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Which Breast Lifting Technique Would Be Most Suitable? (photo)

asked 3 months ago by simonal in Portland, OR
Latest answer by William F. DeLuca Jr, MD
Question viewed 479 times
Tags: perky, recommendation, technique

I have consulted a board certified PS & am in process of scheduling the surgery. Dr. has said for perkiest look go for a full lift w/ augmentation, and for a more natural look go with a donut lift w/ augmentation. Below are photos of the look I'm after & my own breasts. I know "perky" and "natural" have different definitions depending on each person. Which lifting would bring mine to the same position and shape? I know all breasts are different, I am simply going for that "style" in the pics

21 answers to Which Breast Lifting Technique Would Be Most Suitable? (photo)

Breast Augmentation and Lift

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... more

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon

drminniti.com

Breast lift without vertical incisions

If you want to look like the model in the photographs, you will need an augmentation. I recommend silicone gel implants, retro-pectoral. You will also need a lift since your nipples are too low and the nipples reduced since they are too large. The circumareola lift can be done, with implants placed and your breast tissue elevated along with internal plication. It is important to align the nipple, the breast tissue and the implant in the same horizontal plane to give... more

Gary M. Horndeski, MD
Houston Plastic Surgeon

www.horndeski.com

Which breast lifting technique would be most suitable?

You are looking for a very natural look with less breast overhang and a somewhat higher nipple position and smaller and less stretched areola. Judging by the photo example of what you are looking for, you are not concerned about having more upper pole fullness or even a "natural" implanted look. There are two reasons to use implants...if patients are looking for larger breasts, or if they are looking for more upper pole fullness. I would therefore suggest a breast lift,... more

Robert M. Grenley, MD
Seattle Plastic Surgeon

To look like Megan Fox, a vertical (lollipop) mastopexy + small breast implant is needed

Based on the photos you shared of yourself and your desired look, I'd recommend a small implant for superior fullness and a vertical ("lollipop") mastopexy as the best approach. Your plastic surgeon described things quite well actually, in that a vertical mastopexy will give you a firmer and higher positioned breast mound that's “perkier” in apparence. As for whether or not a periareolar mastopexy ("donut lift") would produce an attractive... more

William F. DeLuca Jr, MD
Albany Plastic Surgeon

www.delucaplasticsurgery.com

Vertical lift

Thanks for your question. I believe you need a vertical "lollipop" type lift to both elevate the nipple-areolar complex and tightening the lower pole of your breast.

Vishnu Rumalla, MD
Dallas Plastic Surgeon

tarrantplasticsurgery.com

What type of breast lift for me (photos)?

A circumvertical pattern will produce the projection you desire with a nice breast shape, and implants added for volume. In skilled hands, you should have the result you desire, or better.

Steve Laverson, MD
San Diego Plastic Surgeon

feelbeautiful.com

Breast lift and augmentation

Without and sam it is difficult to say. Many times I do perform a circumareola lift with an augmentation but it has to be the right person.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast lift options

From your photos, I think a vertical lift would get you close to the look that you like. I do not think an augmentation with a periareolar lift would. First of all, your volume is similar to the model's. She does not have alot of upper pole fullness that an augmented breast would have. I think the aug and periareolar lift results in a particular look that does not look natural, at least in patients with your degree of sagging. I must compliment you good... more

Lisa L. Sowder, MD
Seattle Plastic Surgeon

www.sowdermd.com

Which breast lift for you

The photo shows a breast not too much unlilke yours with greater projection and better nipple size. The vertical lift or lollipop patern will lift the nipple and reduce the size. Importantly it will reduce the lower laxity and give more projection just like the photo and should be the best lift for you. Best of luck, peterejohnsonmd.com

Peter E. Johnson, MD
Chicago Plastic Surgeon

Vertical lollipop scar breast lift will work great for you without implants.

