42 yo. After giving birth to my daughter 3 years ago, my breasts had gone from C to DDD overnight. I have no stretch marks, but over the past 2.5 years my breasts slowly "deflated " to what you see on the pictures. I would love to correct the sagginess and get a fuller look, but want minimal scarring (no vertical). Is it possible?
Answer: You are not a good candidate Your breasts have lost elasticity and are too ptotic. Your nipple areolar complex is too wide and it’s inferior edge is too close to the infra-mammary fold. What most women come to realize, usually too late, is that the shape of the breast mound is more important than inconspicuous scars, and that peri-areolar lifts do not look good when performed on the wrong breast (and can produce very prominent scarring as well). Go to a breast specialist and get the correct breast lift.
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Answer: You are not a good candidate Your breasts have lost elasticity and are too ptotic. Your nipple areolar complex is too wide and it’s inferior edge is too close to the infra-mammary fold. What most women come to realize, usually too late, is that the shape of the breast mound is more important than inconspicuous scars, and that peri-areolar lifts do not look good when performed on the wrong breast (and can produce very prominent scarring as well). Go to a breast specialist and get the correct breast lift.
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Answer: The Bellesoma No Vertical Scar Lift The no vertical scar technique you are looking for is called The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (95%) and the ability to breast feed. Later, fat transfers can be performed if additional volume is desired. Implants are not lifetime devices. 8% fail within the first year and 30% fail within six years. Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.
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Answer: The Bellesoma No Vertical Scar Lift The no vertical scar technique you are looking for is called The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (95%) and the ability to breast feed. Later, fat transfers can be performed if additional volume is desired. Implants are not lifetime devices. 8% fail within the first year and 30% fail within six years. Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.
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November 18, 2019
Answer: Periareolar lift with Implants Hello! Thank you for the question- I receive this question commonly in the office. Just from viewing photos alone, I would likely recommend a short scar lift (lollipop) with a vertical incision for you. The reason why is because of the diameter of your areolas and the level of ptosis (droopiness) of your breast. A lift with a vertical scar will be able to lift your breast more than a periareolar lift. Additionally, a lift only around the areola would most likely result in re-widening of the areola post-op. Finally, periareolar lifts tend to flatten the breast more than a vertical incision lift, even with implants in place. The vertical scar does tend to fade very well 6 months to 1 year post-operatively as well. It is best to make a consultation with a board certified plastic surgeon for a more thorough discussion and evaluation of your breasts.
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November 18, 2019
Answer: Periareolar lift with Implants Hello! Thank you for the question- I receive this question commonly in the office. Just from viewing photos alone, I would likely recommend a short scar lift (lollipop) with a vertical incision for you. The reason why is because of the diameter of your areolas and the level of ptosis (droopiness) of your breast. A lift with a vertical scar will be able to lift your breast more than a periareolar lift. Additionally, a lift only around the areola would most likely result in re-widening of the areola post-op. Finally, periareolar lifts tend to flatten the breast more than a vertical incision lift, even with implants in place. The vertical scar does tend to fade very well 6 months to 1 year post-operatively as well. It is best to make a consultation with a board certified plastic surgeon for a more thorough discussion and evaluation of your breasts.
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November 18, 2019
Answer: Am I a candidate for periareolar breast lift and implants? Hello and thank you for your question. I would avoid a peri-areolar llift in your case. I think you will have a better result with either a vertical lift, also known as 'lollipop' lift, and full Wise-pattern lift, know as 'anchor' lift. I would seek consultation with a board-certified plastic surgeon for a full evaluation and advice. Best, Pejman Aflaki, M.D. Johns Hopkins-trained double board-certified plastic surgeon
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November 18, 2019
Answer: Am I a candidate for periareolar breast lift and implants? Hello and thank you for your question. I would avoid a peri-areolar llift in your case. I think you will have a better result with either a vertical lift, also known as 'lollipop' lift, and full Wise-pattern lift, know as 'anchor' lift. I would seek consultation with a board-certified plastic surgeon for a full evaluation and advice. Best, Pejman Aflaki, M.D. Johns Hopkins-trained double board-certified plastic surgeon
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November 16, 2019
Answer: Circumareolar lift? Thank you for your question and photos. An in-person evaluation is always best, but from what I see on the photos you appear to have a significant degree of ptosis (sagging). This is very difficult to correct with a peri-areola lift. When you use that technique on the wrong patient, she is left with very wide areolas, wide areolar scars, and a flattened breast. I generally limit the use of this technique to someone with very mild ptosis that needs only 1-2cm of nipple movement. You would likely be better served by a vertical type lift with a lollipop or inverted “T” scar. Good luck.
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November 16, 2019
Answer: Circumareolar lift? Thank you for your question and photos. An in-person evaluation is always best, but from what I see on the photos you appear to have a significant degree of ptosis (sagging). This is very difficult to correct with a peri-areola lift. When you use that technique on the wrong patient, she is left with very wide areolas, wide areolar scars, and a flattened breast. I generally limit the use of this technique to someone with very mild ptosis that needs only 1-2cm of nipple movement. You would likely be better served by a vertical type lift with a lollipop or inverted “T” scar. Good luck.
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