How do you achieve a breast lift that doesn't touch the lower chest?

Question

The beast lit after photos seem to all show sagging with only the nipple lifted. My goal is to have both breast off my rib cage to prevent rashes.

Alan Gonzalez, MD, FACS · Answer

Hello @ thank you for your question. The surgical plan should combine techniques aimed at improving the lateral volume and restoring the position of the breast to its normal position considering the current volume and the expectations in the process. For more information and recommendations it is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS.

Christopher Pannucci, MD, MS · Answer

Hi SassyPants79,
Breast lift can internally reshape the breast tissue, move the nipple vertically up, and remove excess skin. Breast reduction can do all of those things, plus remove excess breast tissue. Both operations would remove or re-purpose the lower pole breast skin and tissue (eg the part currently sitting on your rib cage) and could help to prevent rashes.
I'd suggest meeting with a plastic surgeon to discuss.
Hope this helps!
Best,Christopher Pannucci MDBoard Certified Plastic SurgeonPlastic Surgery NorthwestSpokane, Washington

Gary M. Horndeski, MD · Answer

The technique I recommend is 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. The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief and long term stability. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear SassyPants79,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

The lift does raise the nipple and the breast, but some breast tissue may always touch the chest. the actual base of the breast cannot be raised.

Douglas Taranow, DO, FACOS · Answer

You should review more photos of breast lifts to find the plastic surgeon who over-lifts the breast so when they drop, they are still acceptable.

How do you achieve a breast lift that doesn't touch the lower chest?

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