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Which is the Best Breast Lift Option for Me?

asked 1 year ago by MiamiMa in Miami, FL
Latest answer by Tom J. Pousti, MD
Question viewed 6,636 times
Tags: after pregnancy, DD cup, options

After having a child my breasts are no longer a perky 32D and my areolas are huge. I'm interested in getting them lifted without implants. I'd like to know if I would need to get a "lollipop" cut and if I will I need implants as well. I definately don't want that fake Barbie look, but I do want a nice high, full appearance again with a natural drop. I also don't want the "baby fat" look that I've seen in most fat transfers to the breast. I don't know if this happens in only flat chested women.

19 answers to Which is the Best Breast Lift Option for Me?

Mastopexy Will Help

Your photos suggest you would benefit tremendously from a breast lift (mastopexy). Experts will probably differ somewhat on their preferred technique for you, but you would certainly have incisions around the areola and a vertical scar down to the breast crease. The breast crease incision may vary by technique. Right after surgery, you will have some upper pole fullness, but the breasts will settle a bit over the weeks and months after surgery. Since you have so much... more

Paul C. Zwiebel, MD
Denver Plastic Surgeon

www.pzwiebel.com

Breast augmentation and mastopexy

Thank you for the question add your picture. Based on your anatomy and the goals that you have listed I think you will benefit from a full (inverted T) mastopexy along with breast augmentation. This procedure may be done in a single or 2 stage fashion.This is not a question agreed-upon by all plastic surgeons. There are good plastic surgeons who will insist on doing the procedures separately and there are good plastic surgeons who can produce excellent outcomes in a... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Best breast lift option for you

Thank you for the photos, they are very helpful in evaluating you. The first question I always ask patients is are they happy with the volume of breast tissue when they are in their bra. If they are, then they don't need an implant. Second, is to see where their nipple is in relation to the fold under their breast. The nipple is supposed to be at or slightly above the level of the fold. Most people with ptosis like in your phot, have their nipple well below... more

Jeffrey M. Darrow, MD
Boston Plastic Surgeon

Breast lift options

Based on the photos you provided, you will likely need a vertical lift and possibly a full anchor-type incision (wise-pattern mastopexy). Since you state that you do not desire implants, I would use your current tissue and reposition it in such a way to give more fullness to the upper portion of your breast. Keep in mind however that this doesn't always give the fullness that a breast implant can provide. Your areolar size can also be reduced significantly to give a more... more

William Bruno, MD
Beverly Hills Plastic Surgeon

Best breast surgery option for you = lift + implant

Given the photo you provided, from what I can see, if you wish to have a "high & full appearance" (aka clevage) you will need a prothesis - otherwise, you will have to relie on a push up bra. Full cleavage requires a reasonable amount of breast tissue in the upper portion of the breast. With the size of your nipple areola and loss of superior fill, you would get the best result with a submuscular implant and a vertical “Lollipop” mastopexy.You can adjust the size of... more

William F. DeLuca Jr, MD
Albany Plastic Surgeon

www.delucaplasticsurgery.com

Breast lift type for you

You will need a lollipop-type lift (vertical mastopexy) at the very least. As noted on other posts, there are slightly different types, and some surgeons may consider an inverted T as well. An implant will of course make you larger, but an implant can also restore some "perkiness" that a lift often does not do. Even a small implant can make a difference, so you may want to consider that, if you're willing to accept slightly larger breasts. By doing... more

Douglas J. Mackenzie, MD
Santa Barbara Plastic Surgeon

www.pacificplasticsurgery.com

Breast lift options

Thanks for the photo--I think this is really helpful, and based on this photo, I think that at the very least you would need a full mastopexy, with an incision around the areola, down the breast, and probably some type of small transverse incision in your crease. This can be done with or without an implant, and the whole purpose of the implant would be to increase your breast fullness in particularly in the upper pole (top of the breast). If this is what you want, I think it... more

Shahram Salemy, MD
Seattle Plastic Surgeon

WHICH Breast Lift Technique Shall I consider?

