Peri-areolar lifts and possible risks? (photo)

if you end up with the breast distortion and areola stretching that is possible after a peri-areolar lift with breast implants, is it something that happens over a period of time or do you tend to see it right away? if it does happen over time, how quickly do you tend to start noticing it, and is it very noticeable? in general, should most people avoid this type of lift? i was told i am right at the border line of needing a lift with my implants, so surgeon is leaving it up to me.

Doctor Answers 11


It can occur at any point after your surgery but usually occurs within the first year.  See a BC PS in your area.


Toronto Plastic Surgeon
5.0 out of 5 stars 35 reviews

Mini Ultimate Breast Lift(TM)

You are an excellent candidate for a new technique called The Mini Ultimate Breast LiftTM. Using only a circumareola incision it is possible to reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage. Aligning the areola and breast tissue over the bony prominence of the chest wall maximizes anterior projection and may eliminate the need for implants. Small round textured silicone gel implants placed retro-pectoral look and feel more natural, are more stable, less likely to ripple or have complications needing revision. One of the complications of the periareolar lift is the widening of the areola. If this does occur and you are dissatisfied it can be revised at about 3 to 6 months. The great advantage of the periareolar lift is it avoids the ugly vertical scars of the Wise pattern or lollipop lift, maintains nipple sensation and the ability to breast feed.

Best Wishes,

Gary Horndeski, M.D.

Gary M. Horndeski, MD
Texas Plastic Surgeon
4.6 out of 5 stars 222 reviews

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!

Bivik Shah, MD
Columbus Plastic Surgeon
4.4 out of 5 stars 26 reviews


Thank you for the question.

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.

Jaime Campos Leon, MD
Mexico Plastic Surgeon
4.4 out of 5 stars 251 reviews

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.

Vasdev Rai, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 23 reviews

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.

Jeffrey E. Schreiber, MD, FACS
Baltimore Plastic Surgeon
5.0 out of 5 stars 201 reviews

Periareolar Lift/augmentation

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!

K. Roxanne Grawe, MD
Columbus Plastic Surgeon
4.9 out of 5 stars 137 reviews

Perioareolar Breast Lifts

Thank you for you picture.  I perform periareolar lifts with implants frequently.  The areolar area can become stretched but it can be minimized or eliminated by:
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.

Dr. ES

Breast augmentation with a lift

Dear smilemaker,
     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,
                             Dr Widder

Shlomo Widder, MD
McLean Plastic Surgeon
4.8 out of 5 stars 124 reviews

Periareolar lifts and possible consequences?

The periareolar lift is commonly used when indicated, which is for mild-moderate breast sagging. It's main the advantage is minimal scarring. Special suturing is used to minimize the chance of spreading of the areola. But patients vary in their healing, and their results. You should consult with a Board Certified PS with extensive experience using the periareolar lifting approach. Good luck!

George Lefkovits, MD
New York Plastic Surgeon
3.8 out of 5 stars 46 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.