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 Grade III: Severe Ptosis  There is obvious sagging and the nipple line is very low. A lift is strongly recommended. With Grade II and Grade III, a lift is not only a good option, but should be done in conjunction with an augmentation. If not, then there’s a high chance of a bulge wither above or below the implant as known as “bulging” or “double bubble”. This happens due to the apparent “fullness” of the upper half of the breast. When the implants are placed in the proper position, the natural breast is so low that it appears that it's hanging off the implant. If this occurs after an augmentation without a lift, a lift can still be done and usually corrects the problem. If a surgeon attempts to fix the bulging by lowering the implant, then it's only going to cause more problems and a “double bubble” will appear. This is a bulge below the implant. So now you have a bulge above and below the implant. That's a big problem so it's just a good idea to have both a lift and augmentation at the same time. Breast augmentation surgery is often performed under general anesthesia and can take anywhere from an hour and a half to three hours. The time depends on the amount of work that needs to be done and whether or not the woman wants implants too. In some cases, more than one surgery may be needed. Before surgery, you meet with a surgeon to discuss what you want out of the surgery and what needs to be done to attain that goal. Just like any medical procedure, a medical history, drug allergies, and current medications are discussed. Recovery time and what happens during recovery will also be discussed. You may even need to buy certain supplies such as a surgical bra to wear during recover, bandages to change incision dressings with. After surgery, expect some bruising, swelling, and discomfort for the first several days. Pain medication may be prescribed to help deal with these issues. After about a week, most women can even return to work and begin to start doing their daily routines again. But strenuous activities like heavy lifting and exercise should be gradually and carefully added back into the mix. Like any surgery, there are always risks. But other than the general risks, most breast surgeries have few problems. But do look out for excessive swelling, infection, and wounds not healing properly. These need to be evaluated by the surgeon who did the procedure or by another doctor as soon as possible. These conditions are almost always treatable and rarely life-threatening. 28