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Which Breast Lift Do I Need to Attain Desired Results? (photo)

I have always had large breasts. After yrs of yoyo dieting i felt i had deflated my natural breasts and opted for a BA when I was 21 to regain my old breasts. Unfortunately I went too big. I had 469cc under muscle put in. I kept them for 3yrs before recently (6 months ago) downsizing to 360cc. Now that I am healed I feel that there is a fair amount of droop, unevenness in shape and nipples are much too big. In addition my own breast fat hangs on the bottom. Which lift would be best for me? THX!

Doctor Answers (14)

Only a vertical "lollipop" lift will tighten your lower poles, reduce areolar size, and avoid a horizontal scar.

+2

Yes, you must have been large to start with because it looks like you have implants that are larger than 360 cc, which tells me you have plenty of your own volume.  Actually, your degree of sagging does not look too bad in the photo, but I think you are holding your arms up.  The decision is whether to have a breast lift, which can tighten the lower poles and get rid of that hanging breast fat you don't like.  The lift can also reduce your areolar size as much as want.  It will make you a little smaller, but I think that is okay, don't you?  If you have a lift, it should be a vertical "lollipop" style.  The donut (periareolar, Benelli) lifts do not work well because they do not remove skin from the lower pole, where it needs to be removed, and these lifts often cause areolar distortion.  I've attached a link to the breast lift section of my website in case you with to read more.


Kansas City Plastic Surgeon
4.5 out of 5 stars 33 reviews

Best Breast Lift (Mastopexy) For Me

+2

Good Morning and thank you for the photo.

I agree with your assessment that your breasts are a bit low and a breast lift would be beneficial to give you a very nice aesthetic result.  In your situation, determining the right choice of breast lift depends largely on your goals.  Based on your single photo, I would recommend a vertical mastopexy ('Lollipop' lift) on the right side and probably a Benelli (circumareolar) lift on the left side.  A clinical examination would be necessary to make this determination. You have a significant asymmetry (which may be related to how the picture was taken?) which means that each breast may benefit from a different procedure as noted above.  

The goal of a breast lift is to place the nipple-areola in a more pleasing position on your breast.  If you imagine that your breast is a circle (roughly), then the nipple should be located at the center (or just above) of the circle.

I hope this information is helpful.  Best Wishes whatever route you take!

Louis DeLuca, MD
Palm Beach Plastic Surgeon
5.0 out of 5 stars 31 reviews

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Determining best type of breast lift for you

+2

The type of lift needed depends on how far your nipples need to move.

  • Donut, Benelli or circumareolar type lifts work well for small amounts of lift. These leave a scar around the areola
  • Vertical or lollipop type lifts are good when moderate amounts of lift are needed
  • Inverted T type lifts are needed when significant lifting is desired. 

You have multiple issues that need to be addressed to get a good result, including droop, asymmetry and possibly capsular contracture. Make sure you see a board certified plastic surgeon to get the best care possible.

Best regards,

Michael Vennemeyer, MD

Michael Vennemeyer, MD
Southlake Plastic Surgeon
5.0 out of 5 stars 27 reviews

Breast revision needs to be carefully considered

+2

Thank you for your question and for the photo.  In my opinion, it seems that the edges of the implants are visible, which I think is not aesthetically pleasing, and the implants appear overly large.  Are these saline or silicone?  On the right side it appears that you would benefit from a lift.  This would do 2 things.  It would raise the level of the nipple and reposition the hanging breast tissue that you pointed out.  This will help correct the breast tissue hanging off the edge of the implant.  If you feel the areola is too large, this can also be addressed at the time of the lift.  I would also discuss smaller implants with your surgeon.  It is not uncommon for patients who really need a good lift to have overly large implants placed as a substitute.  Remember that larger implants will work against the lift.  Hope this helps.

Tracy Pfeifer, MD, MS

Tracy Pfeifer, MD
Manhattan Plastic Surgeon
5.0 out of 5 stars 15 reviews

Two different breasts, two different lifts

+2
Your right breasts needs more work than the left.  On the left a lift around the nipple may do the job.  On the right a "lollipop" lift will give you a strong lift and can address the excess tissue you have (compared to left).  You may also have capsular contracture that need needs to be addressed.
Best thing is to be seen in person by a plastic surgeon who can assess you and better answer your questions.
Sincerely,
Martin Jugenburg, MD
Toronto Cosmetic Surgery Institute
 

Martin Jugenburg, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 128 reviews

Type of Breast Lift

+2

I would recommend that you consult with a plastic surgeon who can assess the degree of capsular contracture that is contributing to your problem, as well as, assess the quality of your breast skin and breast tissue to determine the best course of action.

Donald Griffin, MD
Nashville Plastic Surgeon
4.0 out of 5 stars 12 reviews

What kind of breast lift?

+2
Thank you for the question and the photo. It seems you have capsular contracture that is contributing to your asymmetry. A vertical breast lift is a good option to achieve a moderate lift and to reduce your areola size. The resulting scar will be around the areola extending vertically down but not involving the breast fold in a lollipop shaped fashion. This could also help you achieve symmetry. Of course to get precise advice you would need to see a board certified Plastic Surgeon in your area. Best of luck...

Dana Khuthaila, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 25 reviews

What Type of Breast Lift Best for Me?

+2

Although I would like to provide you with precise advice online, this is not possible especially given your past surgical history. You will be best served by doing your due diligence carefully in the selection of plastic surgeon. Once you have selected your plastic surgeon, communicate your goals clearly.  In my practice, I prefer the use of goal pictures to help with the communication process.

 Remember, that the downsides of breast lift surgery include the presence of scars.  Make sure that you are  at a psycho socially stable place to proceed with this type of surgery.

 Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 681 reviews

Which Breast Lift Do I Need

+2

Besides the issues you have stated, it appears that capsular contractures may be present and contributing to the contour problems. That would need to be addressed as part of your procedure if indeed present.

The lift you need is at least a vertical lift, with an incision around the areolas, which would be made smaller, and a vertical incision down to the breast fold. At an in person consultation, consideration might also be made to a horizontal incision in the fold to remove excess skin.

If the capsule needs to be addressed, at a minimum a capsulotomy/capsulectomy would be needed. If there were contracture problems in the past, adding Strattice will decrease the chance of further recurrence.

Discuss all with your surgeon. Thanks and best wishes. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.5 out of 5 stars 30 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.