Breast Augmentation: Q&A

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Are There Alternatives to a Lollipop Lift with Augmentation in Order to Avoid Scarring? (photo)

I have been wanting a breast augmentation for about two years now. I saw two board certified surgeons in my area. Both recommend augmentation with lollipop lift to revise my constricted breasts. I scar very easlily and do not want the scars from a lollipop lift. Is there any other way to get good results without a lollipop lift? Having to undergo a lollipop lift is the only thing holding me back.

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16 Doctor Answers | Asked by Di8870

Doctor Answers (16)
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Lifting and augmentation

It looks like your folds are somewhat high and you may have a constricted componenet. Without an exam it is difficult to say, but you may be able to "get away with" just a circumareola lift so that the only incsion is around the border of the areola.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast augmentation alone

Hello, You have several options. But breast augmentation alone is a good option by itself. This will improve breast size symmetry and shape by using different size breast implants. It is hard to tell from your photos if your nipple position are too low or if your breast fold are too high. I suspect that your folds are too high. If this is the case, breast augmentation will help lower your raised fold and improve the perceived need to raise your nipple... more

Breast Lift, Lollipop

It's tough on the patient when you ask questions like this because there are so many right answers. It really depends on what techniques your chosen surgeon uses to get what he or she knows will be predictably nice results. We all get there a different way. My preference for patients with your anatomy is a lift that removes as little skin from the lower breast as possible because you already have restricted skin. So I avoid the lollipop technique and use a Benelli periareoar lift... more

Are There Alternatives to a Lollipop Lift with Augmentation in Order to Avoid Scarring? (photo)

Based upon the posted photos it is a "trade off" scars for improved breasts. As the expert posters write you need some type of lifting.

Breast augmentation and if needed lift later

If you are not ready for the lift I would suggest breast aumentation first and if not satisfied with nipple position to do the lift later.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Breast augmentation -getting it right the first time

Your posted photos show asymmetry with the left nipple lower than the right and most of the breast tissue above the level of the nipples. If you do not do a lift at least on the left the nipples will still be at different levels after breast augmentation. If you just put in breast implants it will not change the distribution of breast tissue around your nipples. It seems more logical to adjust the nipple positions, redistribute the breast tissue around the nipples and then place your... more

Constricted breasts

Of course, in cases that are not straight forward, photo analysis cannot replace an actual physical examination. It appears that you do have breasts that are constricted in the lower pole, which means there is a lack of skin and breast development in the lower breast, therefore removing more skin (as is done in a 'lollipop' lift technique) may not be the optimal technique. I would recommend either a breast augmentation alone or consider a circumareolar lift, which only... more

A sub mammary textured gel implant through a peri areolar incision may be a better choice

With out examining you to determine if you have ptosis of your breast or just a deficient inferior pole of your breast it would be wrong to tell you what proceedure would be best for you. Howeverit appears that it is quite possible that a peri areolar sum mammary textured silicone breast implant might be the best choice for you. This approach has given my patients superb results with the right patient. This leaves only a small scar on the inferior portion of the areolar complex thus avoiding... more

Lollipop vs. Benelli breast lift.

It appears from the photos that you have a slight asymmetry and high folds. You might be a candidate for a Benelli lift (around the areola) to minimize scars on your breasts but this would require a full and detailed examination. Best of luck.. Dana K. Khuthaila, MD, FRCSC, FACS

Not necessary to do a mastopexy

I would strongly disagree from the pictures anyway that it is necessary to do a mastopexy. Furthermore if any type of mastopexy was done, it would at most be an areolar mastopexy, or possibly just a left crescent mastopexy. Your breasts are constricted (tight) in the lower pole with a high fold, and need to be widened in that area, and not tightened as is accomplished with a vertical scar mastopexy. Chances are your nipples to do not really sag, but just appear to be low because of the high... more

Lollipop lift

I would agree with the surgeons you saw already, sorry. I think that a lollipop lift with implant will give you the best result. there are lasers, that can assist with scarring. go to palomarmedical.com for more information on the laser treatment.

Rick Rosen, MD

3 reviews

Norwalk Plastic Surgeon

Type of Breast lifting?

Thank you for the question and picture. Unfortunately, without direct examination is not possible to give you good advice. The only other option that may or may not be an option for you is the “circumareola" lift, which provides a minimal degree of breast lifting with an incision around the areola. You are not the first young lady who has concerns about the vertical scar resulting from vertical mastopexy. This is definitely part of the trade-off... more

Types of breast lift

Yes, as an alternative you may consider a circumareolar lift, aka donut or Benellit-type lift, at the time of your augmentation. The amount of lift that can be accomplished with this style is limited but it can be effective in select patients. Discuss this with your plastic surgeon. Best of Luck.

Difficult to make recommendations without an exam

Hi there- Without examining you, it would be difficult or irresponsible to make a firm treatment recommendation for you- and you should take what is said here with a grain of salt... Generally speaking, however, from your photos alone, I would not think that anything more that a lift accomplished around your nipple (with an implant) would be necessary.

Do I need a Breast Lift

Based on your pictures, the need for a breast lift also depends and the size of implant you are planning and if your fold below the breast can be lowered. A small implant may not need a lift while a larger implant is more likely to require a lift or lowering of the fold. You can also think about getting the implants and seeing if you need a lift later.

Without mastopexy

I don't think you need more than a breast augmentation. But the advantage of your local surgeons is that they have made a better evaluation and examination on your case. But just by looking this pictures in my opinion you only need the augmentation. Also the Benelli lift can help you.