Combined breast augmentation
The size and shape of the breasts are largely genetically determined. Childbirth, breastfeeding, extreme weight loss or weight gain can all have a detrimental effect even on previously beautiful, full-bodied shapes. In the case of most women, over time the breast glands decrease in size and as a result the breasts may sag, losing their firmness and fullness. The essence of combined breast augmentation is to replace the missing volume with an implant and to eliminate the sagging of drooping breasts. During combined breast augmentation, the plastic surgeon inserts an implant and lifts the breasts by excising a portion of the excess skin. After removing the excess skin and replenishing the required volume, the breasts become full and shapely again.