Crescent Vs. Full Lift with Breast Implants

I would agree with the periareolar / possible lollipop and breast augmentation opinion. Depending on factors such as implant size, tolerance for scars, need for projection, etc. a full lift might also be necessary.
We do not favor the crescent lift because it distorts the areola and is a weak lift, especially with your degree of asymmetry.

We prefer to use the #short-scar #technique, “#lollipop scar” or “#donut lift” rather than the majority of surgeons in the United States that use an anchor pattern lift which involve more significant #scarring.The #crescent lift removes a small amount of skin at the top of the areola. We find that there is very little lift and the areola becomes oval in shape and distorted with this method. Also, often patients will have a better shape to their breast such as increased superior fullness if an implant is used at the time of #mastopexy.

The answer to your question lies in letting you surgeon know specifically what you would like to look like following the surgery. For example, how perky do you want to be, how large (a "C" cup means different things to different people), what shape do you want to have, do you want more cleavage as your breasts are widely spaced apart, etc? The best way I have found is to bring in a medical photo from a plastic surgeon's website for discussion.  I would anticipate that the look  you desire may range from a periareolar lift to a lollipop type. If you want only a breast augmentation - make sure you discuss above the muscle (gives you a slight lift by itself) vs below the muscle implant position.

Hi there-
Please be aware that recommendations made based on photos should always be taken with a large grain of salt, as it is not possible to understand the qualities of your tissues in two dimensions....
Having said that, I think that if your goal is for your breasts to be as beautiful as possible, you would be best served by a breast lift (lollipop or inverted-T) with implants.
The most important thing, however, is NOT the procedural details, but the SURGEON you choose to do this on you. Choose well, and you should be happy for many years.
How to best choose a surgeon you like and can trust? Please read this:

Great question. From your photos it appears you have some asymmetry which you would benefit from correction with a breast lift. An implant alone will not be appropriate, and the peri-areolar or crescent lifts end up widening the areola and flattening the breast. I would recommend a vertical mastopexy with an implant on both sides because the scars should match. Discuss this plan with your board certified plastic surgeon.
I hope this helps.
Dr. Trussler

I believe that an augmentation with a lift is necessary. Whether a periareolar or a vertical (lollipop) lift is used depends on how much movement is necessary in the surgeons opinion to achieve the best result. Typically if the nipple needs to be raised more than 3 cm then the vertical lift will be necessary. You must realize that in surgery the lift portion of the procedure is very artistic, Each lift may be temporarily performed once the implants to determine the which lift will achieve the desired shape.