I am 21 years old, 130 lbs, no pregnancies. I hate the shape and size of my breasts. I want a more youthful appearance and bigger size but I am scared of the scars of the lollipop Mastopexy. Will I be able to get a good lift with a Crescent mastopexy and Breast Implants?
Answer: Crescent mastopexy vs. an Inverted-T mastopexy
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.
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Answer: Crescent mastopexy vs. an Inverted-T mastopexy
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.
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May 19, 2011
Answer: Breast Implant to Improve Size and Shape
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.
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May 19, 2011
Answer: Breast Implant to Improve Size and Shape
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.
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July 3, 2018
Answer: Breast lift and augmentation 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.
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July 3, 2018
Answer: Breast lift and augmentation 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.
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December 27, 2016
Answer: Crescent Mastopexy for breast augmentation lift 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
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December 27, 2016
Answer: Crescent Mastopexy for breast augmentation lift 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
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Answer: Crescent mastopexy with implants 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.
Helpful
Answer: Crescent mastopexy with implants 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.
Helpful
April 14, 2020
Answer: Will a crescent mastopexy work? 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
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April 14, 2020
Answer: Will a crescent mastopexy work? 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
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