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

Question

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!

Brent Moelleken, MD · Answer

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.

Larry S. Nichter, MD, MS, FACS · Answer

It is very difficult to determine the  best lift technique or exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the link below.#breastlift#ba#breastimplants

Richard J. Bruneteau, MD · Answer

Your picture suggests breast
hypoplasia, minimal breast sag, and mild breast asymmetry. Under these circumstances, it’s reasonable to
perform combination breast augmentation, breast lift surgery through a
circumareolar approach.This type of
procedure could address all of your aesthetic concerns.If you’re concerned with scarring, it’s reasonable to
perform the breast augmentation as an initial maneuver.There’s the possibility that this may be
enough to meet most of your aesthetic goals.If not, a secondary circumareolar breast lift could be performed at a
later date.It’s important that you thoroughly discuss these options
with your plastic surgeon.Your surgeon
should be able to help you formulate a treatment plan that addresses your
anatomic findings and achieves your aesthetic goals.

Eric Swanson, MD · Answer

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.

Ryan A. Stanton, MD · Answer

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.

Erel Laufer, MD · Answer

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

Marcus L. Peterson, MD · Answer

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

Steven Schuster, MD, FACS · Answer

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.

Michael C. Edwards, MD, FACS · Answer

Breezy,

	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

Brooke R. Seckel, MD, FACS (retired) · Answer

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.

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

Answers (13)

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