Dear Polite5245,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. There is a chance that perareolar lift can be done under local anesthesia for well select patients. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
A circumareolar lift is a limited lift for selected patients. There is a choice of mastopexy incision patterns but this is not for the candidate to select but rather for the surgeon to deem which is most appropriate.For very slight degrees of ptosis a periareolar lift can be used to address the limited sagging while resizing the areola. There is only limited skin exicision and limited movement of the nipple areolar complex (1 or 2 cm at most). Inappropriate application of this technique usually leads to sub-par results including loss of projection and a longer flatter breast as well as spread or widened scar and areolar distortion/distensionWith regards to your specific question, the procedure can be performed under local (although this is not preferred). Costs will vary from practitioner to practitioner and region to region. Anesthesia will have an impact as well.As always, discuss your concerns with a board certified plastic surgeon (ABPS).Donovan Rosas MDBoard Certified by the American Board of Plastic SurgeryMember: American Society for Aesthetic Plastic Surgery, American Society of Plastic SurgeonsRealSelf Verified MemberRealSelf Top 100RealSelf Hall of Fame