What Kind of Lift is Needed? Vertical or Periareolar with Slightly Larger Implants

This will be the 3rd revision. Currently have 304cc silicone under muscle. Changing implant size to 375. What would be the best lift?

Tags:

350-399cc lift technique

Comment on this

11 Doctor Answers | Asked by rosemarie030 in NJ

Doctor Answers (11)
Community Comments (0)

Difference between periareolar and vertical lift is in the shape

In your case, you could do either lift but the results will not be the same. The periareolar lift will move the nipples up a bit but will leave you with a flatter/baggier looking breast that the vertical lift which will move the nipples higher and give more conical projecting shape to the breast. So, less scar and less shape vs more scar and better shape. Your choice!

What breast lift is best for revision?

From your photos, it is clear that you need a vertical or "lollipop" type breast lift. Even if you have a larger implant. your nipple is on the lower 1/4 of the breast. Also, you have breast tissue that falls down and to the side of your breast. To correct this and reshape the breast, you would benefit from a slightly larger implant and the above lift. A lift around the areola alone will likely lead to an insufficient lift, and a flattening of the breast. You will find a surgeon to... more

Breast augmentation with lift

The type of lift you need will depend on what type of look you are going for. Etiher way it seems the implants should be dropped a little bit especially if they feel stiff when you squeeze them. Dropping the implants a little will make the nipples seem higher. And if you wanted the nipples just slightly higher than that you could do a circumareolar lift, which only leaves a scar around the areola. If you wanted a higher nipple look then you could do a vertical lift or lollipop scar lift.... more

What Kind of Lift is Needed? Vertical or Periareolar with Slightly Larger Implants

I agree with Dr. Stevens. Your pocket should be lowered to allow the implant to fill the lower portion of your breasts more. The type of lift should be discussed in detail with your surgeon so that you know what to expect. If your implants are placed lower, then you should be able to get a good result with a peri-areola approach, but the upper pole fullness would be reduced. If you want to maintain upper pole fullness, then consider the vertical lift. Good luck. more

Breast Lifts and Breast Augmentation

Hello, What is it that you are trying to accomplish? A better looking breast or a bigger breast? As you see, breast implants don't lift breasts very well, and they just make the upper portion full while the breast tissue hangs off the botttom with the nipple. Bigger implants will do more ot the same; the nipple and breast tissue will not magically travel north on the breast mound where you want it. If you want bigger breasts, than larger implants will be... more

Revision and lift

Yes it appears that you do indeed need to have a mastopexy and if you desire more volume then an increased size is a good idea. The best lift is the one which your PS is most used to using. I personally feel that a vertical lift gives the best improvement and the best long term aesthetic. good luck.

Kind of Lift is Needed? Vertical or Periareolar with Slightly Larger Implants

Thanks for the frontal photo posted. I recommend at least a 400 cc HP or more with a vertical lift. Discuss with your chosen surgeon in detail.

Vertical Lift

From your pictures, it looks like a vertical lift would give you the best shape and lift of your nipple. Good luck!

Vertical Lift to Best Lift the breast

With this being your 3rd revision, I would recommend you seriously consider the vertical lift. The circumareolar lift will help elevate the nipples somewhat, but will not tighten up the breast skin envelope. A larger implant is not always the best idea. A vertical lift with similar size implant will help raise up the nipple and tighten the skin with the highest level of predictablity to hopefully avoid a fourth surgery.

Periareolar lift and larger implants may relapse

Considering you current implant, a periareolar lift is attractive to raise the nipple slightly over the implant. With a larger implant all bets are off. the larger implant will place more pressure behind the nipple, the nipple will dilate and it is expected that the droop or ptosis will recur. The vertical lift will give a more stable lift over the 375 cc implant. The best, yes, though a larger scar. Best of luck, peterejohnsonmd