Thank you for your question! I would reccomend you get a breast lift and replace your implant. Seek a board certified plastic surgeon who preforms these regularly. Best of luck!Dr Dhaval PatelDouble Board Certified Plastic SurgeonChicagoHoffman EstatesOak Brook
For your case you do need something to elevate your nipples on your breasts. You do have two options and both have their advantages but also their drawbacks. With implants under your muscle you are forced to do a lift. Based on this photo I do not think that a 'cresecent' or 'donut' lift will give you enough nipple elevation to make you happy. Adding the vertical scar allows more elevation. This scar, in my experience, heals well in most cases.
The other option is to place your implants over the muscle and use a slightly low implant position. This will elevate your breast without a surgical lift.
You would benefit from a breast uplift procedure
Thank you very much for your enquiry, I thank you for sending your photographs.
I agree that your areola is slightly large and the areola on the left side is slightly lower than on the right.
I think you would benefit from a breast uplift procedure and it maybe possible to perform a dough nut lift on the right but I think you would require a lower part incision on the left to go into the correct position.
Other surgeons may favor an areola incision around your areola but I think the amount of elevation of your nipple will be limited.
If you would like to see videos of me performing this procedure please visit our website or search for Clinics Aurora on youtube.
I do wish you the best of luck if you do decide to go ahead with treatment.
Best wishes yours sincerely,
Plastic and Cosmetic Surgeon
Surgical Director of Aurora Clinics
Should you have a breast lift and implants together
A breat lift and Implants together does increase the risk of of surgery - specifically losing the nipple and areola and the need for revision. However, it is safe to do under the right circumstances. For you, i think that a donot lift would help but will not lift all the way. A lollipop would be better and the scar on a lollipop lift usually heals well.
Breast augmentation and lifts
The point at which a breast is too ptotic (saggy) to augment with an implant in my opinion and experience is when the nipple is lower than 2 cm below the level of the inframammary crease behind it. If the nipple is at or above this level then an augmentation with an implant can be done with a minimal inframammary crease scar and the breast will get a lift "effect" although not a true lift.
Also if the nipple level is at or above the 2 cm below level then a mastopexy (lift) will not make much improvement and is probably not worth the scars and does not do what the patient is usually looking for.
Combining augmentation and lifts is doing two different operations on the same breast at the same time and they tend to work against each other. The degree of complexity goes up, predictability of outcome goes down, and the need for revisions goes up.
In general, a true lift needs a "lollipop" type incisional scar but some borderline situations can be handled with a periareolar incision alone and yours may be one of them. "Crescent" mastopexies are to be condemned as misconceived. I also disagree that the the size or weight of implants alone causes bottoming out.
Assuming an exam confirms the nipple level isn't too low, I would recommend an augmentation alone with a low profile implant that fits the width of your breast and will fill in the upper pole. This should give the effect of a lift and an increase of about a cup size. If you still feel you need a lift later then consider a periareolar lift but not at the same time as the augmentation.
Both of these procedures can be done under local anesthesia with IV sedation in an office setting that is properly experienced and accredited.
Correction of Breast Ptosis
Without a physical exam, it is impossible to make accurate recommendations. In cases of mild ptosis, I breast augmentation (dual plane technique) often can correct/improve very mild ptosis. If additional lifting is needed, a crescenteric or periareolar mastopexy should to the trick. Hope this helps.
Periareolar breast lif, breast augmentation, breast ptosis
You can have saline implants with periareolar lift. No problem. We do this type of surgery in our office on outpatient basis. Hope it helps. HC
Augmentation and Mastpexy Together
Correction of Moderate Breast Ptosis
I am a 48 years, 5'4" and 140 lbs. I had one child and breastfed. I want to improve the sagging and increase volume of of my breast but wish to avoid scarring if possible.
My nipples are slightly below the breast crease and my areola are rather large. I have opted for submuscular saline implants of approximately 350cc. I know that this will not correct my sagging, but I hope my lift would be crescent or donut, not lollipop. Should I get my lift done concurrently?
Difficult to say without an exam, but going strictly of the photos you have posted, a circumareolar or donut lift is not the procedure for you. You atleast need a vertical if not a full lift, no matter how big an implant you choose. Implants do not LIFT the areola, a mastopexy is what lifts the areola. Implants add volume and would infact makes things look worse in my opinion if you were to just get implants without a lift. A lift and augmentation can be done at the same time. I have in some patients added an implant to restore upper pole volume and done a breast reduction at the same time to not make the breast that much bigger, but essentially rearranging the volume.
What I would say is you are interested in improving the look of your breast. If by putting implants in and doing a donut lift does not improve the look of the breast, then why bother. You need to be examined and I would recommend seeing a few board certified plastic surgeons that feel comfortable and have done breast augmentation and mastopexy at the same time.
A fulle xam is needed but perhaps you can have a lift around the areola only with the implants placed. Hard to say withour an exam.
If you have already chosen a surgeon, he is the one to decide on how the procedures should be done. In general, it is quite safe to do an augmentation and periareolar or superior crescent lift together as long as you don't go too large. Be aware that a periareolar lift will usually enlarge the size of your areola.
RObin T.W. Yuan, M.D.