Breast augmentation with lift is a combined procedure designed to address both volume loss and sagging. While implants add fullness, they do not lift the breasts. When sagging is present, combining procedures creates more balanced and youthful results. Plastic surgeon Dr. Paul McCluskey provides breast augmentation with lift to patients in Atlanta, Marietta, Georgia, and surrounding locations.

Why Augmentation Alone Is Not Always Enough

Breast implants increase size but do not reposition the nipple or tighten loose skin. In patients with sagging breasts, implants alone can exaggerate drooping rather than correct it.

Signs You May Need a Lift With Augmentation

You may benefit from a combined procedure if:

• Nipples sit below the breast crease
  • Nipples point downward
  • Breasts appear deflated and sagging
  • Skin has lost elasticity after pregnancy or weight loss

A lift restores proper breast position while implants restore volume.

How the Combined Procedure Works

During surgery, excess skin is removed, the breast is reshaped, and the nipple is repositioned to a more youthful height. Implants are then placed to achieve desired volume and contour.

The procedure is customized to anatomy and goals.

Recovery and Results

Recovery is slightly longer than augmentation alone but follows a similar timeline. Swelling and soreness improve gradually, with final results becoming more apparent over several months.

Breast augmentation with lift offers dramatic, long-lasting improvement in both shape and size.

For more information on procedures and treatments offered by Plastic Surgeon, Dr. Paul McCluskey and the Plastic Surgery Institute of Atlanta, visit:

• • psiatlanta.com
  • sexualaesthetics.com
  • lipedemaspecialist.com

Serving patients in and around Marietta, Atlanta, Roswell, Sandy Springs, Alpharetta, Buckhead, Morningside/Lenox Park, Virginia-Highland, Candler Park, Midtown, Inman Park, Poncey-Highland, Ormewood Park, Georgia and other surrounding areas.

Breast revision surgery is performed to correct or improve the results of a previous breast procedure. Whether addressing a complication or updating an earlier result, revision surgery offers patients the opportunity to restore comfort, symmetry, and confidence. Plastic surgeon Dr. Paul McCluskey provides breast revision to patients in Atlanta, Marietta, Georgia, and surrounding locations.

Capsular Contracture

Capsular contracture occurs when scar tissue around an implant tightens, causing firmness, distortion, or discomfort. It is one of the most common reasons patients seek breast revision surgery.

Implant Rupture or Deflation

Saline implant deflation and silicone implant rupture may require surgical correction. Revision surgery allows implants to be removed or replaced as needed.

Implant Malposition

Implants can shift over time, leading to asymmetry, bottoming out, or implants sitting too high. Revision surgery corrects implant position and restores balance.

Desire to Change Implant Size or Type

Some patients simply want a different look. Revision surgery allows for changes in implant size, shape, or material as preferences evolve.

Changes Due to Aging, Pregnancy, or Weight Loss

Even successful augmentations can change over time due to natural aging or life events. Revision surgery can restore breast shape and proportion.

What to Expect From Revision Surgery

Revision procedures are more complex than primary surgery and require careful planning. Recovery may be similar to or slightly longer than initial augmentation, depending on the extent of correction.

For more information on procedures and treatments offered by Plastic Surgeon, Dr. Paul McCluskey and the Plastic Surgery Institute of Atlanta, visit:

• • psiatlanta.com
  • sexualaesthetics.com
  • lipedemaspecialist.com

Serving patients in and around Marietta, Atlanta, Roswell, Sandy Springs, Alpharetta, Buckhead, Morningside/Lenox Park, Virginia-Highland, Candler Park, Midtown, Inman Park, Poncey-Highland, Ormewood Park, Georgia and other surrounding areas.

Choosing between silicone and saline implants is one of the most important decisions in breast augmentation. Both options are FDA approved and safe, but they differ in feel, appearance, and how they behave over time. Understanding these differences helps patients select the implant that best aligns with their anatomy and aesthetic goals. Plastic surgeon Dr. Paul McCluskey provides breast augmentation to patients in Atlanta, Marietta, Georgia, and surrounding locations.

What Are Saline Implants

Saline implants are filled with sterile saltwater solution after they are placed in the breast pocket. Because they are inserted empty, they require a slightly smaller incision. If a rupture occurs, the implant deflates and the saline is naturally absorbed by the body.

Saline implants tend to feel slightly firmer, especially in patients with less natural breast tissue. They may also be more prone to visible rippling in thinner patients.

What Are Silicone Implants

Silicone implants are pre-filled with a cohesive silicone gel designed to closely mimic natural breast tissue. They are widely chosen for their soft feel and smooth, natural contour.

Ruptures in silicone implants are often silent, meaning they are not immediately noticeable. For this reason, routine imaging may be recommended to monitor implant integrity over time.

