Peri-areolar lifts and possible risks? (photo)
Doctor Answers 11
Mini Ultimate Breast Lift(TM)
Gary Horndeski, M.D.
Should I get a breast lift
First, if you are right at the border, you might consider just doing a breast augmentation because you will not be burning any bridges, so that you can have a breast lift when you really need it!
As for the peri-areolar lift, yes there is a risk that the areola can spread out. i think the risk is small because most people use a permanent suture in a circle to keep the areola the size you want. However, even with that, it can still spread out.
I don't think you need to avoid this breast lift, just make sure you really want a lift - all a lift adds is moving the nipple up and a peri-areolar lift, doesn't move it very much at all.
I'm sure you'll make the best decision!
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I don't think you're a candidate for a periareolar lift, an anchor incision breast lift as well as an implant placement will give you better results as well as enhance your breast to make them beautiful.
Periareolar lift vs traditional lift
Periareolar lifts don't lift breast tissue or properely tighten breast skin envelope which is essential to have a good result. Areolar stretching and distortion is unnecessary price to pay for no essential gain. Not worth it.
Your photos clearly demonstrate that you will have a better outcome with regular breast lift at time of implants. Improved breast shape will justify associated scar. Have a regular lift.
Periareolar lift risks
Some of the main risks include pain, lack or loss of nipple sensation, areolar widening, and inability to breastfeed. Make sure you understand all of the risks before proceeding with surgery.
One way to completely avoid areolar stretching is to use a special permanent suture during the lift (which is what I do) to maintain the shape and size after augmentation. I think this type of lift can give you a beautiful round shape. Good luck!
Perioareolar Breast Lifts
1. wide loosing of the skin of the breasts before closing the incision to eliminate tension on the incision. Tension can produce a widened scar and stretched areola.
2. using a permanent locking suture around to areola so that it will maintain it's size.
Breast augmentation with a lift
Thanks for submitting your picture, though side view would have been very helpfull to assess your droopiness. From you picture it appears that you definitely need some kind of a lift - mini or full, because just augmentation with implants will be very unattractive. The implants will be riding high and could even exacerbate the droopiness. Augmentation with mini lift is very common in my practice and areola distortion is rare to non existant. Consult with board certified plastic surgeons and check their before and after picture to make sure that you like the results.
Best of luck,