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.

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.

Thank you for your question! looking at your photos, it appears as though you have a moderate amount of ptosis or drooping of the breast, unfortunately, I do not think a crescent lift will give you the results you are trying to achieve. I would likely recommend a benelli lift (periareolar lift) which will decrease your areola size along with lifting the areola to a more satisfying position on the breast, this type of lift can be done in conjunction with a breast augmentation to enhance upper-pole fullness and overall volume. I would recommend scheduling a consultation with a board certified plastic surgeon. Best of luck!

To get the results you are looking for with your breasts, incisions will be necessary. The scarring after incisions occur for a number of reasons including your genetics, the skill of the surgeon making the incision, and follow up after care. In our office we include scar specific skincare suggestions for patients for at least 3 months after surgery. 

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. 

No, I don't think you are a candidate for a crescent mastopexy. They don't work very well in my opinion and you will need at least a vertical or full mastopexy to look perky.

I am not a huge "Crescent Mastopexy" fan.  There is a common myth out there that says: "I don't need a mastopexy with potential scars---I just need a small lift and a large implant." Uh...No.  It may sound good, but is not true.  When standing if your nipples are below the fold underneath your breast when you draw a line right through the breast to that point --- you need a breast lift.  The lower the nipples...the more the lift... and the more the scars.  About 20% of my breast practice now is revisional from other surgeons and this problem along with capsular contracture is the most common problem surgeons revise...doing more of a mastopexy that should have been done in the first place.Plus crescents tend to create a vertical oval shape to the nipple.If your nipples are low - you need a mastopexy.  Don't be afraid of it.  You are trading your nipple position for potential scars, however the scars around the nipple generally heal well and the vertical scar that everyone tends to get their undies in a bunch about generally fades and is barely visible particularly in lighter skin patients who tend to not form hypertrophic or keloid scars here.My suggestion is if you don't want a visible scar and you need a mastopexy, don't have surgery.  You need to be very honest with yourself and ask which bothers you the most...your nipple position or the potential of visible scars.All my Best!Bradley Bengtson, MDGrand Rapids, MI

Thank you for your question!  Based on your photo with your arms elevated, it is slightly more difficult to assess.  A crescent mastopexy is not a true breast lift, rather more of a nipple relocation.  I don't think you would be too happy with using this technique to enhance your breast shape.  An inverted T mastopexy or lollipop lift is a true breast lift and could improve your shape, although you don't have a bad shape at all.... With these types of lifts though, it could affect your ability to breast feed if you plan to have kids someday, so please keep that in mind.  I would consult a board certified plastic surgeon to help assist you make an informed decision.  I hope this helps!