Crescent Mastopexy and Implants for More Youthful Breasts?

from your pictures it appears that the only way that you will be able to get perky breasts is to have an inverted-T or lolly pop breast lift. a crescent breast lift will not adequately lift your breasts.

This is a good question that is very common in my
practice. The crescent lift only works
in very small lifts or patients with small breasts. However the periareolar mastopexy would give
you a very good result as you only need a small lift. This will limit the scar to just around the
areola, which tends to hide very well as it is at the natural transition of
your areola and breast skin. The
combination of the periarealar mastopexy and implant will give patients like
yourself a very good result.

You do want to make sure that if you decide to go with a
periareolar mastopexy or Benelli lift that you do the procedure with someone
that has a lot of experience in this procedure as there are subtle technical
details that make a big difference in the outcome of your surgery.

Consult with your board certified plastic surgeon to discuss
the surgery.

I hope this helps, you look like a great candidate for a
breast lift with implant and will likely have a great result!

Among all women who desire improvement in the size and shape of their breasts due to changes from aging, weight loss and/or pregnancies, only a small percentage will achieve a satisfactory result with implant placement alone. This will depend upon the size of implant used and on the amount and location of excess skin, as well as on the position of the nipples. It is in a minority of patients that the skin excess and nipple position is favorable enough to allow a good result with implant placement alone, without using an excessively large implant. For most women, it is best to accept the additional scars of a vertical (lollipop) or Wise pattern (anchor) mastopexy, in order to achieve a more satisfactory breast shape. A crescent mastopexy does little to nothing to change the shape of the breast. It removes very little skin and serves only to lift the nipple/areola position slightly. A periareolar (donut) mastopexy will reduce and tighten skin only in the central part of the breast. This technique tends to flatten the breast and reduce projection. Because of this effect and other potential complications, periareolar mastopexies have the highest rate of dissatisfaction and subsequent revisions. In my experience, having an aesthetically pleasing breast shape is much more important for patient satisfaction than having minimal scars. Unfortunately, for most women in your situation, they cannot have both.

Thank you for you question and photos. As always, a consultation would allow me to give you a more definitive answer but based on your photos I would recommend a circumareolar mastopexy and breast augmentation. This incision would avoid the vertical portion of the lollipop lift but would require an incision around the entire nipple. This allows us to reduce the size of areolar and improve the nipple position. I hope this helps. 

Unfortunately I don't think a crescent mastopexy approach with breast implants will work well in your case.

In general, while there is perceived advantage of less scarring involved in a crescent mastopexy approach, the long term aesthetic result is actually very suboptimal due to uncontrolled stretching of the crescenteric scars in giving a very "elongated" and irregular shaped areolar complex. 

A proper breast augmentation lift requires attention to all components of appropriate resection of redundant breast tissue, filling of the deflated breast volume with the appropriately sized implants and tightening of the breast skin envelope before lifting both the breasts & nipples to higher positions with the most favourable dimensions. Unfortunately this will not be possible without suitable scar placement (either a lollipop or anchor scar pattern) on the breast mounds to achieve all these surgical objectives. 

It's also important to appreciate scar quality relates not only to scar quantity and the long term success of any favourable surgical outcome is about the perfect balance of all these competing factors and tradeoffs/limitations that is right for you. It's always best to seek a proper in person consultation with a fully qualified specialist plastic surgeon for further advice.

Hope that helps.

Best wishes

Ellis Choy

I really hesitate to put large incisions on the breast. You may be best off using a crease incision and getting an appropriate size high profile implant alone. You can come back to the lift later on several years later if needed at all

Thank you for your photos and question.  Looking at your breast shape, you will be able to achieve a bit of a breast lift with just the implant, particular if you go to a larger size breast.  Its possible that this may widen the size of your areola.  A circumareolar mastopexy can really improve this.  Years ago, goretex suture was used for this...which often eroded through the skin.  Today, a barbed suture can be used to grip the tissue and create a smaller areola...which lasts much longer.  This may be a good option for you.  I would discuss this at length with your board-certified plastic surgeon.  Best of luck!  Dr. Pacella

Thank you for the question. From the photographs it appears lack of breast volume in upper pole and increased size of areola with drooping of the nipple. To achieve a pleasing result, you would need an augmentation with implants but also need moving the nipple up. A crescentic uplift will address the upper part of the areola . A vertical uplift can address both the areola in all areas and also address the excess skin in the lower pole. Please see a consultant plastic surgeon to discuss the operation and various options available to give you the desired results.

Generally for patients with your breast type I would not perform just a crescent mastopexy. It can lead to an oval looking areola, and widening if you try to do too much lifting with a crescent mastopexy.
You mentioned you hate the shape of your breasts, this will not be changed with a crescent mastopexy. I can change the shape of breasts with a vertical lift however.
Best,
Dr. Richland 

Thank you for sharing your photo! Sorry, but a crescent lift is a very limited procedure as far as what we can achieve with it and you are not a very good candidate for one.... actually most patients aren't. One option that will help, but will not totally correct your issues, is a Donut Lift with implants. 
I feel your best option would be a Full Anchor Breast Lift with Implants. A better shape and better nipple position can only be corrected with a lollipop or better yet, an anchor lift. This, plus the correct size implants will give your the best results possible. 
If you are not ready for scars now, do not get anything done yet. In cases such as yours, scars are not the problem they are actually the solution. Large  implants can help chape the breast and help give the illusion of a lift, but the only way to get rid of tissue and or lift tissue and tighten the skin is with incisions and therefore scars. 
Best of luck!
Dr. Miguel Mota

While the short scar of a crescent mastopexy may be appealing, when you consider what this small procedure does, you will realize that is has no power in shaping the breast or making significant change, other than raising the nipple a few millimeters.       If you are considering any type of lift, I would urge you to consider accepting the scar of a vertical lift.       It would reduce the size of your areola and reshape your breasts.    A circumareolar lift may be worth considering, but that scar does not always heal well.