Hi, I am 32 years old and my breasts looked like this for a while. Next to having fuller, perkier breasts I'd like to have a rounder nipple shape. The breast lift scar is a deal breaker for me so I am exploring other options. I ask myself if a simple implant might give me good enough results, maybe in combination with a periareolar lift but I am hearing mixed opinions on this procedure. Any advice would be much appreciated, thank you in advance.
Answer: Bellesoma Method Women are afraid of breast lifts because of the vertical scars associated with the traditional techniques. For that reason, an alternative was developed called The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers or small implants can be placed if additional volume is desired. Best Wishes, Gary Horndeski, M.D.
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Answer: Bellesoma Method Women are afraid of breast lifts because of the vertical scars associated with the traditional techniques. For that reason, an alternative was developed called The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers or small implants can be placed if additional volume is desired. Best Wishes, Gary Horndeski, M.D.
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July 8, 2025
Answer: Could I get a donut lift or only implants to restore volume / lift nipple? Great question. While you would definitely require an in-person consultation to see if you’re a candidate there has recently been an no-incision version of the periareolar lift described that might be a great option for your situation. The majority of surgeons will not be aware of it so don’t get discouraged if you reach out to a dozen offices before you find one that has a surgeon who can perform this, but it seems like it’s worth looking into. Hope that helps!
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July 8, 2025
Answer: Could I get a donut lift or only implants to restore volume / lift nipple? Great question. While you would definitely require an in-person consultation to see if you’re a candidate there has recently been an no-incision version of the periareolar lift described that might be a great option for your situation. The majority of surgeons will not be aware of it so don’t get discouraged if you reach out to a dozen offices before you find one that has a surgeon who can perform this, but it seems like it’s worth looking into. Hope that helps!
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July 8, 2025
Answer: Implant Hi, thank you for sharing your question. Based on this one view, you may be a good candidate for implants alone. A periareolar lift should suffice if one is deemed necessary after examination.
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July 8, 2025
Answer: Implant Hi, thank you for sharing your question. Based on this one view, you may be a good candidate for implants alone. A periareolar lift should suffice if one is deemed necessary after examination.
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July 8, 2025
Answer: Lift vs. Aug Patient concerns regarding the appearance of their breasts can typically be divided in two pools: volume, ptosis (droop). The procedures to address these issues are as different as the issues themselves. However, these concerns are not mutually exclusive. Many patients, whether they are aware or not, will benefit from both. There are two factors which can help to answer the question of which surgery will deliver the most satisfying result: mastopexy, augmentation or both. Patients must first consider the position of the NAC (nipple areolar complex i.e. the pigmented portion of the breast) as it relates to the inframammary crease. If the nipples are at or below the level of the crease the patient may benefit from a lift or mastopexy. The breast lift is designed to elevate sagging breasts to a more youthful position. It also helps to reshape and tighten the skin of the breasts. This is typically accomplished via a periareolar (around the nipple) incision with or without a vertical incision. Mastopexy is an effective way to address sagging breast, however, the changes which accompany weight loss or pregnancy can also decrease volume of the breasts. When a woman wants the volume restored, or increased, a breast augmentation will also be needed in conjunction with mastopexy. Augmentation can help restore the volume loss which is well known to women following children. There are a number of options available to women considering augmentation ranging from size and implant type to access incision. A breast augmentation alone may also be appropriate if ptosis is mild. If the patient is comfortable with the natural appearance of the breasts but desires them to be larger, a breast augmentation alone is the right procedure. Augmenting significantly ptotic or sagging breasts tends to magnify the problem. In these cases, a mastopexy performed in conjunction with an augmentation is preferred. With regards to your specific question, it is crucial to remember that these procedures are mutually exclusive and do different things. A lift will not restore volume and an augmentation will not lift. Based on your photos, you appear to be a reasonable candidate for augmentation (however, an exam is needed to be certain). Nipple position appears to be preserved making a full circumvertical/lollipop lift unnecessary. A donut lift is an option for very mild sagging. There is a procedure for every problem. To determine which technique is right for you, consult with a board certified plastic surgeon Patient should discuss their concerns with their physicians in order to make an educated decision.
Helpful
July 8, 2025
Answer: Lift vs. Aug Patient concerns regarding the appearance of their breasts can typically be divided in two pools: volume, ptosis (droop). The procedures to address these issues are as different as the issues themselves. However, these concerns are not mutually exclusive. Many patients, whether they are aware or not, will benefit from both. There are two factors which can help to answer the question of which surgery will deliver the most satisfying result: mastopexy, augmentation or both. Patients must first consider the position of the NAC (nipple areolar complex i.e. the pigmented portion of the breast) as it relates to the inframammary crease. If the nipples are at or below the level of the crease the patient may benefit from a lift or mastopexy. The breast lift is designed to elevate sagging breasts to a more youthful position. It also helps to reshape and tighten the skin of the breasts. This is typically accomplished via a periareolar (around the nipple) incision with or without a vertical incision. Mastopexy is an effective way to address sagging breast, however, the changes which accompany weight loss or pregnancy can also decrease volume of the breasts. When a woman wants the volume restored, or increased, a breast augmentation will also be needed in conjunction with mastopexy. Augmentation can help restore the volume loss which is well known to women following children. There are a number of options available to women considering augmentation ranging from size and implant type to access incision. A breast augmentation alone may also be appropriate if ptosis is mild. If the patient is comfortable with the natural appearance of the breasts but desires them to be larger, a breast augmentation alone is the right procedure. Augmenting significantly ptotic or sagging breasts tends to magnify the problem. In these cases, a mastopexy performed in conjunction with an augmentation is preferred. With regards to your specific question, it is crucial to remember that these procedures are mutually exclusive and do different things. A lift will not restore volume and an augmentation will not lift. Based on your photos, you appear to be a reasonable candidate for augmentation (however, an exam is needed to be certain). Nipple position appears to be preserved making a full circumvertical/lollipop lift unnecessary. A donut lift is an option for very mild sagging. There is a procedure for every problem. To determine which technique is right for you, consult with a board certified plastic surgeon Patient should discuss their concerns with their physicians in order to make an educated decision.
Helpful