Am I a candidate for a crescent lift? (Photos)

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.

Sorry this isn't what you want to hear.... Unfortunately, you will not achieve the best aesthetic result with either of those options and it wouldn't be my recommendation as a surgeon. Your best bet would be proceed with a breast augmentation and full anchor mastopexy (lift). Discuss your scar concerns with your surgeon, they should be able to provide suggestions/treatments to optimize scarring after surgery.

Hi — this is a very common and very important question, especially if you’re concerned about scarring.Is a crescent lift appropriate in your case?In most patients who are considering implants and already have noticeable breast descent, a crescent lift is unfortunately not sufficient.A crescent lift:Provides very minimal nipple elevation (usually 1–2 cm at most)Does not reposition the breast tissueDoes not correct lower-pole skin excessDoes not prevent future sagging, especially once an implant is addedSo while it has a small scar, it also has very limited power and a high risk of dissatisfaction.What about implants without a lift?Implants alone:Add volume, not liftOften make sagging more obvious over timeCan worsen lower-pole stretch and lead to bottoming outIf you already don’t “do well with scarring,” needing a revision later because the shape isn’t right is usually far more frustrating than accepting a well-planned scar upfront.What actually works best for your anatomyBased on your goals and anatomy, the most predictable and durable solution is:

The scar burden of a breast lift varies directly with the degree of ptosis/sagging. The more significant the correction needed...the greater the scars.

Slight ptosis can be corrected by a "donut" or circumareolar mastopexy/lift. Moderate ptosis may be addressed via a "lollipop" lift or vertical mastopexy. The most significant degree of ptosis will necessitate an "anchor" or Wise pattern scar.

Based on your photos, you would likely need a Wise pattern/anchor lift. A crescentic lift would likely be inadequate. There is always a surgical trade off-scars for results.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Donovan Rosas MD

Board Certified by the American Board of Plastic Surgery

Member: American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons

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Hello, thank you for sharing your photos.Based on my initial evaluation, I notice some volume loss accompanied by mild sagging. In your case, there are two possible treatment approaches. Of course, the most accurate recommendation can only be made after an in-person examination.If your goal is to have significantly larger breasts, it may be possible to proceed without a lifting procedure. However, in my professional opinion, the best and most balanced result would likely be achieved with a breast implant that is well suited to your body proportions, combined with a lifting procedure (possibly periareolar)Please keep in mind that the final decision will be made during your in-person consultation, as it will depend on your physical measurements and your personal goals and expectations.

Your nipples are located below your breast fold, therefore a full breast lift would be more suitable. Anything less would not be sufficient.

Thank you for your photos. A breast augmentation will make your breasts slightly larger and add additional weight to your breast causing slightly more descent of your breast secondary to that weight. The augmentation would not change the position of your nipple. A crescent breast lift would only elevate your nipple a maximum of 2 cm. While a crescent lift does help a minimize scarring, it does not allow reshaping of the breast, as would a lollipop incision or an inverted T-incision. If you would be content with a small elevation of your nipple then a crescent breast lift would be a good option. Discuss this in detail with your plastic surgeon.

Thanks for your question! Your droop is too much for a crescent lift. You will need to commit to at least a vertical lift to get a good, perky result. The good news is that there are a lot of options for scarring - ie: microneedling, scar gel, silicone sheeting, lasers, etc. Good luck!

You are not a candidate for a crescent lift. Many women refuse breast lifts because of the scarring associated with the traditional techniques. For that reason, an alternative was developed 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 (in 95%) and the ability to breast feed are maintained. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

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..