Do I need a Crescent Lift along with Implants or will Implants alone suffice? (photo)

Question

I had a consultation for Breast Augmentation yesterday, the plastic surgeon yesterday told me that because my nipple is at the same level as my crease, I need a crescent lift because the implant won't look right without it. I was thinking about asking if I can just have implants and ask for a lift later if I find it necessary. I just need more knowledgeable opinions, thank you! *sorry I had to crop the photos a lot, I'm heavily tattooed

Kenneth Hughes, MD · Answer

A breast augmentation can be performed initially with the understanding that a breast lift may be necessary later.Kenneth Hughes, MDLos Angeles, CA

Gary M. Horndeski, MD · Answer

A
crescent lift is inadequate and I recommend a new technique called Breast
Augmentation with Mini Ultimate Breast LiftTM.  Using only a circumareola incision it is
possible to reshape your breast tissue creating upper pole fullness, elevate
them higher on the chest wall and more medial to increase your cleavage.  Through the same incision, implants can be
placed.  Aligning the areola, breast
tissue and implant over the bony prominence of the chest wall maximizes
anterior projection with a minimal size implant.  Small round textured silicone gel implants
placed retro-pectoral look and feel more natural, are more stable, less likely
to ripple or have complications needing revision.  Implant profile is irrelevant in the
retro-pectoral position since the muscle compresses it.  I would never lower a patient’s inframammary
crease.  High perky breasts are
attractive, lowering the inframammary crease does just the opposite. Best Wishes,Gary Horndeski, M.D.

William T. Stoeckel, MD · Answer

It appears as if your nipple to IMF distance is relatively short. This would indicated that you might be able to avoid a breast lift and still have a nice result. I would suggest augmentation alone, allow the implants to settle for 3 months, and then decide if you really need a breast lift. You probably will do fine without one.

Douglas L. Gervais, MD · Answer

Dear littlewing327, Thank you for your photos. I would agree with most of the other surgeons...I would perform a augmentation alone with a lowering of your infra-mammary crease and a bi-planar release. I'm confident this will give you the results you are seeking and you can avoid the extra incisions on your breast. Good luck. #Dr. Gervais

Gregory T. Lynam, MD · Answer

I agree no lift to start.  You have a short nipple to fold distance and  with a dual plane technique  with a small amount of fold lowering you should be fine. Lowering the fold does not correct true ptosis or droop but in your case it is should work well. Good Luck!

Charles Cope, MD · Answer

Hi. I do not think that you will need a lift - lowering the inframammary fold at the time of surgery is probably all you need. If in doubt my advice is to just have the breast augmentation, rather than committing to a scar around the areola - a small lift can always be performed later under local anaesthetic in the office if you are not happy with the nipple position. Regards Dr Charles Cope

Adrian Richards, MBBS, MSc · Answer

Thank you very much for your
photo, in my opinion I do not think a crescent lift would be sufficient to lift
your nipples to the required degree. This unfortunately is the case because
your right nipple is slightly lower than your left and your nipples need to be
elevated a number of centimetres on both sides.

Crescent lifts are normally used
for small elevations of the nipple and I think if this is used in your case it
will not give you the result you wish for.

For more information about other
types of breast uplift procedures, please look at our website:  aurora-clinics.co.uk. Here you will see videos of the
procedure being performed and give you an understanding of what’s involved in
the various uplift procedures.

With best wishes,

Adrian Richards

Jeremy Pyle, MD · Answer

Photos can be a little deceiving but the point you make is exceptionally likely to be correct. If a person asks for an augmentation but also would benefit from a lift, my practice is to give them the options you describe.  One option is to do the augmentation first and see how you like the position of things. Your case is not so obviously in need of a lift and an appropriately sized augmentation may look beautiful.  If you decide, down the line, that it is not, the option remains to do a lift.  Doing the two surgeries separately provides the most predictability for the surgeon and is the easiest on us.Doing them together, when necessary, saves the recovery time and expense of a second surgery for you.  Combining the two has the highest rate of revision surgery for breast operations, however, and requires great skill to get right the first time.  One could argue that a reasonably high revision rate leaves the possibility for a second operation when a staged approach guarantees it.  So to most, the preferred option is to combine the two.The most important part of your question, however, is that you are asking it. Plastic surgery requires an exceptional amount of trust and a good, open relationship between surgeon and patient. If you are not 100% comfortable with your surgeons opinion, it is time to look elsewhere. He or she may be the right surgeon for you but it is likely worth looking around to find out.Best,Dr. Pyle

Darryl J. Blinski, MD · Answer

I sometimes recommend a secondary surgery to avoid the lifting scars. But you most likely would need a donut lift over a crescent lift in my over the internet opinion. Also make sure your inferior quadrants are released..

Robert Whitfield, MD · Answer

Please find an experienced Board Certified Plastic Surgeon
and member of the Aesthetic Society using the Smart Beauty Guide.  These Plastic Surgeons can guide you on all
aspects of facial surgery, breast augmentation and body procedures including
tummy tucks or mommy makeovers!

In breast augmentation I have chosen to spend time reviewing
photographs with patients to fully understand their expectation of size and
shape.  Many times this simply raises
more questions.  I will make measurements
and use the implant guides to allow the patient to understand exactly the sizes
that are reasonable for their body type and measurements. I use lifts that normally are a complete circle around the areola to help litt and tighten

Do I need a Crescent Lift along with Implants or will Implants alone suffice? (photo)

Answers (19)

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