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Periareolar-only Lift for Medium/large Breasts?

asked 7 months ago by mskv
Latest answer by Michael Law, MD
Question viewed 252 times
Tags: candidate, periareolar

I consulted a board certified plastic surgeon and apparently I can have surgery that goes around the nipple area only combined with small implants for my lift. I've read on this website and elsewhere, however, that this procedure is generally for small breasted women only (I'm a 36-C). Is my breast size okay for this surgery? And is this the least intrusive (besides the crescent) option? I rather would like to avoid the implants, but want the least amount of surgery possible. Thank you.

14 answers to Periareolar-only Lift for Medium/large Breasts?

Breast Augmentation and Breast Lifts

Hello mskv, The December issue of the Plastic and Reconstructive Surgery Journal just arrived with an excellent article regarding breast lifts and reductions. The author, Eric Swanson, M.D., did a photometric analysis of results from 82 previously published reports. His assesment of the periareolar technique to effectively lift (or reduce) the breast mirrors my assessment in my practice, and what I've been saying in this forum time and again: it is not a good lifting... more

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon

drminniti.com

Be careful- you may get what you ask for...

Hi there- As much as I enjoy telling people what I know they want to hear, I must sound the alarm of caution, as your question concerns me deeply... Let me preface by saying that without seeing you to more completely discuss your goals and examine you, it would be very difficult, if not irresponsible for me to give you any sort of recommendation. Having said that, however, please know this- your chances of being happy over the long term are very likely severely compromised by... more

Armando Soto, MD
Orlando Plastic Surgeon

www.DrArmandoSoto.com

Perioareolar lift

My favorite. I do this whenever I possibly can. my cup size limit is usually C. this operation allows deep sutures in the breast itself which tends to give a more sustained lift. nothing will give you the amount of lift you would get from an implant but as you said it opens a whole new bag of worms. this really needs a photograph to help you any further

Sherwood Baxt, MD
New Jersey Plastic Surgeon

Breast Lifting and Augmentation?

Thank you for the question. Unfortunately, it is not possible to give you good advice without direct examination or at least viewing photos. It sounds like it may be in your best interest to be seen by a few well experienced board-certified plastic surgeons for several opinions. Best wishes.

Tom J. Pousti, MD
San Diego Plastic Surgeon

Breast Lift

Some patients with limited breast ptosis may be best served by a more limited 'mastopexy' procedure in which skin is removed around the areola only and the areolar diameter is reduced. This is referred to as a 'circumareolar mastopexy'; it is also called a 'Benelli mastopexy', or 'donut mastopexy' - because the pattern of skin removal is donut-shaped. I put the term 'mastopexy' in quotes here as, in my opinion, this is not truly a breast lift procedure... more

Michael Law, MD
Raleigh-Durham Plastic Surgeon

michaellawmd.com

Peri-areolar breast lift

You are right in thinking that a peri-areolar lift is not suitable for every one. The choice of technique depends on a number of factors including the size and droop of breasts, size of the areola and what degree of lift and projection you wish for. Please post some photographs if you need some individualised suggestions.

Anindya Lahiri, MBBS
Birmingham Plastic Surgeon

Periareolar lift

It really depend supon what your goals are. I use this all the time in the appropriate candidate. Often it it someone who wants implants to creat more volume, but just needs the nipple lifted an centimeter or two which also helps tighten the skin enevelope a bit. An exam for you would give more definitive answers.

Steven Wallach, MD
Manhattan Plastic Surgeon

Periareolar lift

It is impossible for me to offer my expert advise without at least viewing anterior and side views of your breasts. I have found two techniques to be successful in lifting breasts without the use of implants. One is called the Ultimate Breast Lift which works best for women who have significant ptosis. The other involves using a periareolar approach in conjunction with a dual plane lift. Please consider re-posting your question with pictures. Ofcourse, a physical exam would be best. BTW, you... more

Gary M. Horndeski, MD
Houston Plastic Surgeon

www.horndeski.com

Peri-areolar lift

Thanks for your question, but without a picture it is hard to answer your question. It is not size of your breast, but more importantly the relaive position of your nipple that will dictate if you are a candidate. Good luck.

Vishnu Rumalla, MD
Dallas Plastic Surgeon

tarrantplasticsurgery.com

Breast Lift and Augmentation

You are fine for that periareolar lift as long as you combine it with an implant. The lift doesn't work well by itself. The combination you mention is very popular and gets excellent natural looking results.

Ronald V. DeMars, MD
Portland Plastic Surgeon

Breast lift options with breast implants

This is difficult to answer without seeing photos or examining you in person. A periareolar lift is useful in the right candidate but only gives a minimal amount of actual "lifting". A crescent lift doesn't really do any "lifting" at all but can help improve symmetry of the nipple/areola position. In order to achieve an adequate lift and have a nice breast contour, a vertical component or incision is usually necessary. Sometimes the procedure that gives the most... more

William Bruno, MD
Beverly Hills Plastic Surgeon

Periareolar only lifts

Breast lift is about nipple projection and position, and the key to the lift is to get the nipple up front and center on the breast. The around the nipple lift is the weakest technique in that it can lift the nipple only a short 1-2cm distance, and without a blocking suture (Benelli) relapse is common with the areola stretching back. Still, it may be right for you. A vertical lift (lollipop) is more stable and gives a better lift, can preclude an implant, but the scar may not be for you.... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

Periareolar lift with implants

Without seeing your photo, it sounds like you are correct in having reservations about the plan. The periareolar lift is an excellent way of repositioning the nipple, not doing a true lift. You also mention that you want the least amount of surgery, assuming that means scars, then your plastic surgeon is recommending this technique in an effort to achieve the goals you are setting. The Benelli technique is a certain type of mastopexy, not all periareolar pexys are the... more

Ricardo A. Meade, MD
Dallas Plastic Surgeon

Periareolar Technique For Breast Reduction

I would have to see you to give you the best answer, but the Benelli technique is best for medium to smaller breasts that do not need to be lifted more than an inch or so. I persoanlly think there is too much flattening of the breast shape when the technique is used for larger breasts, so my preference is to use the LeJour technique (which ahs a lillipop-shaped scar) to lift and reduce the breast.