Breast Lift Options? Don't Want an Anchor Scar or Implants. (photo)

Your a great candidate for a mastopexy (breast lift).  At the very least with a vertical and most likely and anchor type lift with significant reduction of areolar size.  Most importantly, will need internal rearrangement of your current breast volume to achieve the best shape provide long-standing support with Strattice Contour.

Although it is difficult or impossible to determine from a single frontal view, you appear to have tuberous features.  If so, a good peri-areolar lift with implants to fill the skin envelope and parenchymal (breast gland) remodeling will improve the shape of your breasts (less "sagging") and leave a scar concealed in the border of your areolae without a vertical lower breast component or a scar in the crease beneath your breast.  You admit there is not excess skin under the fold, only on top.  If so, skin removal should be on top to lift the breast, not on the bottom, leaving the area below the areolae unscarred.  See case 11 in the augmentation-lift portion of feelbeautiful.com gallery for an example.

Hello,

Even the guy who 'wrote the book' on vertical type mastopexy, Dennis Hammond, MD and his famous SPAIR technique, would end up giving you a J or L shaped vertical scar, essentially half an anchor.  The problem is the degree of vertical excess of skin that you have requires an excision that either forms an inframammary scar in the case of an anchor incision, or is taken up in a giant circle of skin around the areola in the case of a vertical incision.  I have seen too many people walk into my office with devastating deformaties from surgeons who've tried to do a vertical mastopexy on the wrong candidate.

I agree with Dr. Rand.  99.9% of my patients find the appearance of their breasts much more pleasing with the incisions after surgery, compared to how their breasts looked before surgery. If you cannot come to terms with scaring, you are much better off doing nothing at all. You should be skeptical of the 'internal sling' lift.  If it sounds too good to be true....

Best of luck!