60, female - Is it possible for me to get a lift where the inframammary crease is visible? (Photo)

Question

im a 60yo female interested in a breast lift and possible implants . Is it possible to get a lift where the inframammary crease is visible . all the pictures i see it just looks like the nipple is moved is up and the breast tissue isnt actually lifted . this is not the aesthetic im looking for. Is it feasible to achieve the look i want at my age?

Gary M. Horndeski, MD · Answer

The technique I recommend is 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 and nipple sensation (in 95%) is maintained.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear what2do,

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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Guray Yesiladali, MD, FEBOPRAS · Answer

Thank you for your thoughtful question &mdash; and you're absolutely right to focus on the overall breast shape, not just nipple position. This is a common concern among patients exploring lift options.

Ira H. Rex III, MD · Answer

You probably will not find exactly what you are looking for.  Because of the dynamics of breast tissue and skin, the lower part of the breast tends to round out and cover the inframammary fold.  This happens with almost all breast lifts.

Shlomo Widder, MD · Answer

Dear Virginian,
        Thanks for posting your picture. From observing your picture Your breasts appear C cup with ptosis (droopiness) level 3. Also , the right nipple is closer to the midline than the left one and that can be corrected in order to achieve symmetry. I have been in practice for 38 years and what I have noticed through the years is that women at your age do not like large breasts. A fair number of my patients who got large breasts in their youth , request reduction at older age.  so, I would think that just a full lift (key hole) will satisfy you. However , if you would like  larger breasts that can be done with implants. The full lift procedure gives you nice projection, fuller upper pole and tighter lower pole that exposes the sub mammary crease.
    Always, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures in the photo gallery, to make sure that they are numerous and follow the above mentioned description plus nice scars.
                          Best of luck,
                                                  Dr Widder
                                        widderplasticsurgery.com

Jeffrey M. Darrow, MD · Answer

Thank you for your photo.  You have nearly a Grade 3 ptosis.  A lift ( with or without an augmentation), will position your nipple/areolar to the correct level and can initially tighten the skin of the lower breast enough so all the breast tissue is above the inframammary crease.  However, the effects of gravity and the loss of tissue strength and elasticity at age 60 will very likely cause the breasts to settle some and cover the inframammary fold to some degree.  The addition of an implant, which will add additional weight, makes the settling more likely.  One possible option to increase the strength of your native tissues so that they support the weight of your breast better would be to add some form of a tissue scaffolding, which is implanted at the time of the lift, then incorporates into your tissues and leaves the tissues stronger than they were to begin with. You can discuss this in detail with your plastic surgeon. Best wishes.

Ted Eisenberg, DO, FACOS, FAACS · Answer

This result is because patients who need a lift have lost some elasticity of their skin secondarily to either significant weight change and/or stretching of the skin from the milk of pregnancy. I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Tuan A Truong, MD, FACS · Answer

Thank you for your question. From the photographs, you would benefit from a breast lift. You are absolutely correct in noting that position of the nipple-areolar complex is moved, but a "full" lift will also move the breast tissue as well. This is also achieved with more skin tailoring, so the scar would be larger, i.e. lollipop or anchor. To address additional fullness, a small implant may be placed at the time of surgery. Despite all of these maneuvers, all breasts eventually "settle" and the inframammary crease is not always visible. Factors such as skin and tissue laxity, breast weight and scarring ability are just a few things to consider when looking at long-term results. Good luck on your journey!

Joshua A. Halpern, MD, PA · Answer

A breast lift lifts the nipple, and the excess lower pole skin is removed. I invented an operation called the breast lift/shift. In this procedure not only is the breast lifted, but I shift the breast tissue higher on the chest giving more upper pole fullness.

Darryl J. Blinski, MD · Answer

Based on the one posted photo you’re request is that your results show more of a higher riding breast lift with implant. This is possible but might need two stages potentially. Expect first stage to feed range from $10,000-$15,000. Best of virtual consult with for better explanations.

60, female - Is it possible for me to get a lift where the inframammary crease is visible? (Photo)

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