Breast Lift: Q&A

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What Breast Lift Should I Consider: Anchor, Lollipop or Donut? (photo)

I keep getting conflicting answers from physicians. Do I require an anchor lift or lollipop lift or can I get away with the donut? I have lost significant volume and have a larger areola than I would like. I have extra skin I would like to get rid of but I would like to minimize the vertical scar if I could. I also was considering a silicone implant for a more natural look.

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vertical scar volume loss anchor areola reduction donut lift lollipop recommendation technique

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16 Doctor Answers | Asked by ckperks

Doctor Answers (16)
Community Comments (0)

Vertical lift is superior to the donut lift. Implants provide desired upper pole fullness.

Good questions. A vertical lift offers the best combination of effectiveness with minimal scarring. A "donut" lift does not provide an effective lift and causes tension on the areolar, making it look distorted (it is associated with a high level of patient and surgeon dissatisfaction). Breat implants will give you the upper pole volume you want. Either saline or silicone gel will work nicely. An extra benefit of the vertical lift is that your areolar size can be... more

Type of breast surgery

The optimal plan will depend on the shape and size you are seeking. I would not recommend a periareolar lift unless you include an implant as well as just the periareolar lift tends to flatten your breast. If you do not want an implant or to be larger, a vertical mastopexy with a lollipop scar could give you a better shape with just your own tissue. Discuss your goals with an experienced surgeon and ask to see examples of his work. Most patients feel that the... more

What Technique Of Breast Lifting Goes Best With My Existing Breast Shape And Size?

Wow, what a great question. This is the kind of question that gets debated at what doctors call Grand Rounds. At these meetings, experts with each technical system (Benelli Mastopexy, Lollipop, or Classical Anchor) will argue which technique will give the best results. For your purposes, you need to find the doctor you trust and then go with the technique he or she recommends. Choosing a Board Certified plastic surgeon, certified by the American Board of Plastic... more

Picking the Right Breast Lift & Picking the Right Surgeon

Best to Pick The Right Surgeon Not the Breast Lift Technique From the want to be photos you provided you will need an implant exchange with somewhat smaller implants and a lollipop breast lift (mastopexy). This is what works best in my hands and the use of a Lollipop technique can lift your breast to the perkiness you desire. However, other plastic surgeons are more comfortable with an inverted T or Anchor Pattern technique. In general I would pick the best Surgeon and explain fully what... more

Choosing the lift style with an augmentation.

For women with nipple and breast ptosis (droopiness) that lies below the inframammary fold, a circumvertical (around the areola and a vertical component) mastopexy is a powerful way to provide a youthful shape to the breast. If the amount of skin in the vertical direction of the breast is excessive, the horizontal component may be added to further tailor the breast, although this is an unusual occurrence. Nobody wants more scars in any operation, however the bottom line is the final result... more

David Bogue, MD

6 reviews

Boca Raton Plastic Surgeon

www.drbogue.com

Avoid vertical breast scars

You can undergo a circumareola approach using a donut shaped incision. This will allow implant placement, elevate the breast tissue and elevate the nipple. This should all be done higher on the chest wall and the horizontal alignment of all 3 adds projection. You definitely DO NOT want any vertical scars on the breasts. These widen in time and cannot be hidden. You are a perfect candidate for Breast Augmentation with Ultimate Lift. Best of Luck, Gary... more

Which breast lift?

If you are happy with your size and volume and not the position of the breast, I would recommend a vertical or lollipop lift alone. It appears that you may too much ptosis or droopiness to the breasts to have a donut lift. If you would like a little larger size, an implant and lollipop lift would give a nice full round shape to your breasts.

Best type of breast lift

Based on your photographs, I would recommend an augmentation mastopexy, in other words a vertical lift with an implant. A mastopexy alone will reduce and reposition the areola but due to your loss of weight and parenchyma, the end result may not be as satisfying. A small implant will provide you with more projection and upper pole fill that will greatly improve the result. One has to be conservative in choosing an implant size since the competing interests of lifting... more

Vertical lift

A vertical lift is very reasonable for someone with yoru bresta shape. This can be combined with/without implant placement for more volume. Of course, an exam would be best to determine the best approach.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast Lift Type?

You're right, there are so many different types of breast lift it is way too confusing for the pateint to choose. Let you surgeon choose the type that works best in his or her hands. From your photo I would reccomend an Anchor Lift. Total cost is $5560 at my practice. Lawrence Foster, MD,FACS,FICS

What typeof Lift should I have done?

I have found that the only reliable lift to achieve upper pole fullness and one that with stands the test of time is a full anchor scar/lollipop with a small implant or some fat grafting into the upper pole. A lift alone will give you an improved appearance but will give you a very natural result with a slope of the upper pole and the majority of fullness in the lower pole. If that is your goal, lifts alone work well, but the majority of women are seeking lasting upper pole fullness. more

The goals of breast lift

I would recommend defining what you want your breast to look like. Once you know that very important factor, then discuss how that goal can be achieved by your Doctor. You may need to discuss the process with more than one, but the point is to define the desired outcome, then figure out how to achieve it.

Breast lift

After looking at your pictures, I will have to recommend a vertical lift of your breast. The scar looks like a lollipop. I use your own tissue to build the mound of the breast. The technique will pull the lateral chest skin in and up when done properly. I have not done an anchor technique in over 15 years. In my hands, its not necessary. A vertical scar or lollipop will give you a very round and natural looking breast with less scars. I would recommend gel or silicone... more

Breast lift

From just looking at the photos any kind of lifting by itsetf is not going to be sufficient to get a good attractive result since there is not much fullness over the pectoral muscles.An implant is going to be needed to create more lifting and fullness.The lifting would require a minimal scar after that depending on the size of breasts you like

Mastopexy: the more you do the better the result

The use of an implant would be helpful because you do have significant breast deflation. The more of a lift that you do the better the result with the downside of more scarring. So you have to weigh the scars vs what result you want. My first impression is to have the full anchor breast lift.

Type of Breast Lift and Implant for Me?

Thank you for the question and pictures. Although it is not possible to give you good advice without direct examination, I think you will be best off with (at least) vertical mastopexy. Most patients (If properly selected and who are doing the operations at the right time of their lives) accept the scars associated with breast augmentation/breast lifting surgery as long as they are happy with the improvement in contour, size, and symmetry. This acceptance of the... more