Is a lollipop incision necessary for my breast implant and lift? (photo)

Thank you for your question and photo. Although your photo is a limited frontal view of your breasts being pushed down by your clothing, you will need a breast augmentation and a lollipop or vertical scar lift to achieve your desired size and shape. A periareolar lift will not do. I personally mark the breasts for a short scar lift preoperatively. In surgery, I place the implants first (in your case could go under the breast tissue only) and then measure out how much skin and lower pole breast tissue needs to be removed safely and to give you a great result. An augmentation/lift is a difficult operation and needs to be done correctly the first time. In the plastic surgery literature a 30% reoperation rate is cited. See a board certified plastic surgeon experienced in this procedure and review their pre and postop photo album. Good luck.

Thanks for your ? and pic. It might be daunting to have more surgery and more scars but it is absolutely necessary. The short scar "lollipop" would work well for you. Your case is a little difficult because you have a wide areola and what appears to be a high and tight crease at the base of the breast. The size of the areola will need to be reduced and technically there may still be a small amount of peripheral areolar tissue that is pigmented on either side of the vertical scar. I think that once your scars fade they will be faint. Overall you will end up with an improved shape and be happy. Make sure you find someone in your area that is experienced and is an ASAP member. Best of Luck!

If you do not want tthe full lift, you might consider placing the implants just under the breast tissue for a "natural look", or only lifting around the areola with placing the implants just behind the breast tissue. If implants are placed behind the muscle and a full lift is needed but not done, you could have the odd 4-breast look.