Hi. This is the Lejour technique, and it's best for most women. It lifts the breast internally, and the results are very long lasting. Avoid the "anchor scar" lift, which just tightens the skin. see video

George J. Beraka, MD
Manhattan Plastic Surgeon

Which Breast Lift

Thanks for the photos with your question. It really helps. If you are totally happy with your volume when supported in a nonpadded bra, you only need a lift. If you want more volume you need implants. So that is the first question you need to answer. If you choose implants then you can get a look very much like the photos with a benelli (periareolar) lift. If you do not want implants you will get your desired look with the full anchor pattern lift. Make sure your surgeon has seen your photos... more

Ronald V. DeMars, MD
Portland Plastic Surgeon

HArd to tell without examining you

The most important thing for you is to give you the shape and size you want while minimizing scarring. Without examining you that may be hard. You appear to have mild ptosis. If that is the case I would prefer to do a periareolar lift and implants. You don't need large implants and they will help to lift the nipple areolar complex. If you feel that they are still too low and want them higher you can always have a vertical lift done, probably under local. ... more

Steven Schuster, MD
Boca Raton Plastic Surgeon

www.schusterplasticsurgery.com

Lift techniques

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... more

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

Best breast lift technique will depend on your exam and surgeon's skill with technique

Hi there- Based on your goals and current photos, I do think that you will get the best outcome with a breast lift and an implant- probably silicone for the most natural appearance. Which technique would be best is going to depend a lot on details that could not be understood without examining you, and your surgeon's skill and experience with the technique, so it would not be (in my opinion) responsible for me to tell you which technique you should go with. I CAN tell you... more

Armando Soto, MD
Orlando Plastic Surgeon

www.DrArmandoSoto.com

Hidden scar lift and cold-subfascial augmentation for a natural perky appearance

I would recommend a technique called circum-nipple mastopexy with cold-subfascial augmentation. you have large areolas and with this technique you can have completely hidden scars instead of scars at the areola-breast junction. With the cold-subfascial technique the breast implant is supported into a tear-drop shape like the result you are after. The cold-subfascial technique also prevents the dramatic 'muscle jumping' that you can expect with subpectoral and... more

Rian Maercks, MD
Miami Plastic Surgeon

Type or mastopexy

As you can see from the first three entries you are going to get a wide variety of suggestions. My philosophy has moved towards the least amount of scar I can possibly produce. The periareolar or Benelli lift them my favorite for a good number of years now. As you see from previous posts a lot of people do not like it. Often these are people who do not use the technique regularly. Find someone around you that offers that operation and does a lot of it and see what you think. You could easily... more

Sherwood Baxt, MD
New Jersey Plastic Surgeon

Recommended Breast Lift Technique

My recommendation would be for a lollipop-type incision for the lift which will allow for nice shaping of the lower portion of the breast. I would also suggest a small moderate profile implant to help with projection of the breast tissue. Good luck.

David Shafer, MD
New York Plastic Surgeon

Getting the lift you want with a full breast lift

To gro from your existing breast to the ones you would like, you need a lollipop type incision and a complete breast lift. A donut lift will not give you the look you are looking for. Looking at the volume of your breasts I would not use any implants at all, only your own breast tissue (you have enough of your own volume to give you the look in the left pictures) Sincerely, Martin Jugenburg, MD, FRCSC

Martin Jugenburg, MD
Toronto Plastic Surgeon

www.torontosurgery.ca

Do you want anything at all?

Your "goal" photos show downwardly placed "droopy" breasts to start with, maybe I should say "natural." Your current photos are almost the same with a little more lower pole laxity. I agree with the others that you get the best shape with more of a lift but you didn't have that shape in the first place. Maybe for you then, a small implant and a periareolar lift would suffice. If you wanted more tone later, you could always convert it to a... more

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Breast Lifting Technique Indicated?

Thank you for the question and pictures. I think you are going about things correctly in that you are communicating with pictures in an attempt to communicate your goals clearly with your plastic surgeon. You are not trying to use words such as “natural” and/or trying to achieve a specific cup size. Based on your current pictures and your “goal” pictures I think you may do very well with breast lifting alone. In my opinion, this would likely... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Which Breast Lift Technique FOR ME?

In my opinion you would do best with silicone gel breast implants (lighter and less rippling) under 350cc in volume and lollipop patter breast lifts combined with areola reductions (giving you more attractive smaller radius areolae). In my opinion, circumareolar ("Benelli") breast lift are overly applied and abused and combining them with an implant often results in a suboptimal, classic "done" look; a pushed-in flattened breast top with a pulled, widened,... more