04:00

Deciding to undergo breast augmentation is ultimately an investment in your self-esteem and confidence. Unlike some breast surgeries, such as breast reduction, which are recognized as offering physical health benefits, cosmetic procedures like breast augmentation are not typically covered by health insurance.

We believe that each of our patients deserves to look and feel their very best, and we offer a range of financing options that can break your total treatment cost into affordable monthly payments. One of our informed staff members will be happy to discuss available payment plans with you during your initial visit to our office.

Patient Testimonials

Superb Plastic Surgeon!
“I have had multiple cosmetic surgical procedures with Dr. Robert Freund and would never to go anyone else. In NYC where there are many outstanding plastic surgeons to choose from, Dr Freund’s sincere compassion, care and artistry are unparalleled…”
The Only Surgeon I’ll Use!
“Dr. Freund is the only doctor I’ll go to for cosmetic surgery. He gave me the most natural, beautiful nose. 7 years later & it still looks as good as new. People still tell me they “wish” they had my nose, not realizing I had it done…”
A Mother of 5 Who Didn’t Want to Look Like a Mother of 5
“Dr. Freund is by far the best plastic surgeon out there and I would never even consider any other. He’s like family to me now. I’ve been going to him since I was 25. From Breast implants, to 2 tummy tucks, to numerous different lipo procedures, then years later…”
Dr. Freund Changed My Lift
“I cannot recommend Dr. Freund highly enough. By age 40 I had sagging empty breasts that I couldn’t get to look right no matter what bras or clothing I tried. I had no self-confidence and felt poorly every time I looked at myself, especially naked…”
Dr. Freund Is a Miracle Worker
“I researched many doctors before choosing Dr. Freund for my breast augmentation. Dr. Freund is truly an authority in his field and after my initial consultation, I knew that I made the right choice. During my consult, Dr. Freund was very attentive,…”


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170 E End Ave; Suite CS, New York, NY 10128

1165 Northern Blvd, Suite 303, Manhasset, NY 11030
(516) 365-8100

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