Crescent Lift or Full Lift? (photo)

Thank you for your question.  The goal appearance you desire for your breasts would require much more than a crescent lift.  Notice that your nipple location is at the bottom of your breast.  In order to achieve your goal requires that the breast tissue and nipple are relocated to a much higher position.  A crescent lift often results in a widened scar at the top portion of your nipple resulting in an elongated nipple and really doesn't reposition your breast tissue.  A vertical lift (AKA vertical mastopexy) or wise pattern mastopexy repostions your tissue providing an improved shape and works well with a breast implant.  Either of the latter two mastopexy types would be my recommendation for you. 

Because of the magnitude of the ptosis in the desire for a smaller areola a conventional mastopexy is a better choice..

               The breasts will require a full breast lift or vertical breast lift to achieve the appropriate balance.  The breast augmentation can be performed at the same time as the lift and offers the advantage of one surgery.  Find a plastic surgeon with ELITE credentials who performs hundreds of breast augmentations and breast lifts each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA