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Breast Lift or Just Nipple Reduction?

asked 2 years ago by volleyball2 in Fort SMith, AR
Latest answer by Eric Swanson MD
Question viewed 3,174 times
Tags: breasts, nipples, female

I've been to several consults with plastic surgeons. One refused to work on me at all, one offered to do a nipple reduction only, one offered to do a nipple reduction with an implant to make them fuller, and one offered to do a complete breast lift with implant. I am very confused about the route I should take. Please help!

17 answers to Breast Lift or Just Nipple Reduction?

Breast options

Your photo is grainy but does seem to show that your breasts are asymmetrical with your right one lower than the left and both with enlarged areolas (not nipples). I would suggest a small implant to add some upper pole volume with periareolar lifts to improve the symmetry of the areolas and decrease their diameter a little. Many photos of this are on my web site.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Breast surgery?

Thank you for the question and picture. The “route” you take surgically (if any) depends on what your goals are. In other words, what are you trying to achieve? Once you are able to clearly identify your goals it will become obvious what surgical procedure will help you reach your goals. Otherwise, every surgeon you see will have an opinion: most of them irrelevant. Some general words of advice may be helpful: Much... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Breast lift or not?

The question is what do you want? What are your expectations? What don't you like about your breasts. forget what you have been told. Are you happy with your size. Does your minor asymmetry bother you or is it just your areolar size. Once you have answered these questions, you can make a n informed decision from a periareolar reduction and mild lift with not implants up to implants with a lift. Don't sell yourself short.

Richard Linderman, MD
Indianapolis Plastic Surgeon

Know what you want

The question is what is your complaint ? is it the size of your breast ,nipples or the position of them . from the picture i didn't see obvious deformity .u have to know what bothers you so doctors can help you

Nawarah Alarfaj, MD
Saudi Arabia Plastic Surgeon

Breast lift in Manhattan

Hi. 1) The most important question is what don't you like about your breasts. Surgical plan based on that. 2) Just from your picture, I would say a breast lift just with scars around your nipples (Benelli) will both make your nipples smaller (really your areolas), and correct the mild sagging. I don't think you need breast implants.

George J. Beraka, MD
Manhattan Plastic Surgeon

The process of deciding the proper surgery for you

You are not having surgery to please your plastic surgeon. You are having surgery to achieve a certain goal. It is a plastic surgeons job to tell you if and how that can be achieved as well as the risks and alternatives. Figure out your goals: smaller/larger breasts smaller/larger areola and/or nipples fuller breasts lifted breasts less uneven breasts Also determine your level of risk tolerance as well as acceptance of scars. I think this will help tremendously in the decision making... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Breast surgery

The photo is a bit blurry and certainly an exam in person would be more appropriate. I assume that you do not mean nipple reduction but rather an areola reduction. This can be performed in a fairly straightforward way.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast lift or nipple reduction depends on the kind of result you seek

You present the hardest issue in plastic surgery. First of all you have a nice breast and I would suggest that you leave them alone for now. You do not have sever sagging of the breast tissue. You have fair amount of breast tissue. There is fair amount of difference between your breast. If you get only implants this will cause more stretching and enlarging of the nipple aerola complex. You will also sag soon after surgery. If you get implant and lift (nipple lift or compelete breast lift),... more

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Breast lift or just areolar reduction

It really depends on what really bothers YOU.The options you were offered: - areolar (round darker skin around the nipple) reduction only,- breast lift- areolar reduction with an implant or - breast lift with implant are each meant to address a specific complaint. If all you want is for the areolas to be symmetrical in size - you need an areolar reduction If all you want is to lift your breasts and keep them the same size - a Breast Lift (Mastopexy) is called for if you want your areolas... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Get evaluated by a plastic surgeon for Breast lift or nipple reduction

In order to FULLY respond to the vague question you ask, I believe ONLY an in person evaluation with another boarded Plastic Surgeon or return to the previous 3 with these questions. You first must explain your wishes. Than you must understand terms. Are you concerned about the diameter and asymmetry of the areolae or is the nipple projection your issue? Than are you concerned about the slope or pseudo ptosis or very slight hanging of your breasts? Next do you want fully upper pole filling... more

Darryl J. Blinski, MD
Miami Plastic Surgeon

Breast lift or nipple reduction?

This question is difficult to answer because you have not told us what you are hoping to improve and there is nothing obvious to fix on the photo you submitted. So what don't you like about your breasts? I can provide advice once you clarify this information for me.

Elizabeth Lee, MD
Bay Area Plastic Surgeon

artfulsurgery.com

Choices

Cosmetic surgery of the breast is very elective. You do not have to do anything. You also have to weight what you don't like aginastwhat you want to gain against what you have to risk. If you are concerned about the width of the areola, an implant will make them wider and a circumareolar lift or full ift will make them narrowed but at the price of a significant scar that might spread over time. Unless you want significantly larger and fuller breasts, your breast seem to be reasonably sized.... more

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

What do you want

Your question leaves out the most important aspect of all of this-What don't you like about your breasts.Do you not like the size,?, shape?, areolar size/, etc. All the procedures will do different things for you. If you are specific with your concerns the options will narrow don.

John P. Stratis, MD
Harrisburg Plastic Surgeon

A breast lift and breast implants are in order to give you the best results

As I look at your photo it seems that there is asymmetry of both the size and height of your nipple areolar complex. In addition it seems that they are lower than desired, it needs to be measured and determined on you, and it seem that there is a increased distance from your infra mammary crease to your nipple. You also lack upper pole fullness. In order to fix all of these and give you the best result it seems to me that a full mastopexy, breast lift, and sub mammary silicone textured... more

Carl W. "Rick" Lentz III, MD
Daytona Beach Plastic Surgeon

You do not appear to need a complete lift

I agree with Dr. Rand that you have asymmetry and that your areolar size is different. If I were to see you, I would probably recommend a modest implant with upper pole projection and a circumareolar size reduction. A reduction of the areolas alone will flatten your central breast and not give it a nice shape. A complete lift, may add more scars than you want and leave you with the same upper pole emptiness after a year.

Francisco Canales, MD
Santa Rosa Plastic Surgeon

What bothers you?

If you want to be bigger then an implant should be part of the solution. If you want to be lifted, I am not sure from the photos whether or not you are truly a candidate in as much as any lift requires some cutting, which may leaves scars that do not justify a modest improvement. Finally, your areaolas appear uneven and oval. A nipple procedure to reduce them, make them rounder and even them up can be performed.

Robert M. Freund, MD
New York Plastic Surgeon

www.breastenlargement.net

Areolar reduction as part of lift, and implants for upper poles

There is a saying that if you go to 10 different plastic surgeons you will get 15 different opinions...First of all, what do you want? If you want smaller areolae (not nipples technically but areolae), then three surgeons are recommending an areolar reduction. If you want more upper pole fullness, you need implants. If you want the breasts raised and tightened, you need a lift. I usually do implants with a vertical lift (that incorporates reduction of the areola... more