Will Large Silicone Replacement and Peri Areolar Lift Perk My Breasts?

I have small saline under the muscle implants. Had one child and they sag now and my nipple is completely flat. I want areolar lift and areolar reduction with larger silicone implants. Would this give me cone shaped breasts with a higher nipple?

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10 Doctor Answers | Asked by Quincy3307 in Quincy, MA

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Breast lifts and breast shape

If you want CONE SHAPED breasts, you will need a FULL LIFT with at least a vertical scar and probably some crease component too. The vertical scar is what pulls the tissues together side to side and gives the breast a more conical shape. Big implants and a periareolar lift will leave you flat in the front and baggy in the lower pole, a much poorer shape but one with less scar.

Breast projection

In order to obtain maximal projection a vertical scar scar is preferable However, if you ar totally against a vertical scar ,you coud have a subareolar lift (scar around the areolar),which will make the areola smaller combined with placement of a high profile gel implant .For further elevation and projection an internal sling (bra) dermal mesh,would be an option

Breast lift/implant options

You may very well be a good candidate for a periareola lift and implants, but from the one photos it is hard to say.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Options for going from flat to perky breasts

In my opinion, you will require a vertical masopexy in combination with a high profile implant in order to achieve a more coned perky breast with smaller areolae.

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

Type of Breast Lift Needed

Will Large Silicone Replacement and Peri Areolar Lift Perk My Breasts? I have small saline under the muscle implants. Had one child and they sag now and my nipple is completely flat. I want areolar lift and areolar reduction with larger silicone implants. Would this give me cone shaped breasts with a higher nipple? You will probably not do well with just a circumareolar lift. You have too much skin and will likely need a vertical +/- horizontal incision in the crease... more

Lollipop scar breast lift best for conical shape.

Hi. 1) Your breasts are flat, and a circumareolar lift will actually make them flatter, which is the opposite of what you want. 2) Women accept lollipop scars just fine, because they love their new shape. 3) Don't get very large implants. They stretch your tissues, and age very badly.

Breast Lift and Silicone Implants

Your picture is helpful. The answer to your question depending on what breast shape you are willing to accept with the operation you have suggested. The only way to get a real sense of what is possible would be to have a physical exam so that the surgeon can demonstrate what effect the operation may have using your breast as an example. Dr. ES

Breast lift and breast implants

A lift will raise the nipple level and allow breast implants to fill the upper half of the breasts. Which lift incision would be best in your case cannot be discerned from these photos. You lifted your arms to take the photos which raised the breasts a bit and I do not know what the important breast dimensions (notch to nipple distance etc.) are. Reducing areolar size can be challenging though. If you just cut out excess areola skin and place larger implants the implants tend to stretch... more

Periareolar lifts can be very effective

A Periareolar lift would definitely work well for you along with a larger implant. However, it probably won't give you the "cone" shaped breasts your looking for. I'm not sure exactly what you mean, but I do think that the Periareolar lift would work well.

You will need larger implant and regular lift with verticale incision

You have too much of breast sagging to use circumaerolar incision only. The best result will require vertical incision to give the best lift. The other problem with the Peri areolar incision is the loss of the breast projection and flatting of the breast.