Can breast lift such as periareolar technique be used on mine? (Photo)

Dear Powerful380781,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Hi, thank you for sharing your question. You are not a candidate for periareolar breast lift because your amount of ptosis is too great to do that procedure safely.

A periareolar or donut type lift would be extremely inadequate and provide very little lift of your breasts. Unfortunately, any procedure that would provide adequate lift will have visible scarring.

Absolutely not! Do not let anyone talk you into a peri-areolar lift, it will be a disaster. You will need a formal, full "anchor" style breast reduction to meet your expectations. Of course, there are the scars, but the overall life benefit is such that I would not hesitate to recommend. Thank you and I hope this helps.

Thank you for your question. The periareolar breast lift procedure is best suited for individuals with minimal saggy breasts. Also, a periareolar lift or lollipop breast left will not give you the support and lift needed. The best way to raise and reshape your breasts is with a full breast lift, which removes extra skin, tightens the surrounding tissue, and repositions or resizes your areolas and nipples. Although you expressed worries about scarring, it's important to know that breast skin heals differently than tummy tucks. Scarring can also be reduced with postoperative care involving laser treatments and silicone gel sheeting. However, talking about your goals and worries with a board-certified surgeon who can offer you individualized guidance is important.

It seems like you are not a suitable patient candidate for periareolar lift. Your excess skin needs to be removed with anchor scar . Just because you have a dark scar in abdominoplasty does not mean that you will have it in breast surgery, you can get good results with appropriate techniques and proper care.
Best Wishes
Erman Ak M.D.

Hello,
Thank you for your inquiry regarding the most suitable breast lift technique for your case. After reviewing your history and photographs, it's clear that a peri-areolar breast lift (also known as a Benelli lift or 360 areolar mastopexy) would not be sufficient for achieving the desired outcome. Considering the extent of breast ptosis (sagging) you have, which appears to be grade 3, a more comprehensive approach is necessary.
The recommended procedure in your case would be an anchor or inverted T mastopexy. This technique is more extensive than a peri-areolar lift and is designed to address significant sagging effectively. It involves incisions around the areola, vertically down from the areola to the breast crease, and along the breast crease, forming an anchor shape. This allows for a more significant lift and reshaping of the breast.
While you mentioned concerns about scarring, particularly based on your experience with tummy tuck scars, it's important to note that breast skin often heals differently. Furthermore, different suturing techniques are used in mastopexy compared to a tummy tuck. Postoperative care, including the use of silicone gel sheeting and possible laser treatments, can also help minimize scarring.
Undergoing a less extensive procedure like a peri-areolar lift might not meet your expectations and could lead to disappointment. Therefore, for optimal results, an inverted T or anchor mastopexy is advisable. However, it's crucial to discuss your concerns and expectations with a board-certified plastic surgeon who can provide personalized advice and a detailed explanation of what to expect from the surgery.

I hope this information assists you in making an informed decision about your breast lift surgery. Good luck!
Sincerely,
Dr. Katzen

The only way to improve your Brest will be with Breast lift in inverted T, nothing else will solve your trouble

Thank you for your photographs. A periareolar incision for a nipple/areolar lift is usually only possible if you’re moving the nipple/areolar approximately 2 cm upward. Your nipple/areolar position is far too low for this to be effective. To give you the best result you would require a minimum of an inframammary incision and a periareolar incision. However, the best way to get rid of the excess vertical and horizontal skin excess of your breast would be to have a standard Wise pattern breast lift/reduction, and to use immediate scar treatments to give you the best outcome. A detail consultation with your plastic surgeon will help you best understand how to achieve your best result.

Thank you for your question and photo. The short answer is no. You will be extremely disappointed and I do not believe that any board certified plastic surgeon will offer a periareolar lift for you. You are not even a candidate for a short scar or vertical lift, you will need a full anchor lift to reduce and reshape your breasts. Obviously, scarring is a major issue with most patients, and there are ways to minimize scars. Your genetics play a major role in how you scar, but the technical ability of the surgeon can contribute to that as well. See a board certified plastic surgeon experienced in breast surgeries for an in person consultation/evaluation. Good luck.