Is it possible to get a breast lift without a vertical cut? (photo)

Some surgeons may perform a peri-areolar mastopexy with an implant. The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

You apparently have Type II tuberous breasts with more volume on the right than the left.  Tuberous breasts have a constricted base.  Therefore, it you release the constriction through a periareolar incision, you won't need a lift at all because you can lower the fold instead of lifting the breast, and then put in a subpectoral implant.  Obviously, an in person exam would be necessary to confirm that your apparent tuberous breasts are, in fact, tuberous breasts.  First things first.  You need to find a plastic surgeon that can correctly diagnose the problem before decide on a solution.  I agree that a lift will put the nipples in a better position, but the apparent volume difference between the right and left breast, plus your desire to make both breasts bigger may not allow you to make the breast volume what you are hoping for.  You will need a larger implant in the smaller breast, but all lifts decrease the volume of the breast envelope, therefore making is not possible to put in a large enough implant on the smaller breast without causing tension on the lift scars leading to thick scars or stretched out areola.  I apologize for all the mumbo jumbo above.  Your problem is an interesting one, but you need to pick the right surgeon who will then help you decide on the right technique to get the outcome you are looking for.  CHOOSE THE SURGEON WHO CAN CORRECTLY DIAGNOSE THE PROBLEM.  DO NOT CHOOSE THE TECHNIQUE.

I never use vertical
scars on breast lifts.  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 and the ability to breast feed are maintained.  At the same time or later, fat transfers can
be performed if additional volume is desired. 
  Best Wishes,Gary Horndeski, M.D.

Thank you for your question.  A breast lift aims to correct sagging breasts with excess skin.  In breast lift surgery, excess breast tissue is removed and your nipple/areola is moved to a higher position on the new breast mound.  A breast lift will not enlarge a breast or make it fuller and/or larger.  If you are unhappy with the droopiness of your breasts and size then you would require a breast augmentation along with your breast lift.  I encourage you to discuss these options in greater detail with a board certified plastic surgeon.  Good luck! 

Based on your pictures I would recommend a vertical lift for best results, an in-person consultation would be best for a detailed exam and evaluation.Always see a board certified PS.

hello thank you for your question and provided information as well.. based in your question and the picture you showed you are a good candidate for breast lift  with implant in your case for best result you can apply for position sub glandular , its recommended if you get a consultation in person with a plastic surgeon to determinate how many cc do you need to the better results and what techinique do yo apply.

No, not in this case. Based on the photos- it appears that you would need a lift (and smaller implants can be put in).It will make your breast perkier and fuller- more youthful looking- in the right hands. If you only do Augmentation without a lift with large implants - it will only make your breasts more saggy.

Based on what I can see, I’m afraid I would have to agree with your doctor’s assessment.  Besides implants I think you would also need the lollipop scar lift or the anchor lift based on how saggy you are on physical examination and how much perkiness you want vs. how much scarring you want to avoid.  Implants can only lift so much breast sagginess and fill out so much loose skin.  You could avoid the lift and go with only the implants but your new breasts will be just bigger but still saggy breasts.  I would recommend going to see a board certified plastic surgeon who has lots of experience (and plenty of pics they can show you) with this type of lift because they are not easy to do properly.  Best wishes.

Hi fertuchez10,

Breast lift surgery aims to re-volumize the breast with either and natural implant or fat grafting followed by nipple repositioning using the lift. I prefer to use a vertical incision (lollipop pattern) breast reduction technique instead of the anchor scar pattern for more significant lifts. This reduces more noticeable scarring than usual. Mastopexy that requires less than 2cm of lift only needs a donut incision. Every incision is also closed in five precise layers without using reactive sutures that can cause inflammation and eventual scarring.

If you are considering a breast lift, you should consult with a board certified plastic surgeon to discuss your options and make sure your surgeon understands your goals. Only after a thorough examination you will get more information and recommendations.

Daniel Barrett, MD, MHA, MS

Certified, American Board of Plastic Surgery

Member, American Society of Plastic Surgery

Member, American Society of Aesthetic Plastic Surgery

A crescent mastopexy is a lift without a vertical scar.  It is a good option in some patients but patients are candidates only if they do not need much a lift.  A plastic surgeon can do a physical exam with measurements to determine which mastopexy or breast lift is an option.