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Crescent Mastopexy and Implants for More Youthful Breasts?

I am 21 years old, 130 lbs, no pregnancies. I hate the shape and size of my breasts. I want a more youthful appearance and bigger size but I am scared of the scars of the lollipop Mastopexy. Will I be able to get a good lift with a Crescent mastopexy and Breast Implants?

Asked 32 months ago by mel214s in Long Island, New York
Sort 16 expert answers by:
+3

For the best result you need a full lift and implants

A crescenteric lift is the most minimal of all lifts and will make your areolae larger. You look as though you need a true full lift from an anatomical standpoint. Discuss this with many surgeons who can examine you. If you want the best shape, do both the full lift and implants. If you want to avoid scars, skip the crescent because it won't help at all and just do the implants. You will not have as good shape though without the lift. No patients want scars, but they almost all want the... more
Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
+2

Crescent mastopexy vs. an Inverted-T mastopexy

From your pictures it appears that the only way that you will be able to get perky breasts is to have an inverted-T or lolly pop breast lift. a crescent breast lift will not adequately lift your breasts.
S. Sean Younai, MD
Beverly Hills Plastic Surgeon
+2

Crescent Mastopexy OK to Lift The Areola - just a little

Sounds like you want a crescent mastopexy because the incision is small. The crescent mastopexy is for elevating the position of the nipple-areola a very short distance. It doesn't shape the breast. Implants can shape the breast and make the breast fuller, rounder, if the implants are large enough. Be really specific with your plastic surgeon about your goals for surgery so he/she can choose the best procedure to get you the results you seek.
Paul C. Zwiebel, MD
Denver Plastic Surgeon
+2

You will look great with a breast lift

I would definately do breast lift with an incision around your nipple. I would put the implant in above the muscle and then do a nice lift around the areolar complex. This will reduce the size of your areola and give you a lift. Go above the muscle. Definately see a Board Certified Plastic Surgeon...and see lots of pics. Good Luck!
Andrew T. Cohen, MD
Beverly Hills Plastic Surgeon
+2

You may be a good candidate for a circumareolar lift

From the picture, you look like you may be a good candidate for a circumareolar lift or mastopexy with augmentation. However, it really is hard to tell without examining you in person. Also, please do not be scared of the scars. The most important is the resulting shape which should not be compromised because of fear of the incisions. Good luck with your surgery.
David Shafer, MD
New York Plastic Surgeon
+2

The right procedure is as important as the scars

Based on the picture you have submitted, it is somewhat difficult to determine which procedure is best for you. To achieve a better shape and the lift you desire, my best recommendation would be a breast augmentation with a circumareolar mastopexy (incision around the entire areola). This procedure will not only give you a lift , but will reduce the size of your areola and give you projection and reestablish fullness in the upper pole of your breasts. The scar you will be left with will... more
David A. Robinson, MD
Munster Plastic Surgeon
+2

Breast lift and implants

It is hard to tell form your photographs because your arms are elevated.  But, getting implants may help give you a larger breast. If your nipple areola complex needs to be elevated, a circumareolar lift is a good choice( incision only around border of areola).
Steven Wallach, MD
Manhattan Plastic Surgeon
+2

Not a good choice for you.

Hi! I answered another of your questions, right? When a patient is not happy after a breast lift, it is almost never because of the scar. It's that she doesn't like the shape. So don't compromise on the shape. This is a very important point. The lift has to be done internally without relying on pulling the skin. Skin stretches, and if the surgery relies on skin tension, you will quickly get sagging again. A crescent breast lift will not do much for your shape. The good news is that... more
George J. Beraka, MD
Manhattan Plastic Surgeon
+2

Look at pictures

I have met 18 year old women who needed a breast lift who had not had children. I would recommend you see a few plastic surgeons and see what your options are. In my personal opinion the crescent lift almost does nothing more than give you a scar and may possibly make a formal breast lift more difficult in the future due to blood supply issues. You will get a variety of opinions but consider your options carefully. I meet many women for revision surgery who had less surgery than they should... more
Michael C. Edwards, MD
Las Vegas Plastic Surgeon
+2

Don't try to pick the surgery because of the scars

Your photo shows a moderate amount of ptosis (drooping) and large areolae. A crescent mastopexy would most likely make your areolae vertically longer and not adequately "lift" your breast. At minimum, you would be best served by a periareolar mastopexy (around the entire areola), but your best bet would be a vertical (lollipop) mastopexy. Don't try to pick the surgery because of the scars. The right procedure will get you the best result. In my experience, the vertical scar is... more
Ricardo Izquierdo, MD
Chicago Plastic Surgeon
+1

“Crescent” Breast Lift Candidate?

Thank you for the question at picture. In my opinion, there are many potential problems associated with the “crescent” breast lift. These include the potential for elongation of the areola (oval-shaped). Very minimal breast lifting is achieved with this operation. I think you'll be best off seeking consultation with well experienced board-certified plastic surgeons. Communicate your goals with these plastic surgeons; they will be able to guide you as... more
Tom J. Pousti, MD
San Diego Plastic Surgeon
+1

Breast Implant to Improve Size and Shape

Among all women who desire improvement in the size and shape of their breasts due to changes from aging, weight loss and/or pregnancies, only a small percentage will achieve a satisfactory result with implant placement alone. This will depend upon the size of implant used and on the amount and location of excess skin, as well as on the position of the nipples. It is in a minority of patients that the skin excess and nipple position is favorable enough to allow a good result with implant... more
Max Polo, MD
Miami Plastic Surgeon
+1

Breast lift procedures are designed for each patient

Based on your photo, I'm assuming that you dislike the size of your areola- larger areola do tend to make the breast look a little 'older'. Based on this single photo that you submitted, I would recommend a dual-plane augmentation with a small implant for additional upper pole volume. A circum-areolar pursestring mastopexy using a PTFE suture (for long-term areolar diameter control) would reduce the diameter of your areola and lift the position of your nipple a little bit.... more
Scott Sattler, MD
Bellevue Plastic Surgeon
+1

Crescent mastopexy with implants

  Combining a Crescent mastopexy with implants can produce significant results may create more youthful looking breasts. The implants will provide additional volume that will create upper pole fullness and improved cleavage. The Crescent lift will help reposition the nipple into a more central and aesthetically pleasing position on the breast. This is an excellent combination for patient that needs a very small lift at the time of their breast augmentation
B. Pat Pazmino, MD
Miami Plastic Surgeon
+1

Crescent lift and breast augmentation

I would discourage the use of a crescent lift because this will only make your already large areolae even larger. The circumareolar (Benelli) or the vertical are better options
Otto Joseph Placik, MD
Chicago Plastic Surgeon
+1

Small Implants and areolar breast lift for a 21 year old is ok

In my mind the key decision making here is related to your age. The perfect shape will be acheived with a full lift and implants but the real price is the scar! I would go for implants and aereolar lift with a purse string for now.As long as you stay with a small implant, your surgeon will be able to control your aerolar incision.
Hisham Seify, MD, PhD
Los Angeles Plastic Surgeon
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