Comparing Look and Feel

Silicone implants generally provide a more natural look and feel, particularly for patients with minimal existing breast tissue. Saline implants can still produce excellent results, especially when placed under the muscle or in patients with thicker tissue coverage.

The most natural outcome depends on implant selection, placement, and surgical technique.

Which Implant Is Right for You

The best choice depends on body type, tissue thickness, lifestyle, and personal preference. A consultation with an experienced plastic surgeon allows for a personalized recommendation that balances safety, aesthetics, and long-term satisfaction.

For more information on procedures and treatments offered by Plastic Surgeon, Dr. Paul McCluskey and the Plastic Surgery Institute of Atlanta, visit:

• • psiatlanta.com
  • sexualaesthetics.com
  • lipedemaspecialist.com

Serving patients in and around Marietta, Atlanta, Roswell, Sandy Springs, Alpharetta, Buckhead, Morningside/Lenox Park, Virginia-Highland, Candler Park, Midtown, Inman Park, Poncey-Highland, Ormewood Park, Georgia and other surrounding areas.

Breast implant removal is a personal decision that patients make for many reasons, including physical comfort, lifestyle changes, or evolving aesthetic preferences. Understanding what results to expect helps patients feel prepared and confident moving forward. Plastic surgeon Dr. Paul McCluskey provides breast implant removal to patients in Atlanta, Marietta, Georgia, and surrounding locations.

Why Patients Choose Implant Removal

Patients may seek implant removal due to capsular contracture, implant rupture, discomfort, or a desire for a more natural breast size. Some patients also choose removal after many years as their body or goals change.

Implant removal can be performed alone or combined with additional procedures to optimize breast shape.

How Breasts Look After Implant Removal

After implants are removed, breasts will appear smaller and may have less upper pole fullness. Skin elasticity, implant size, and how long the implants were in place all influence appearance.

Some patients experience breast sagging or deflation, while others find their breasts adapt well without additional surgery.

Options to Improve Shape After Removal

To enhance breast contour after implant removal, patients may consider:

• Breast lift to address sagging
  • Fat transfer to restore subtle volume
  • Implant replacement with a different size or type

Your surgeon will discuss which options best align with your goals.

Recovery and Final Results

Recovery varies depending on whether additional procedures are performed. Swelling and tenderness improve over several weeks, with final breast shape continuing to refine over a few months.

Many patients report physical relief and emotional peace of mind after implant removal.

For more information on procedures and treatments offered by Plastic Surgeon, Dr. Paul McCluskey and the Plastic Surgery Institute of Atlanta, visit:

• • psiatlanta.com
  • sexualaesthetics.com
  • lipedemaspecialist.com

Serving patients in and around Marietta, Atlanta, Roswell, Sandy Springs, Alpharetta, Buckhead, Morningside/Lenox Park, Virginia-Highland, Candler Park, Midtown, Inman Park, Poncey-Highland, Ormewood Park, Georgia and other surrounding areas.

Breast implants can create long-lasting, natural-looking results, but in some cases implant position issues can develop over time. Two of the most common concerns are double bubble deformity and bottoming out. While they may look similar at first glance, these conditions have different causes and require different surgical solutions. Understanding the difference helps patients know when to seek evaluation and what treatment options are available. At Dr. Paul McCluskey’s practice, revision surgery is customized to restore proper implant placement and refine breast contour.

What Is Double Bubble?

A double bubble occurs when the natural breast crease remains visible across the lower portion of the breast, creating the appearance of a second crease or a “double” lower pole. This can make the implant appear too high while the natural breast tissue hangs below.

Common Causes

• Implant placed too high
• Natural breast fold not released enough during the original surgery
• Significant tightening of the lower pole tissues
• Changes after pregnancy or weight loss
• Capsular contracture pushing the implant upward

Patients may notice a ridge under the breast or a visible indentation where the new and old creases meet.

What Is Bottoming Out?

Bottoming out occurs when the implant drops too low on the chest, causing the nipple to sit unnaturally high on the breast mound. The lower breast becomes overly full, while the upper pole appears empty.

Common Causes

• Weakened breast tissue or skin stretching
• Large or heavy implants chosen for a small frame
• Overdissection of the lower implant pocket
• Aging, pregnancy, or weight changes thinning the tissue
• Gravity pulling the implant beyond the intended pocket

Bottoming out often leads to discomfort, asymmetry, or difficulty finding clothing that fits well.

How to Tell the Difference

While both conditions change breast shape, the key differences are:
• With double bubble, the implant is usually too high
• With bottoming out, the implant is too low
• Double bubble shows a crease; bottoming out shows nipple malposition
• Double bubble often affects the upper and lower poles; bottoming out primarily affects the lower pole

A proper examination is needed to determine the cause because treatment differs significantly.

How Revision Surgery Fixes These Problems

Revision surgery at PSI Atlanta focuses on restoring the implant to the correct position and reinforcing internal support.

