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Which Lift Would Be Appropriate Lollipop Lift or Full Lift? Ideas On Cc's & Profiles? (photo)

asked 4 months ago by RealSelf71
Latest answer by Joseph M. Perlman, MD
Question viewed 593 times
Tags: cc, options, profile

Height:5'7 1/2 Weight:127 BEFORE STATS: Bra Size-32C,BWD:14,(R)Breast from Sternal Notch:23 (L)Breast from Sternal Notch:21 AFTER DONUT LIFT & AUG. STATS: Bra Size-32DDD,(R)350cc's(L)400cc's Mod+ unders. SEEKING: Stronger lift w/ less loose skin, firmer, perkier, & more upper pole fullness. Ultimate wish would be for breast not to drape too excessively over the crease(hey, a girl can dream!). Which lift would afford me most of my wishlist? CC & Profile suggestion? Are examples achievable for me?

23 answers to Which Lift Would Be Appropriate Lollipop Lift or Full Lift? Ideas On Cc's & Profiles? (photo)

Shopping for the Answer you want to hear?

Hello Realself71, You didn't like what was said last time, hoping to hear what you want this time around? You are now posting photos of others with nearly the same size implants that you have, yet you don't see the obvious: on the others the implants do not extend out past their rib cage nearly as much as yours do. By looking at photos of others and seeing 'what they got', will not translate into what you'll get, and you will not benefit from that... more

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon

drminniti.com

Perkier Breasts Without Lollipop or Full Lift

You will need the implants removed and smaller implants placed. At the same time, the pockets must be plicated laterally and inferiorly to elevate the implants and maintain the cleavage. You will need your breast tissue elevated with internal sutures and the areolas elevated with an eccentric donut mastopexy. The goal is to align all 3 elements, the implant, your breast tissue and your areola, in the same horizontal plane. This can all be done through a circumareola... more

Gary M. Horndeski, MD
Houston Plastic Surgeon

www.horndeski.com

"Lollipop" or "full" doesn't matter as long as it allows better breast shaping and lift

Thank you for submitting all the information and photos. It makes it much easier to give a good answer. Your situation is quite common. A reasonble decision was made to proceed with augmentation/mastopexy for you and a circumareolar only or "donut" mastopexy was chosen. Unfortunately, the trade off of "no scar" or less scar (avoiding any vertical-"lollipop lift" or inframammary crease-"full lift" scar) is that the breast... more

David J. Levens, MD
Coral Springs Plastic Surgeon

Breast Lift with Breast Implants: The right lift for the right size

The lollipop versus full lift or mastopexy depends on the amount of lift you need. It looks like and sounds like you need a significant lift and despite the attraction to the lollipop lift, most vertical type mastopexy techniques do need skin removed from the lower aspect of the beast to refine and tighten that border of the breast. If you think about it, lifting the nipple areolar complex increases the distance between the nipple and the fold, which gives the appearance of the sagging... more

Andrew P. Trussler, MD
Dallas Plastic Surgeon

www.drtrussler.com

Lift vs larger implants

I think that you have a rather large implant which will only stretch out your breasts and make them sag more long term.I just read an article where a plastic surgeon compared thousands of differentlift/breast reduction techniques to see which ones gave "perky" breasts and the answer was NONE.I think you may tighten them upo with a small lollipop lift but I would also put in smaller implamts.

Robert Brueck, MD
Fort Myers Plastic Surgeon

www.beauty-by-brueck.com

Breast lift

From my perspective you had two things done which resulted in a predictable result.. You had a donut type or peri areole lift which often leads to an areola that is stretched out and did not achieve the lift you expected. I think you also had implants placed which were too large. I would advise performing a full mastopexy and replace th implants with a smaller size, in the 275 to 325 ccrange. This will result in smaller but more perky breast and a result that holds up... more

Ronald J. Edelson, MD
San Diego Plastic Surgeon

You scar "scare"

I clearly understand that most patients are fearful of the vertical scar, however the circumareolar option has limitations. Given your photos- you will get a better result with a circum-vertical approach. In general a smaller silicone gel implant will cause less stretch effect, and decrease the recurrent sag potential.

William Loutfy, MD
Albuquerque Plastic Surgeon

How much lifting required after breast augmentation

Based on your pictures, you would most likely require, at the very least, a "lollipop" mastopexy. There is a very good chance that in order to achieve the perkiness that you indicated you desired, a traditional mastopexy with an incision underneath the breast tissue would be the best choice for you. Ultimately, this should provide you with the best overall shape and longevity to your results.

Antonio Gayoso, MD
Saint Petersburg Plastic Surgeon

www.gayosoplasticsurgery.com

Breast Lift

Thanks for posting pictures, it makes it more informative when answering questions. Based on your size and your expectations, I would recommend a full lift / mastopexy to achieve the best size and shape. Good Luck.

David Shafer, MD
New York Plastic Surgeon

Secondary breast lift

The 'secondary' surgery (second procedure that must consider the changes incurred by the first operation) is certainly more complicated than the original surgery and choosing the correct approach is critical to success. I believe that you will absolutely require a 'full lift' to improve your breast shape / position. The exact length of the incisions required to remove excess skin will be determined at the time of surgery, after a new (smaller) implant is placed... more

Sean A. Simon, MD
Miami Plastic Surgeon

Full Breast Lift Needed For Best Result

To really achieve th look you desire, you are going to need a full breast lift. This is particularly so on your right breast which is both asymmetric and lower to the left breast. You will get the nipples up higher on the mound and you may end up with greater upper pole fullness, but you will not prevent having some persistent mound overhang on the lower breast fold...particularly as the result settles over time.

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon

Full lift or lollipop

It depends on the appearance you are looking for- Based on the example photos you posted it looks like you would be happy with a smaller implant and a vertical (or lollipop) lift. You may require more of a backwards "J" than a straight lollipop if there is excess skin on the lower portion of your breast that needs to be removed. This is usually determined in surgery. Best of luck!

Tiffany McCormack, MD
Reno Plastic Surgeon

www.plasticsurgeryrenotahoe.com

Consider smaller implants and a vertical breast lift

The real question is what do you want your breasts to look like and what is the best way to achieve this result. The before and after photos that you have included as examples have much smaller breasts and implants than you currently have and it is not realistic that you could achieve this result and remain a DDD cup size. To get the the perky breasts you desire I would consider a smaller implant and a vertical breast lift.

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon

Can I get round full breasts, high on my chest?

A secondary lift will more closely achieve your desired outcome, but you'll need a tight closure, and my routine is post-operative taping of the lower breast and a solid support bra until the closure is well healed.

Steve Laverson, MD
San Diego Plastic Surgeon

feelbeautiful.com

Lifting a heavy breast

Thank you for the photos. Based upon the degree of laxity in your right breast and the nipple position it seems more likely that you will need a lollipop or full lift. The diameter of your implants is wide and much larger (heavier) implants will drop more over time. Rather than going with a wider implant you may wish to consider a more projecting implant with the same diameter, essentially going from moderate to high profile. This will give a more prominant upper... more

Adam Tattelbaum, MD
Washington DC Plastic Surgeon

www.atcosmetics.com

Full lift

You can either go with a full lift using a lollipop or an inverted-T closure. But remember even if they have upper pole fullness early on, they will often drop as the tissues stretch a bit. Those are all at two months. I'll bet in a year or so they will drop down more.

Steven Wallach, MD
Manhattan Plastic Surgeon

Full breast lift versus lollipop lift.

Given the size of the breasts, you will need full support. A vertical lollipop lift may get you there, but you may need more by going the full lift which would result in an anchor incision. Some surgeons may consider doing something in-between where the only the outer limb of the anchor is used to get the proper lift. During the procedure, I would temporarily remove the implants and reposition the remaining breast tissue superiorly to help you get the upper pole fullness... more

Young R. Cho, MD, PhD
Houston Plastic Surgeon

Lollipop lift is the best because it lifts the breast tissue internally and does not rely on pulling the skin (which stretches).

Hi. You know, plastic surgery is an art as much as a science. So some very good plastic surgeons do things differently. But this is my opinion based on long experience. The so called "full lift" is an obsolete operation for most women, and certainly for you. It is "full" only because it has longer scars. It is actually less effective and the lift does not last as long, because the "full" lift relies on skin tightening and does not... more

George J. Beraka, MD
Manhattan Plastic Surgeon

Full lift needed

You need IMO a full lift with an anchor incision especially if you want to minimize the skin touching the abdomen. As far as upper pole fullness, going much bigger will only sag back down because your elasticity is not good enough to hold them up like in a tight chested patient. Specific implants can't be determined on line though. Just don't go huge trying in vain to get fullness.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Lollipop VS Anchor Breast lift

If satisfactory breat lifting is to be achieved, the surgeon has to determine the type of Brest Lift based on te extent of sagging. Whie minimal sagging can be or reacted with placement of a large breat implant and moderate breast sagging can be corrected with an around the areola (periareolar) lift, when the breast sag below the breat fold only a Lollipop or an Anchor breast lft will lift the breast properly. Having a donut lift when the breasts sag below the infra mammary fold does... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Breast Augmentation/Mastopexy Revision?

Thank you for the question and pictures. It is helpful that you have included your before pictures as well as “the goal” pictures. I think your goals are achievable. It would require a full mastopexy (vertical and horizontal) with significant tightening of the skin envelope. The nipple/areola complexes would be moved superiorly and made smaller. A significant amount of redundant skin and possibly breast tissue would be reduced to create the rounder, “firmer,... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

You'll need more support

If you want to stay that size, you'll have to compromise that you're going to have some sagging. I've been getting great results on adding acellular dermal grafts (ADM) as an internal brassiere to support the underside of the breast and implant. These grafts are obtained from cadavers and processed so that there's no risk of transmission of any diseases. The grafts are processed in different sizes but they're basically rectangular strips that are sutured to the firm... more

Joseph M. Perlman, MD
Houston Plastic Surgeon

Augmentation mastopexy and "perky".

The first issue is simple: your implants are too large. They essentially reduce the lift to nothing more than a minor nipple elevation. The asymmetry you had preoperatively remains, although it is improved to a degree. Many women believe that big implants = volume. The fact is, perky refers more to the skin envelope than the presence of an implants. Many women achieve a very youthful, full look from a mastopexy alone. Circumareolar, or "donut" mastopexies are effective ways of... more