Beverly Hills Breast Lift doctors

Hello Simona,

Although I've not performed an true examination on you, your photos suggest that your skin envelope lacks elasticity. Further, it appears that your inframammary fold is quiet a bit above you nipple, which means you have a significant amount of redundant skin that will need to be addressed.  This is never a good situation for the circumareolar mastopexy.  May I remind you that the circumareolar mastopexy is the number one procedure listed in malpractice lawsuits for plastic surgeons.  This is because it is all too frequently misapplied to people that aren't good candidates for the procedure. We as surgeons are all too willing to give what the patient desires, even if it is not what is right for them. 

If you look at my website, you will see many with the circumareolar lift, but NONE of them look like you prior to their surgery.  That is because that procedure is excellent for people with minimal sag of their breasts with good skin elasticity.  This is NOT about a minimal, 'natural' appearance versus a perky one.  This is about obtaining a shape that is natural with the finest scars possible.  Ironically, many people choose the circumareolar lift because of fear of scarring.  However, the circumareolar lift when misapplied yields conspicuous and potentially thickened scars in the wrong candidate.  In addition, the other problems associated with this lift in the wrong person includes: recurrent widening of the areola, non-circular areola, pleating around the areola, flattening of the breast mound, and persistent sagging of the breast mound below the inframammary fold.

I wanted to touch on two comments made by other surgeons. There is no evidence whatsoever that a 'Lejour' lift is any better than a standard form of a anchor lift.  In fact, there may be evidence to the contrary in the December issue of Plastic and Reconstructive Surgery.  In that article, photometric analysis of breast lifts gave objective results (not opinion) suggesting that a anchor lift gave the most lift to the bottow of the breast.  Finally, regarding placement of your implant, there is no evidence that a 'cold sub-fascial' placement of the implant is any different than subglandular placement, which is not a good option in a thin person like yourself.

I hope you make the right choice, and not one that makes you 'feel good'.  What I mean by that is if you are really adverse to the concept of scars on your breasts, maybe you should not do anything at all, rather than do the wrong thing. 

Best of luck!

First, ask yourself if you fit into a bra of your desired size. If you fill out that bra then you have adequate volume. If you do  not, then you will need more volume or accept a smaller size. Second, transpose the position of your nipple when wearing the bra onto your natural breast. It will probably be a few centimeters above the current position of your breasts. This will give you any indication of how high you will need to raise your nipples. For your degree of sagging, I almost never need to use incisions in the  fold. That is, you should be able to get a nice result with a so-called lollipop scar technique. Of course, all this depends on the surgeons you actually have the surgery with.

Robin Yuan, M.D.

Based on your photos alone you may benefit from breast implants alone however this is difficult to say without examining you in person. Your nipple position looks fairly normal. I would say "possible " lift at this time because you really will not know until you are in the surgery and the implants (or sizers) are in place. I would consult with a few board certified plastic surgeons in your area for a more in depth exam and evaluation. Your overall breast shape is pretty good which is a good predictor of your outcome. Best wishes, Dr.Bruno