Is a Circumareolar Breast Lift Needed for Perky, Natural Looking Breasts?

Hello, I'm 25 years old, 5'4", 120 pounds, never had kids. I'm wearing 36A cup bra and want small C cup breast silicone implants.

went to 2 doctors for consultation and one of them told me I need circumareolar type lift and breast augmentation. That's scare me because as you can see on the picture, I have scar from mole removal and I had that surgery 5 years ago.

Do I really need lift to have perky natural looking breast. Thank you for your informations!

Doctor Answers 14

Circumareolar Breast Lift For Perky Breast Not First Choice For You

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Thank you for your question.

I respect your concern about scarring. The Circumareolar Lift produces significant visible scarring and possibly puckering.

You are young and have not had children and your breasts are slightly constricted not really tubular.

I would start with a simple subglandular Breast Augmentation with Breast Implants.

This will fill your breast and give you the size that you want.

The implant will also through soft tissue expansion improve the shape of your breast and may also push the nipple areola forward and improve projection.

The scarring can be hidden under the breast and you may be very happy with the appearance.

If you decide later that you want elevation and projection of the nipple a lift can be done more accurately with better results.

Circumareolar Lift and Natural Perky Breasts

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Is a circumareolar lift necessary for you to achieve a "perky" breast? The short answer is no, but your situation is not completely straightforward. Your pictures indicate that you have a mild variation of a "tubular" breast shape. Which for you means that the base of your breast is somewhat narrow, the lower part of your breast in underdeveloped, and your overall breast shape is somewhat pointy or torpedo like. Also, your areolas are large relative to your breast size, the areolas are different sizes, and your breasts overall are different in size.  

So, how do you get a nice "perky" breast? An implant alone can get you a pretty good breast shape with some internal scoring or release of the lower pole. Given the apparent different breast size, corresponding different implant sizes could make you more symmetric. Another consideration might be a saline rather than gel implant as we will be relying somewhat on the implant to stretch out the lower portion of your breast. Saline implants do a much better job of modifying your breast shape, whereas gel implants tend to be shaped by your breast.

Then you have the issue of enlarged and assymetric areolas. Your particular breast shape is well suited to a circumareolar mastopexy. This type of mastopexy can reduce your areolar size and improve the assymetry however, this comes at the expense of a scar around your areola and you have to decide if it is worth the extra scars. This type of breast lift does tend to flatten your breast somewhat, however that works fine for your particular breast shape. A crescent mastopexy would not address your assymetry and just results in an unnatural scar with an elongated areolar shape. The scar from the mole removal has little predictive value for your breast scars. Your surgeon should be able to discuss these various considerations with you and together you can arrive at a balanced approach for your situation.

So your situation is somewhat complicated and ultimately requires various trade-offs in deciding what procedure, or combination of procedures, works well for you.

Circumareolar or periareolar lift with implant for tuberous breasts

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I would agree with your doctor that an asymmetric periareolar lift would benefit you in combination with an implant.

Make sure you don't fixate on a particular size, since too large of an implant can result in a messhapen breast.  Often a higher profile implant of moderate size is the wisest choice for your type of breast.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 194 reviews

Perky breasts may need a lift

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Thank you for your photos, there would be no way to answer your question with out them.  It looks like you could do fine with just implants to get the added fullness and perkiness you desire.  You should discuss this with your plastic surgeon to go over the finer issues.

A periareolar lift will decrease the size of the areola and give your skin a little more taught appearance.  These are qualities of a perky breast but would only be needed if you thought it was worth the added scars and expense.  You can always do the implants now and then opt to do a lift later if you wanted a different appearance.

Make sure you express your desires clearly to your plastic surgeon so you can get what you want.

Best Wishes

Dr. Peterson

Marcus L. Peterson, MD
Saint George Plastic Surgeon

Perky breasts-do I need a lift?

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Dear Breezy, Although it is nearly impossible to tell without examining you, I would tend to say yes.  The reason for this is slightly more complex because of your anatomy.  It appears you have a form of tubular breast deformity with a tight lower breast crease, an enlarged areola, and a kind of tuberous or topedo shape to the breast.  Your plastic surgeon will need to do several things to give you the best result including releasing the undersurface of the breast to allow it to expand.  I would also say do the lift as this will raise the niple and ive a more symmetric "perky look" to the breasts.  You might want to seek out several opinions before deciding on a plastic surgeon.  Good luck.  Dr. Schuster in Boca Raton FL.

To lift or not

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The decision to have a breast lift is made depending on the laxity of your breasts typically. Your nipple appear to be above the fold of your breasts at eye level which would not push for a lift.  Other factors may be your request that your areola be made smaller which would require the peri-areolar lift. You have some mild asymmetry to your breasts and would most likely benefit from different sized implants that can be decided upon in the operating room using sizers. The bottom line is that you don't have to have a lift but the best determinant is what implant size you like and if you want your areola smaller.

I hope this helps.

Dr Edwards

A circumareolar lift is ineffective. May wish to have implants alone now and possibly a vertical lift later.

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A circumareolar "lift" involves removing skin from around the areola.  It produces no significant lift and there is usually tension on the scar, distorting the areola.  If you need a lift, the vertical lift is more effective.  You may wish to have implants alone right now.  Later, if you develop more sagging with time, you can have a vertical lift, which is the best type for results.  I've attached a link to my website, showing vertical lifts.

Eric Swanson, MD
Kansas City Plastic Surgeon
4.7 out of 5 stars 62 reviews

Periareolar lift

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I would recommend a periareolar lift to raise and even up your areolas and also to do some release of your lower pole.  You have a mild tuberous condition.   Also, don't fixate on a bra size.  Bras are all over the place as far as sizing goes (like all women's clothing!).  Make sure you "try on implants" and the surgeon helps you select an implant with an appropriate diameter.

Lisa Lynn Sowder, M.D. 

Lisa Lynn Sowder, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 77 reviews

Is a Circumareolar Breast Lift Needed for Perky, Natural Looking Breasts?

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Your tuberous breasts ,more severe on the right , can be corrected with correction of the deformity combined with periareolar lift and augmentation.

Erel Laufer, MD
Dunedin Plastic Surgeon
4.7 out of 5 stars 35 reviews

Is a Circumareolar Breast Lift Needed for Perky, Natural Looking Breasts?

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Based upon photos only (and without the advantages of a physical exam) I would say that you can expect a attractive and desirable result with breast implants only. Even though you do exhibit a small degree of constricted breast shape variant, the pressure from the implants is typically enough to expand and release this phenomenon and produce a beautiful outcome.

Ryan A. Stanton, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 127 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.