Do I Need a Lift? Peri Areolar or Traditional? Do Not Want the Vertical Scars (photo)

Do I need a lift (thinking about getting 325cc high profile silicone) Can I do a peri areolar lift or need a traditional lift? I can not find a doctor in the Cleveland area that does the peri areolar....does this mean it is not recommended?

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9 Doctor Answers | Asked by jsidea

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If you need a lift you need it done right and a periareolar lift is ineffective.

You cannot find a plastic surgeon in your area who uses the periareolar technique because it is a poor option. Causes areolar distortion without providing any true lift. The vertical technique is best. I would advise this is the only lift to consider. I know you don't want the vertical scars, but if you want a real lift, there is no substitute. These scars do tend to heal well and I think they are less of a problem than a periareolar scar. Yes, you want... more

Do I Need A Lift?

The determination of whether you need a lift or not depends on the ultimate appearance that you want to achieve. Droopiness or ptosis of breasts is classically determined by the position of the nipple in relation to the fold where the breast hits the chest wall. It appears from your photograph that your nipple is correctly positioned, but your gland is hanging below the fold. This situation is variously called "zero degree ptosis" or "pseudo-ptosis". You have... more

No woman wants vertical scars

I agree completely, no woman wants the vertical scars on her breasts. Vertical scars are impossible to hide and widen in time. Worst of all, they weaken the skin envelope causing 'bottoming out' of an implant (if added). The best approach for you would be the peri-areolar lift. Through the peri-areolar approach the implant can be placed, the breast tissue elevated and anchored. In your photographs, your nipples appear to be in normal position but you have a lot of... more

Breast Lifting Necessary?

Thank you for the question and pictures. The position of your nipple/areola complexes appears to be “normal”; based on this criteria you do not need breast lifting. However, it does appear that you have some “sagging” skin along the lower poles of the breasts; It may be necessary to undergo breast lifting to improve the appearance/feel of this area. I would suggest in person consultation with a few well experienced board-certified plastic... more

Periareolar lift is used for mild ptosis

I'm sorry you've had difficulty finding a surgeon to discuss this procedure. Many plastic surgeons in Cleveland perform periareolar mastopexy (breast lift), including me. You can see photos of patients who have had this procedure on my website (see link below). Periareolar mastopexy is generally used for mild ptosis (droop). It will not change the shape of the breast significantly, but can elevate the nipple and areola. Vertical mastopexy combines the periareolar (around the... more

Breast lift

A lift is performed whent he nipple sits low o nthe chest or there is significant glandualr ptosis. Based solely on the photos you posted, it does not look like you hae either. I personally perform many circumareola lifts in general.

Steven Wallach, MD

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Manhattan Plastic Surgeon

Breast lift and implants

A lift is needed when the location of the nipples are lower than the breast fold. That is certainly not the case with you. You do not need a breast lift. A high profile breast implant as you mentioned would be a great option for you placed partially under the muscle or fascia. Look at the link below for aesthetic board certified plastic surgeons in your area. Good luck.

Peri areolar breast lift works very well with implants.

Hi. 1) You certainly do not need a vertical scar. 2) You may not need an external lift at all. Implants and an internal lift should give you a great result, judging by your pictures. see video