Vertical lift or anchor lift to correct benelli? Opinions please! (Photo)

Hello (again!),I want to reiterate again that vertical lifts rely on circumareolar reduction to get any vertical reduction of skin.  It too is not the best way of transmitting forces and directly removing skin redundancy.  Additionally, vertical lifts almost always increase the distance from nipple to inframammary fold, raising the nipples (unless a large circumareolar reduction is used).  In fact, anchor lifts are used to repair the high riding nipples after poorly performed vertical lifts.I think that your desire to eliminate the need for a permanent blocking stitch and to have the finest scars with smaller areola precludes the vertical lift, and makes the anchor scar lift the best bet.  Please keep in mind that the inframammary portion of the anchor lift does not have to extend across the entire bottom of your breast.Best of luck! 

Your pictures suggest a relatively good result considering the severity of your original tuberous breast deformity. Unfortunately, you continue to have several residual areas of concern. These include spread and distortion of the areolas, periareolar scarring and what appears to be a relatively tight skin envelope.Although your pictures are helpful, it's virtually impossible to make a specific recommendation without a physical examination. In general terms, several therapeutic maneuvers might be helpful.Switching to a smaller implant might decrease skin tightness and increase the number of options available to the surgeon. Increased skin laxity can then be utilized to help address spread and distortion of the areolas and periareolar scarring. This additional skin laxity might result in residual skin sag. Under these circumstances, conversion to either a lollipop or anchor type mastopexy may be indicated as well. These maneuvers have the potential to significantly improve the contour and shape of the breasts.The combination of periareolar mastopexy and breast augmentation is often associated with excellent clinical results. Unfortunately, this procedure has limitations when patients have significant breast deformities. If you're unhappy with the results of your previous procedure, it's important to consult your plastic surgeon. Your surgeon should be able to formulate a treatment plan that addresses your concerns. 

Your breasts currently look fine.  There is the possibility of the areola stretching out with time.  If that were to occur, you could have your lift converted to a vertical lift with the lollipop scars.  That procedure will prevent dilation if the areola.  If you do have the lift converted to a full lift,  you will almost certainly need to reduce the size of the implants used, because there will be less breast skin to cover them.

Your scars are still maturing.  They should be taken care of and you should consider waiting at least a year after your surgery to have them revised.  I recommend my patients to wear very good support bras after these procedures to take the tension off the incisions.  Your overall result is very good and I would be hesitant to perform any revisions at this time.

      Downsizing the implant and a revision of the lift to vertical or anchor is probably the most reasonable alternative.  I always try to perform the procedure with the smallest possible scar without compromising shape.Kenneth Hughes, MDLos Angeles, CA