Regarding: "After having a child my breasts are no longer a perky 32D and my areolas are huge. I'm interested in getting them lifted without implants. I'd like to know if I would need to get a "lollipop" cut and if I will I need implants as well. I definately don't want that fake Barbie look, but I do want a nice high, full appearance again with a natural drop. I also don't want the "baby fat" look that I've seen in most fat transfers to the... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Which breast lift is best for you?

Thank you for the helpful photo. I think you would have a very nice breast shape with a breast lift (lollipop scar) and no implant. The only reason to add an implant is if you want to be larger. I don't think you'll need one. But you will need that lollipop scar.

Carmen Kavali, MD
Atlanta Plastic Surgeon

Vertical breast lift with lollipop scars is most effective.

HI. As you can see from the other answers, this is an art more than a science. But I feel strongly that a vertical operation (either Lejour or Hall-Findlay technique) will give you the best long term result. And the shorter scars are NOT the main advantage. The main advantage is that these operations do not rely on tightening the skin to lift the breast (skin stretches). Instead the vertical breast lift re-shapes and lifts the breast from the inside, with much longer lasting... more

George J. Beraka, MD
Manhattan Plastic Surgeon

Best Breast Lift Option for Me

Thanks for the photo. My choice is the full anchor lift with areolar reduction. Yes there can be scars, sorry. Best to see me in person for a FREE evaluation. See my profile here on RealSelf.com.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Mastopexy without implant after children

Hi MiamiMa, Based on your photos, it appears you are a good candidate for a superior pedicle mastopexy. I would estimate that you would need a lollipop scar plus at least a short horizontal scar in the inframammary fold; the inframammary fold (crease) scar might have to be longer rather than shorter as your nipple looks like it needs to be lifted a significant distance. I usually perform a lot of work to create an "internal" bra so that your lift will have as much... more

Tracy Pfeifer, MD
Manhattan Plastic Surgeon

drpfeifer.com

You need a full lift IMO

In my practice you would need a full lift (central pedicle mastopexy) and this would include a vertical and some degree of horizontal scar in the crease. In my opinion this gives the best shape. If you check my photos, you might see why I believe in this version of a lift. To get upper pole fullness you will need an implant.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Breast lift with or without implants

It is difficult to say from one photos what would be your best option. You may be a good candidate for a vertical lift without an implant but the exam is key.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast lift with or without implants

Hi there- Based on your photo, it is clear you would benefit from a breast lift- either using lollipop incision, or with a small horizontal extension for maximum tightening. Only a responsible surgeon certified by The American Board of Plastic Surgery would be able to definitively make a recommendation for you, and only after a careful examination. As for the implants, this will depend on your ideal breast size and shape- think about your idea of breasts you would be most happy... more

Armando Soto, MD
Orlando Plastic Surgeon

www.DrArmandoSoto.com

Breast Lift Options

Based on your pictures, you look like a good candidate for mastopexy or breast lift. The procedure can be done with or without breast implants. The choice really depends on your desired post-operative volume / size. Another option would be to have the lift / mastopexy as a first stage and see if you like the new shape and size of your breast. Implants can them be placed at a later time as a secondary procedure. Good luck.

David Shafer, MD
New York Plastic Surgeon

A lift should work

You seem to have enough breast tissue but since you have so much extra skin, you may require more than just a lollypop scar and may need to have an inverted T. Only an experienced plastic surgeon can decide what is best for you.

William B. Rosenblatt, MD
New York Plastic Surgeon

Breast lift

The lift you seek can be achieved without implants. In Southern California, implants are very popular. The down side is that they usually commit you to a secondary procedure at some point in the future. I would agree that a loli pop (vertical) lift without implants would suit you well. This would correct some subtle asymmetry, reduce your areola size, and lift your breasts. Beware that your breasts may appear slightly smaller following this procedure. But,... more

Jason R. Hess, MD
San Diego Plastic Surgeon

VIDEO: Breast lift without implants

From this single picture, I believe that you would benefit from breast lift and would get the appearance you desire without the use of implants. I have enclosed a video to demonstrate a sample result. see video