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

Question

I'd like to be a D and have my breasts lifted. However, I don't want large scars, and I have been told I would need the lollipop procedure if I want breast augmentation. They would need to cut under each breast, lift my boobs, reposition my nipples, and then insert the implants. Too many scars - this was not my hope at all. Comments are appreciated. My pic is attached. Thanks.

George Marosan, MD · Answer

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.

M. Scott Haydon, MD · Answer

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!

Angela Champion, MD · Answer

From your photo, it does appear that you will benefit from a breast augmentation and a lift.  The breast augmentation will increase your volume and the lift will remove the excess breast tissue and reposition your areolas to a more central position on your breast mound.  Yes there are scars from the lift procedure, but most patients are happy with the results and can overlook the scarring.  There are also many treatments that can help minimize the appearance of the scars which you can discuss with your surgeon.  ac

Herluf G. Lund, Jr, MD · Answer

Dear BajanQueen007,  One of the myths of breast augmentation that I would love to destroy is that breast implants alone will significantly raise breasts.  Implants add volume and they can make a small impact on lifting the breasts but only a very small impact alone.  This is why so many women do require both a breast lift and a breast augmentation to achieve the breast size and shape they desire. Though your photos are limited and cannot replace a consultation and an examination, a vertical mastopexy (Lollipop Lift) is probably needed to obtain the results you desire.  The incisions will fade and the shape will remain. Please consult with a board-certified plastic surgeon who can help guide you on your goal to rejuvenate your breasts.

Curtis Wong, MD · Answer

and if you're trying to avoid scarring, the lollipop is the best way to achieve that.  I'm sorry but scars come with the procedure and goal of having rejuvenated breasts.  Some doctors will sell you on the peri-areoolar lift and if they are willing to guarantee their results and longevity, get it in writing and go for it.  Unfortunately, if you want perkier breasts, you must accept scars.

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

Answers (10)

Answer: Breast Lift Without Scars

Answer: Breast Lift Without Scars

Answer: You do need a breast lift

Answer: You do need a breast lift

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Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.

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

Answers (10)

Answer: Breast Lift Without Scars

Answer: Breast Lift Without Scars

Answer: You do need a breast lift

Answer: You do need a breast lift

Browse related questions

Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.