Treating Double Bubble

• Lowering or adjusting the implant pocket
• Releasing the old inframammary fold
• Correcting capsular contracture
• Switching to submuscular placement if needed
• Replacing implants with a more suitable size or shape

Treating Bottoming Out

• Tightening and rebuilding the lower implant pocket
• Using internal sutures or support materials to strengthen tissue
• Choosing a lighter or smaller implant when appropriate
• Repositioning the nipple or combining surgery with a lift

Revision aims to restore symmetry, balance, and natural contour while providing stronger long-term support.

When to Schedule a Consultation

You may benefit from an evaluation if you notice:
• Implants that appear too high or too low
• Nipples sitting too high on the breast mound
• A crease or indentation across the lower breast
• Lower pole fullness that looks unnatural
• Pain or discomfort around the implant
• Asymmetry or shape changes over time

Early evaluation helps prevent worsening deformities and allows for easier correction.

Expert Implant Revision at PSI Atlanta

Implant position problems are highly correctable when addressed by an experienced surgeon. At PSI Atlanta, revision techniques are tailored to the patient’s anatomy, implant type, and long-term goals. With meticulous planning and specialized correction strategies, patients can achieve smooth, balanced, and natural-looking results once again.

For more information on procedures and treatments offered by Plastic Surgeon, Dr. Paul McCluskey and the Plastic Surgery Institute of Atlanta, visit:

• • psiatlanta.com
  • sexualaesthetics.com
  • lipedemaspecialist.com

Serving patients in and around Marietta, Atlanta, Roswell, Sandy Springs, Alpharetta, Buckhead, Morningside/Lenox Park, Virginia-Highland, Candler Park, Midtown, Inman Park, Poncey-Highland, Ormewood Park, Georgia and other surrounding areas.

Choosing the right breast implant size is one of the most important steps in planning your breast augmentation. The goal is to select an implant that enhances your figure, complements your anatomy, and supports long-term comfort and confidence. At Dr. Paul McCluskey’s practice, patients receive individualized sizing recommendations based on precise measurements, personal goals, and the natural proportions of the body. A careful, customized approach ensures results that look natural and feel like an authentic part of your shape.

Understand Your Anatomy First

Your chest width, existing breast tissue, skin elasticity, ribcage shape, and nipple position all play major roles in determining which implant sizes will work best. A size that looks great on one person may not look the same on another because body proportions vary widely. Your surgeon evaluates these anatomical factors before giving you a safe and aesthetic size range.

Patients with narrow frames often need implants with a smaller base width to prevent the breasts from appearing too wide. Meanwhile, patients with broader chests or more natural tissue have more flexibility with volume and projection.

Think About Your Lifestyle

Your activities and long-term plans matter. If you are very active, participate in high-impact workouts, or prefer a subtle, natural enhancement, a smaller or moderate size may feel more comfortable. If you want a dramatic result with fuller cleavage or more upper pole fullness, a larger implant may be appropriate as long as it suits your anatomy.

Choosing a size that fits your lifestyle ensures your results feel good every day, not just in photos.

Consider Implant Profiles and Shapes

Implant size is only one part of the equation. Profile and shape also influence the final look.

Profiles

• Low profile: wider base, gentle projection
• Moderate profile: balanced for most body types
• High profile: narrower base, more projection

Your surgeon will match the profile to your chest width to maintain natural proportions.

Shapes

Round and anatomically shaped implants each offer unique aesthetics. Round implants create fuller upper pole volume, while anatomical implants mimic the natural slope of the breast.

Use Sizers During Your Consultation

Trying on implant sizers helps you visualize how different volumes will look on your body. At PSI Atlanta, patients often find this step invaluable. It offers a realistic preview and helps narrow down the size that feels both comfortable and aesthetically aligned with your goals.

Focus on Proportion, Not Cup Size

Cup sizes vary widely between bra brands, so they are not a reliable way to choose implants. Instead, think about proportion. The right implant size should enhance your shape, highlight your waist, complement your shoulders and hips, and support overall symmetry.

Work With a Surgeon Who Prioritizes Natural Results

Your surgeon’s expertise plays a crucial role in choosing the right implant size. At PSI Atlanta, the focus is on natural, customized results rather than a one size fits all approach. With proper measurements, profile selection, and clear communication, you can expect results that look balanced, beautiful, and uniquely yours.

For more information on procedures and treatments offered by Plastic Surgeon, Dr. Paul McCluskey and the Plastic Surgery Institute of Atlanta, visit:

• • psiatlanta.com
  • sexualaesthetics.com
  • lipedemaspecialist.com

Serving patients in and around Marietta, Atlanta, Roswell, Sandy Springs, Alpharetta, Buckhead, Morningside/Lenox Park, Virginia-Highland, Candler Park, Midtown, Inman Park, Poncey-Highland, Ormewood Park, Georgia and other surrounding areas.