Which lift to fix waterfall deformity? (Photo)

Question

I had 235cc implants under the muscle in dual plane position with a crescent lift over a year ago and they don’t look good! Hate the result. Need to get fixed. What option would be best for me? Lowering implants? Another crescent lift or a vertical lift? Help pls!

Daniel Barrett, MD · Answer

Dear Graceful762099,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. 
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Richard Baxter, MD · Answer

A vertical (lollipop) lift usually works best for waterfall deformity or ptosis (sagging). You need more than a Benelli but not a full anchor pattern.

Vishnu Rumalla, MD · Answer

Thanks for your inquiry and excellent question. I would recommend a vertical lift. You have too much glandular ptosis for another crescent lift to help, best of luck.

Ramiro Morales, Jr., MD · Answer

Thank you for your question and pictures.  I would not recommend another crescent lift as this will not address the persistent droopiness of the breasts that I believe is what you are displeased with currently.  Lowering the implants may help some but more so I think that you are right that a vertical lift or lollipop lift may be your best bet.   Be sure to see a Board Certified PS for your consultation and revision surgery.  Best of luck!

Connie Hiers, MD, FACS · Answer

The crescent lift is not really a lift and does not hold. You need a lift to move the breast up and the nipple up.  Measurements are needed to be certain, but you might get by with a per-areolar lift or the vertical lift. You do not need the anchor lift.

Which lift to fix waterfall deformity? (Photo)

Answers (5)

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