In some cases, women with smaller breasts and minor sagging may achieve satisfactory results through the placement of a breast implant, but this is rare. In most cases, adding breast implants to saggy breasts will simply result in bigger sagging breasts. In general, breast augmentation with implants should be reserved for women who wish only to add volume to their breasts, while those who wish to correct sagging are most often best served by breast lift surgery.
This is not to suggest, however, that combining breast lift and breast augmentation as part of a well-thought-out, comprehensive treatment plan is necessarily a bad idea. In the hands of the right surgeon, subtle increases in volume through the insertion of implants during breast lift surgery can lead to durable, natural-looking results. Such is the case with teardrop augmentation mastopexy, a method of combining breast lift and breast augmentation pioneered by Dr. Freund.
Teardrop augmentation mastopexy combines a variation on the Göes technique with the placement of a round saline breast implant beneath the chest muscle. This combination results in a teardrop-shaped breast with outstanding projection. Because Dr. Freund expertly reshapes and repositions the existing breast tissue, lifting it into the hollow portion of the upper chest, a relatively small implant is all that is needed to enhance the results. The results are remarkably beautiful and natural looking.