Weiss/Anchor procedure vs. Vertical Incision or Lolliop? (photos)

Thank you for the question and pictures. Yes, I think you will benefit from breast lifting/augmentation surgery. Most likely the breast lift will involve a vertical mastopexy or Weiss pattern mastopexy (more specific advise would necessitate in person evaluation). Generally speaking, patients who are considering breast augmentation/lifting surgery should understand that this combination surgery is significantly more complex than either one of the procedures done separately. In other words, the combination breast augmentation / mastopexy surgery differs from breast augmentation surgery alone in that it carries increased risk compared to either breast augmentation or mastopexy surgery performed separately.
Furthermore, the potential need for revisionary surgery is increased with breast augmentation / mastopexy surgery done at the same time. This revisionary rate may be as high (or higher) than 20%. Patients should be aware of this higher revisionary rate; obviously, the need for additional surgery, time off work/life considerations, and additional expenses our “factors” that should be considered before undergoing the initial operation.
Personally, I find that the breast augmentation/lifting procedure to be one of the most challenging of the breast operations I perform, even compared to somewhat complex revisionary breast surgery. On the one hand, when performing breast augmentation/lifting surgery we are increasing the breast size with breast implants; on the other hand, we are reducing the breast “envelope” in order to achieve the breast lift. These two “forces” must be balanced as perfectly as possible in order to achieve the desired results. Removing too much skin/ breast tissue is problematic; removing too little breast skin/tissue can also be problematic. Remember also that patients presenting for breast lifting surgery and general have lost some skin elasticity/thickness making potential incision line healing problems and/or recurrent drooping/sagging important concerns to communicate.
Make sure you educate yourself about the “trade-offs” associated with breast lift surgery, including the presence of scars. Most patients who are carefully selected and are doing the operation at the right time of their lives psychosocially, are willing to except the trade-offs for the improvement in breast (and nipple/areola) positioning on their chest walls..
Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery/lifting ( regarding breast implant size/profile selection) is:


1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you're looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C or D cup” etc means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery.I hope this (and the attached link) help.

 Thank you for your question. In looking at your pictures I do not appreciate a large amount of skin to be excised. As a result the vertical reduction pattern (lollipop) would be my preference. Using a superior medial pedicle for the blood supply should promote a much better appearance and longevity with less likelihood to bottom out. The only potential downside might be limitation in volume of resection. This would have to be determined by exam. Best of Luck!