Dr. Koehler and Kirstin demystify the decision-making process behind combining vs. staging breast lifts and augmentations. 

A breast lift (or as Dr. Koehler calls it, a “de-sagging” procedure) reshapes and lifts the breasts but doesn’t add fullness. That’s where implants come in.

But here’s the catch: combining both procedures has a 25% revision rate. It’s one of the most complex breast surgeries, requiring precise alignment to get the best results.

So, should you do both at once or stage them separately? What are the pros and cons? Who’s a good candidate for each approach? Dr. Koehler tailors his recommendations based on your anatomy and goals—but he won’t budge when it comes to patient safety.

Find out why some people must stage their procedures, no if’s, and’s or but’s about it, the risks of combining a lift and augmentation, and how long you need to wait between surgeries.

Read more about breast augmentation and breast lift

Alabama the Beautiful is the cosmetic surgery podcast co-hosted by Dr. James Koehler, a surgeon with over 2 decades of expertise in cosmetic surgery and his trusty co-host Kirstin, your best friend, confidante, and the snarky yet loveable “swiss army knife” of Eastern Shore Cosmetic Surgery.

Have a question for Dr. Koehler or Kirstin? Record your voicemail at alabamathebeautifulpodcast.com and we’ll answer it on the podcast.

Eastern Shore Cosmetic Surgery is located off Highway 98 at 7541 Cipriano Ct in Fairhope, Alabama.

To learn more about the practice or ask a question, go to easternshoreplasticsurgery.com 

Follow Dr. Koehler and the team on Instagram @easternshorecosmeticsurgery

And on TikTok @jameskoehlermd

Watch Dr. Koehler & Kirstin on YouTube @JamesKoehlerMD

Alabama The Beautiful is a production of The Axis:theaxis.io

Theme music: Never Need a Reason, Guy Trevino and Friends