Plastic surgeon, Dr. Michael Decherd, has changed the size, shape and look of the breasts for countless San Antonio area women who desire both a “perkier” and fuller look. This can be achieved by combining a breast lift with breast augmentation using implants. This surgery not only removes excess skin to correct breast sagging and drooping, but it brings the breast to a more elevated position on the chest wall, and then increases the size with either a silicone or saline implant.
Breast Augmentation With Lift Reviews
"He is awesome!! - Dr. Decherd spent a lot of time listening to what is important to me. It's been a year since my breast lift, breast augmentation, and tummy tuck and I had a scar I wasn't happy with (it was a little larger than the other one on my breast) and he was glad to fix it! I would recommend him to all those mommies out there who want to feel good about there body again!! He did an excellent job and his staff is absolutely amazing! Pick him!"- Anonymous / Vitals / Jun 23, 2013
"Dr. Decherd and his staff were professional during my entire experience, from my initial consultation, surgery and post-op. I am very pleased with the results of my breast lift and implant and my abdominoplasty. I a almost 60 and my stomach has not looked this good since I was in my teens."- M. / Wellness / Apr 19, 2016
"10 month PO update - BA/BL After 3 Kids, 5'8"& 160lbs, 510 mod profile round Silicone Unders - San Antonio, TX - I knew Dr Decherd was the right fit as soon as I met him. He was the last Dr I met with and ended up canceling with another doctor after meeting Dr Decherd. His bedside manner is impeccable, he spent a ton of time educating me on all things lift and implant. I felt like he would take better care of me. So far I love the initial results, he managed to give me exactly the look I was hoping for. I know things take awhile to settle and I won't be able to see my scars for awhile, but Dr. Decherd gets an A+ in my book for now. Plus his staff is seriously amazing!!!! - - I've found this site so helpful, I thought I would chronicle my own experience for others. I'm 35 and after breast feeding 3 kids, I'm a saggy mess! I'm 5'8" at 160lbs and wear a size 8, bra size is an empty 36C/D. My bwd is 16 (seems quite wide!). I have been thinking about taking the plunge for a few years (my youngest is 8). I really want to be more confident and be able to wear a bathing suit or strapless top without having having boobs sag to my knees! I consulted with 5 doctors in my area. Selected one initially and paid my deposit to schedule surgery. His bedside manner was lacking to say the least but he had great reviews. Something kept nagging at me about it and I ended up consulting with my 5th and final doctor, two weeks later (took me weeks to get in!). I knew right away this was the doctor for me. Reviews were great, photos were great, his team was great and above all he spent a ton of time answering my questions and really educating me on the process. So I cancelled my first doctor and rescheduled with my current Dr. I know I'll be in great hands.My surgery is scheduled for June 1st, round silicone unders with an anchor lift. Dr originally recommended 600 cc's to match my bwd, but I started to worry they were too big. I actively run, approx 20 miles per wk, and became afraid they would be too big. I went back in for a resize and saw the nurse. She said I could go down to a 550 or 510. They didn't have 550's to try on but I liked the 510's. Like many of you, I'm doing a ton of photo/story searching and im having a really hard time coming up with a good comparison! Seems most women are shorter and lighter than me.I think I have plenty of breast tissue but I don't want to end up too small or too big. On another topic all the Drs said I'm a prime candidate for a tummy tuck. Now im determined to get down to a low body fat percentage and pray for good natural skin tightening. I know the stretch marks will never go away (I earned them!) and I'm okay hiding a little lose skin in the bathing suit bottoms. I'm hoping a year from now I can post updated scar photos with a ripped body. I really don't want to have to recover from a TT or pay for it for that matter. I'm okay with some imperfections. For years I could never wear a bikini because of my stretch marks. Now I just own my body and hope my boobs will look so good no one will look down to the belly, lol. Lots of support from hubby of 16 years. I think he's more excited than me most days. Says he loves the girls how they are, but will enjoy an upgrade. He, of course, wants me to go "big"."- J. / RealSelf / May 17, 2015
"1.5 years PO update - BA/BL After 3 Kids, 5'8"& 180lbs, 510 mod profile round Silicone Unders - San Antonio, TX - I knew Dr Decherd was the right fit as soon as I met him. He was the last Dr I met with and ended up canceling with another doctor after meeting Dr Decherd. His bedside manner is impeccable, he spent a ton of time educating me on all things lift and implant. I felt like he would take better care of me. So far I love the initial results, he managed to give me exactly the look I was hoping for. I know things take awhile to settle and I won't be able to see my scars for awhile, but Dr. Decherd gets an A+ in my book for now. Plus his staff is seriously amazing!!!!"- J. / RealSelf / May 17, 2015
"I had an amazing experience - San Antonio, TX - Omg!!! My experience with Dr Decherd and his staff has been an amazing experience thus far. His staff is wonderful... the ladies are the ones who really help me solitify my decision to go with Dr. Decherd. I'm 5'9 at 32 yrs old recently lost 42lbs 195 down to 158 and breastfed for 22 months and now with a 4 year old and have always had saggy breast and it was even worst after breastfeeding. So..."- J. / RealSelf / May 23, 2017
During this procedure, Dr. Decherd performs the lift first by trimming away excess skin and tightening the underlying tissue and muscle. To achieve a proportionate look, the areola will sometimes be decreased and the nipple repositioned. Regarding breast fullness, Dr. Decherd and the patient will have multiple discussions regarding size. If there is native breast tissue that exists, this will have to be accounted for when determining breast implant size prior to surgery. Some patients are not quite sure how they will feel about breast augmentation after the lift, so in some instances, this may be a staged surgery. Regarding the incision, the most common pattern includes an incision that is made all the way around the areola, with an additional vertical incision that extends down to the natural fold.
Plan Your Procedure
- Recovery Time
- 4-6 Weeks
- Average Procedure Time
- 2-4 Hours
- Post-op Follow-up
- 2 Weeks
- Procedure Recovery Location
Breast Aug With Lift FAQs
What Can I Expect?
This surgery is performed under general anesthesia in an accredited surgical facility. After surgery, patients will need to rest and take it easy for a few days. Any activities that cause impact (lifting, exercise, etc.) should be avoided until Dr. Decherd has performed his post-operative evaluation. Most women are able to get back into their normal routines within 4-6 weeks. It will take a few months for the breasts to settle into their new position and assume a soft, natural look.
Will Implants Help Sagging?
Women who are pleased with the size and fullness of their breasts, but want to correct the sagging, will usually benefit with a breast lift procedure (without the placement of implants). It is important to understand that not all breasts require a lift and not all breasts need implants. Dr. Decherd will perform an assessment and recommend the best treatment plan. Breast augmentation will help with size, but will not lift a sagging breast. If there is moderate to severe sagging, women should be leery of any surgeon who recommends implants alone.
What About The Incision?
A breast lift does require an incision that typical runs from the nipple down. There are various incision patterns that can be considered depending on the size of the breasts, severity of the sagging, and overall complexity of the surgical case. Breasts with severe sagging may need the anchor-shaped incision in order to garner the best results (one that goes around the areola, vertically down to the crease and along the fold).