Seeking breast lift WITHOUT vertical scars. Any suggestions?

I agree with you about the vertical scars being a 'deal breaker'. As a plastic surgeon, the vertical incision down the center of the lower pole of the breast is unacceptable. For this reason, many years ago, I began developing a new method to rejuvenate the female breast with the least incisions possible.  A longer lasting technique was also needed than what was being seen with the old standard lifts. The Horndeski Method (TM) was designed to create upper pole fullness without implants and without the need for a vertical scar. The breast is secured permanently to the underlying chest muscles providing an active lift. Your areolas can be easily reduced as well with this method.I hope this helps.Best wishes.Gary Horndeski M.D.

Hi WTS,I am sorry but it sounds like you are in a tough situation.  If you desire a smaller implant, and could live with a the same size areola, you could be a candidate for a dual plane augmentation, but I would have to examine you and would have to discuss your tolerances.  See the excellent answers below.  These would reduce your areola, like you desire.  So there are many options.  Put an index card in your breast
fold. If your nipple is at the edge of the card or below, then you would
be a candidate for a lift, either a vertical or anchor or areolar. If you
nipple is above the edge, you could be a candidate for an internal lift called
the dual plane.  All the best, Dr. Joe

It is very difficult to accurately assess your particular situation from the description alone. Generally speaking, while the vertical scar may be the deal breaker for you, it is also probably going to be the deal maker for you. When the breasts sag and droop they typically have loose and stretched out skin across the lower aspect of the breasts. When this skin is removed, the best way to then tighten up the breasts is to bring the skin together in the horizontal and vertical directions under the nipples. I will also tell you that it does not always take a big implant to make a big difference for patients and just because someone has implants it does not mean that they necessarily have big breasts. You might be a good candidate for a minor lift with a small implant but you may need a vertical scar if you want your areola reduced and your skin tightened. I would encourage you to have a couple of different consultations to really see what your different options may be.