Will lollipop procedure be enough lift or do I need anchor? (photo)

Question

I'm booked in to have a breast lift with implants...the surgeon only really provides lplipop and I'm concerned that lollipop may not be enough lift and I'll need anchor?

Daniel Barrett, MD · Answer

Dear Exciting368439,

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.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Gulcin Nujen Cardak, MD, FEBOPRAS · Answer

According to your pictures I can surely say that vertical scar (lollipop) breast lift and implants will be perfect solution for you. Your sagging is not severe, so the anchor lifts won’t be necessary for your case.

Emmanuel Mallol Cotes, MD · Answer

Thanks so much for your question,

The anchor (inverted-T) lift offers more extensive tissue removal and tightening, which can provide a stronger lift, especially bases on your pics which shows  a lot of excess skin or significant ptosis (sagging).

If you’re getting implants, the volume added can sometimes help with the appearance of lift, even if the skin isn’t as tight. But, if the skin is too loose, the lollipop lift alone might not provide the ideal outcome.

It could help to discuss your concerns openly with your doctor, possibly asking them to show you before-and-after photos of patients with similar concerns.

Sincerely,
Dr. Emmanuel Mallol

Guler Gamze Eren, MD · Answer

Hi from İstanbul,Many thanks for your question.
I would use the reverse T scar technique for this type of breast lift and implant surgery. The lollipop technique can carry a risk of longation of the vertical scar. However, this depends on the quality of your skin and tissue thickness, so a physical exam is important to make a definitive decision.
Best luck,Dr Gamze Eren

Leila Kasrai, MD, FRCSC · Answer

Your nipples are located below your breast fold and are pointing slightly downward. Due to the significance of the sagging, a more aggressive lift than a lollipop would most likely be needed.

Harry T. Haramis, MD, FACS · Answer

In my experience, best result would be anchor (T) lift with implants for upper fullness. The scars will be hidden in most bra, clothing tops.

Lollipop will not allow proper removal of skin tissue and will not allow for optimal breast reshaping.

An exam and consultation with a plastic surgeon is recommended to discuss your options and expectations.

Ronald J. Edelson, MD · Answer

The plastic surgery community is somewhat split as to whether you would be better off with an anchor or lollipop lift. It’s great to get by with the lollipop to avoid the extra scars.  It depends on how much confidence you have in that particular surgeon. Ask to see other cases similar to you

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. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Miguel Mota, MD · Answer

Excellent question! I believe you are right to assume that a lollipop lift is not enough. I don’t understand why a plastic surgeon would only offer a lollipop lift. I’m pretty sure he knows how to do other techniques. Every patient is different so surgeons should be a costumed to providing different techniques for different breasts. 
You obviously need more than just a lollipop lift. The anchor lift with its horizontal scar across the breast fold is the scar that actually lifts the most. It also helps tighten the breasts, gives it projection and helps define the breast fold. I suggest you ask for a more aggressive lift technique. Any technique anchor lift scars will do.

Best of luck,
Dr. Miguel Mota

Ted Eisenberg, DO, FACOS, FAACS · Answer

Please click on the link below for results of women similar to you, all with anchor lift. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Will lollipop procedure be enough lift or do I need anchor? (photo)

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