I am 32 and I have 36 DD breasts with rather considerable sag on a mid-sized, 5’4” frame. I also have large aeoralas. While I definitely interested in a breast lift I am very worried about the lollipop and anchor techniques as I scar extremely poorly and I am prone to serious hyperpigmentation. Would a donut lift with repositioning and reducing the size of my aerolas help me achieve at least some of the results I want? I am not interested in breast reduction, only breast lift and aerolas.
Answer: Breast lift Dear Kind966616,
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Answer: Breast lift Dear Kind966616,
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July 8, 2024
Answer: Likely Too Large Your breasts are likely too large and ptotic (droopy) to have a good result from a periareolar procedure. You will need excess skin removed to improve the overall shape of your breasts with any considerable reliability. While scarring is always a concern, letting your surgeon know up front that you scar poorly can help, as he or she will likely be diligent with things like scar cream, silicone sheeting, steroid injections, and PDL lasers. It is always a difficult decision to proceed with a T scar (wise pattern) incision on patients that have a history of poor scarring, however I would not choose a procedure that would give you inappropriate results just to avoid a scar.
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July 8, 2024
Answer: Likely Too Large Your breasts are likely too large and ptotic (droopy) to have a good result from a periareolar procedure. You will need excess skin removed to improve the overall shape of your breasts with any considerable reliability. While scarring is always a concern, letting your surgeon know up front that you scar poorly can help, as he or she will likely be diligent with things like scar cream, silicone sheeting, steroid injections, and PDL lasers. It is always a difficult decision to proceed with a T scar (wise pattern) incision on patients that have a history of poor scarring, however I would not choose a procedure that would give you inappropriate results just to avoid a scar.
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June 23, 2024
Answer: Mastopexy You are a great candidate for a full mastopexy or breast lift/reduction. You will have nothing but problems and zero result with a periareolar or donut lift. With a mastopexy, you will have the standard "anchor scars", but you will also have a significant, durable result with reshaping and better proportion. You need to weigh your priorities and benefits vs scars, but I would not hesitate to recommend for rejuvenation of your breasts. See link for an example much like your situation. Thank you.
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June 23, 2024
Answer: Mastopexy You are a great candidate for a full mastopexy or breast lift/reduction. You will have nothing but problems and zero result with a periareolar or donut lift. With a mastopexy, you will have the standard "anchor scars", but you will also have a significant, durable result with reshaping and better proportion. You need to weigh your priorities and benefits vs scars, but I would not hesitate to recommend for rejuvenation of your breasts. See link for an example much like your situation. Thank you.
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June 13, 2024
Answer: Lift No, a doughnut lift will not be enough lift and may just wind up flattening your breasts. I would suggest the vertical lift. Scar treatment can begin once the tapes or stitches are removed and can be done for the next 6 months.
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June 13, 2024
Answer: Lift No, a doughnut lift will not be enough lift and may just wind up flattening your breasts. I would suggest the vertical lift. Scar treatment can begin once the tapes or stitches are removed and can be done for the next 6 months.
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June 12, 2024
Answer: Anchor incision with postoperative scar treatment would be your best option. You have a grade 3 ptosis and a donut mastopexy would be a poor choice to elevate your nipple/areola to the correct position and to tighten your skin. Donut mastopexies also have a high incident of the areola enlarging again due to traction from the surrounding tissues. Your best result would come from an anchor incision to elevate your nipple/areola to the correct position, to resect some excess skin from the lower portion of your breast and a reliable reduction of your areola. Immediately postoperatively, you could begin some silicone sheeting to give you the best scar quality possible. Have a detailed consultation with your plastic surgeon regarding this. Best wishes.
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June 12, 2024
Answer: Anchor incision with postoperative scar treatment would be your best option. You have a grade 3 ptosis and a donut mastopexy would be a poor choice to elevate your nipple/areola to the correct position and to tighten your skin. Donut mastopexies also have a high incident of the areola enlarging again due to traction from the surrounding tissues. Your best result would come from an anchor incision to elevate your nipple/areola to the correct position, to resect some excess skin from the lower portion of your breast and a reliable reduction of your areola. Immediately postoperatively, you could begin some silicone sheeting to give you the best scar quality possible. Have a detailed consultation with your plastic surgeon regarding this. Best wishes.
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