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Subglandular Implant - Lollipop Lift Now or Later?

asked 1 year ago by Ivanhoe
Latest answer by Tom J. Pousti, MD
Question viewed 879 times
Tags: 300-349cc, combination, subglandular, timing

After breastfeeding my DD breasts are now droopyC/D and assymetrical (almost half a cup). One dr suggested to go submuscle with a short scar (lollipop) lift with 290cc or 320cc. The other subglandular 320cc on one side and 350cc on other side (to even them out) with the possibility of a periaerolar lift. I obviously want to avoid scars but don’t want to end up with large droopy breasts. SN-N22cm IM-N10cm I'd like to be full D to DD. I am 6ft. Please help.

11 answers to Subglandular Implant - Lollipop Lift Now or Later?

Subglandular Implant - Lollipop Lift Now or Later?

You have several issues to address, asymmetry, droop and inadequate volume. In my practice I would not suggest trying to correct all of these on the same day. I suggest doing a lollipop scar lift and allowing it to heal for a few months before doing a sub muscular augment. The scars will heal better, and you are far less likely to need a touch up or revision later. After healing your augment can be done just as it would be for any other patient.

Mark Preston, MD
Columbus Plastic Surgeon

Mastopexy with implants

If you do not want a mastopexy, implants should go subglandular or you will have what we in the plastic surgery industry call the "double bubble effect." Ideally, for perfect breasts, I would advise a mastopexy (lollipop or anchor, not periareolar) with an implant either subglandular or submuscular but you have to realize that breasts drooping is genetic, they're probably going to drop again regardless of where the implant are located. If they're... more

Robert E. Zaworski, MD
Atlanta Plastic Surgeon

What are the option for sagging breasts after breast feeding.

It seems that you have significant sagging of your breasts as well as the asymmetry. You appear fit and trim, and you stated your breasts were C/D cup currently. For an optimal result, this combination of findings usually requires a breast lift with a lollipop style incision at a minimum. You need a consultation with a plastic surgeon who can examine you and discuss the treatment options that will best meet your needs.

Fredrick A. Valauri, MD
New York Plastic Surgeon

www.drvalauri.com

Lift with implants

Thanks for all the great info. You may be able to have implants with a periareola lift. But then again a small vertical incision may be required if the breasts appear too loose. An exam would be helpful, but the photos and info help. You look very thin, and I would definitely go under the muscle to help minimize the risk of rippling superiorly.

Steven Wallach, MD
Manhattan Plastic Surgeon

Lift now or later?

Thank you for posting the photographs, it is very helpful. Looking at the photos, I would say that you need a lift now as implants alone will not be able to tighten the skin adequately. The type of scarring - periareoloar, lollipop or inverted T - is down to the individual surgeon to some extent and the degree of lift needed. Whatever technique you have, it will leave you with a scar around the nipple, which is the most obvious one. Good luck.

Jonathan J Staiano, MBBS
Birmingham Plastic Surgeon

Add the vertical scar

Subglandular placed implants in attempt to address ptosis in my personal opinion is a bad idea. Eventually as you astutely have noted, the implants will droop. A vertical scar mastopexy with submuscular implants is what I would reccomend. On my website you will find an animation video explaining the technique. Good luck.

Vishnu Rumalla, MD
Dallas Plastic Surgeon

tarrantplasticsurgery.com

Breast lift with augmentation

I think the first surgeon's recommendation is better. You have a degree of ptosis (sagginess) that can't be corrected with just impants (or a periareolar lift). If you want enhanced volume with implants, you need also to have a lift like the vertical scar ("lollipop") lift.

James W. Ward, MD
Dallas Plastic Surgeon

Submuscular Breast Augmentation and Mastopexy?

Thank you for the question and pictures. Given your body type and goals, I would suggest a sub muscular (dual plane) breast augmentation (preferably with silicone gel implants) along with a vertical mastopexy. This can be done in a single or 2 staged procedure; I generally make this assessment/recommendation after examination of the quality of skin present. This is not a question agreed-upon by all plastic surgeons. There are good plastic surgeons who will insist on doing... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Full Mastopexy with Submuscular implants

I would recommend a one stage procedure with a full (anchor) mastopexy with submuscular implants. A periareolar lift would lead to no lift and a lollipop lift would lead to an elongated vertical distance from your areola to your breast fold. It's not the length of your scars but the final shape and long term result that leads to patient satisfaction. Your breast skin appears elastic and you have low body fat with visible ribs which would deter me from subglandular... more

Lawrence Shaw, MD
Scottsdale Plastic Surgeon

Simultaneous breast augmentation and lift

The changes you describe are common after pregnancy (asymmetry, deflation, drooping). Based on your photos, I think silicone implants placed below the muscle, with an anchor type incision would give you the best result. I realize that may not be what you want to hear since the anchor scar is more extensive than a peri-areolar or lollipop scar, but it will give you the best shape and contour. Lesser scars will give you a lesser lift, and lesser result. When patients and surgeons try to get... more

Anita Patel, MD
Beverly Hills Plastic Surgeon

Mastopexy: Now or later?

Ms. Ivanhoe: You have breast volume asymmetry, breast skin flaccidity, differences of the nipple position, and I suspect, (inferolateral) breast displacement. You can test this hypothesis by lying down and assessing where your breasts fall. In addition, the nipples appear to lie at least 2-3 cm below your inframammary fold (where the breast meets the chest wall). Given this combination of factors, I believe that the choice of... more