What is the most appropriate breast lift for bottom heavy breasts? (Photos)

Dear Wrightsville,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. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thanks for your inquiry, I believe you would benefit from a lollipop type lift, best of luck. 

Thank you for you question.   The inverted T incision allow you more flexibility in the shaping the breast. Depending of the size desire that technique offer the most versatility to for the breast.

With your particular breast shape, you are more bottom heavy than top heavy. Consequently since the bottom of your breast is the heaviest and the droopiest, find a surgeon that will not keep that part. It’s the worst part why use it!?For this reason I am a huge fan of the upper pedicle Mastopexies (superior pedicle, superior medial, superior lateral).  And this is also why I am not a fan of a lollipop lift because it leaves too much tissue on each side of that vertical scar, and has a tendency to drop postoperatively on each side of the scar.  Remember, it is an implant that gives you the most upper pole fullness, so you will be a bit perkier but not much roundness in the upper part of the breast. 

Great question!From the photo that you provided, it does appear that you would benefit from breast revision surgery.  While you have a nice amount of volume to the lower pole, you have a moderate degree of droop and upper pole volume loss.  To address this, and assuming that you are not interested in replacing your implants I would recommend the following:Formal breast lift (to help lift and shape the breasts to create a more youthful appearance)Fat Grafting (to replace lost volume to the upper pole and help create a more optimal overall appearance)Make sure you consult with a Board Certified Plastic Surgeon who specializes in breast enhancement procedures.  I hope that helps and wish you the very best!Warmest regards,-Gregory A Buford MD FACS PCEOBoard Certified Plastic Surgeon and Author

You are an excellent candidate for 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, if not injured during your previous surgery.  At the same time or later, fat transfers can be performed if additional volume is desired.Best Wishes,Gary Horndeski, M.D.

Hello and thank you for your question. Based on your photographs, you are a great candidate for a vertical or wise pattern breast lift.  This can be designed to result in an improved shape and contour of your breasts while minimizing scar appearance.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.  

Best wishes and good luck.


Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon
 

You would do well with the vertical lift or even the anchor lift. The doughnut lift is not an option for you and will not give a pleasing shape.

If you're just wanting perky, a lollipop lift is recommended with auto-augmentation.  Those Bellasoma prophets will tell you they do a better job so if you decide to go that route, make sure they are willing to put in writing what your anticipated outcome will be or they can pay to fix it.  With lollipop lifts, we can predict with near certainty what look you will have.  Now if you want to be larger, you are going to have to add an implant again or consider fat grafting for a more modest augmentation.  Best wishes in getting what you are hoping for.

Hi,

By definition most breasts requiring a breast lift a bottom heavy. The simple answer to your question is that the best technique is the one that works best in the hands of the surgeon you choose.
Look at several of their before and after photos and ask them to show you examples of good AND bad outcomes.
Good luck.