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Hi, thank you for sharing your question. Your photos show grade 2 ptosis. This is unlikely to correct well without a lift. A crescent lift will lead to an unsatisfactory result.
Nipple position is a little low, but your breast fold is to long for a crescent lift. That little scar can't hold the breast up properly and will widen and the lift will fail. Even a "do-nut" or circular scar around the nipple is at risk of the same thing. If you add an implant, the risks of these procedures are all magnified.A lift that does not use just your skin to reshape the breast but instead reshapes the internal tissues and hold it into shape is the gold standard to avoid pressure on the scar, which leads to thickening, widening, and poor color/texture..
Thank you for your inquiry. We would love to sit down with you and talk about your concerns and goals. You can achieve fullness/volume to upper poles of your breasts with fat transfer or implants. A lift would be discussed at a consultation if its needed. Schedule a consultation with a Board Certified Surgeon.
In my opinion, the best option is implants alone if nipple position is acceptable and skin laxity is minimal. This avoids lift scars and still improves shape and volume. A crescent lift is only useful for very mild elevation or asymmetry and does not correct true sagging.If there is moderate to significant skin laxity, a full breast lift with implants is the correct procedure. Skipping the lift to avoid scars usually leads to poor shape and faster drooping.Whenever you’re ready:Let’s make it better.Warmly,Dr. Luis Mejía, MDBoard-Certified Plastic SurgeonCECILIP – Dominican Republic
A crescent lift will not give you much lift if any at all. Also it can stretch out the areola and leave widened scar. If you don’t want the scars of a lift you are better off doing no surgery at all
Scarring concerns are completely understandable. However, when there is breast ptosis, placing implants alone does not produce a healthy or aesthetically balanced result. Implants add volume but do not lift the nipple, which can make the sagging appear more pronounced over time.The crescent lift is only appropriate for patients with very minimal sagging and is generally not indicated for this breast type. In most cases, combining implants with a proper lift provides a more natural, balanced, and long-lasting outcome. With modern techniques, lift scars are typically minimal and tend to fade significantly over time.
based on photos alone, A crescentic lift is not likely to give you a satisfactory aesthetic result. A periareolar lift is rarely a good surgical option on its own. It can be used when a small amount of movement is needed for nipple positioning and when there is limited skin redundancy. In your case, there is both the need for moderate elevation of the nipple position, as well as removal of excess skin in the lower portion of the breast. This would be best accomplished via a lollipop vs anchor scar pattern. While patients worry about these scars, I tell them that it is best to have the operation that is needed the first time around. trying to force a specific technique when it does not suite your anatomy is a recipe for needing a second surgery. Sean FisherAesthetic Plastic SurgeonSeattle, WA
Based on the image, in my opinion there is mild to moderate breast ptosis (sagging) with asymmetry in nipple position and breast volume, which is very common especially after time, weight changes, or prior implants/pregnancy. An implant alone would not fully correct this, as it won’t r...
Given your history (PIP rupture with silicone leakage, multiple revisions, capsular contracture, explantation, muscle damage, and breast tissue loss), it is absolutely reasonable to avoid implants going forward.Yes — you can still have a lift even when there is “not much to lift.” A lif...
Most minor breast revisions can be done under local anesthesia with light sedation. More extensive procedures may require heavier, monitored anesthesia or general anesthesia. These options can be discussed with your surgeon.
Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and...
Hi there — your story is incredibly common after multiple pregnancies and years of breastfeeding, especially with a small frame. What you’re describing is not true “sagging.” It’s actually volume loss with very thin breast tissue. Important point: If the breast has no remaining tissue,...
Based on what you’re describing (noticeable asymmetry, concern about shape rather than size, and possible tuberous features) and according to your photos, a periareolar (donut) lift alone is very unlikely to be enough.Why a periareolar lift falls short hereA periareolar lift can:Slightly e...
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