Breast lift: can you pull up nipple and remove excess skin above it, rather than push up below? (Photo)

What you want will not deliver the kind of results that you expect or desire. It will really only make your nipple look egg shaped. My best advice would be to schedule a consultation with a board certified plastic surgeon in your area to be assessed in person and talk breast lift options. My best,
Dr. Sheila Nazarian
@drsheilanazarian on Instagram

Althought this sounds good,  it doesnt work. there are a variety of techniques for these operations. Lollipop lift (vertical lift), donut
(periareola) lift, Benelli lift, crescent lift, anchor lift (inverted T ). Most commonly, we prefer the
lollipop or donut lift because of the shape, small scars and easier healing.
Although the “anchor-shape” or inverted “T” incision is still more popular in
the United States, it represents an older technique with extensive scarring and
a less optimal result in many cases. These newer techniques are utilized in the
vast majority of cases, the rare exception being extremely large breasts. The
nipple-areola complex is repositioned higher, the excess skin is removed, and
the breast is reshaped in a pleasing contour and in a more normal position.

The crescent lift removes a small amount of skin at the top of
the areola. We find that there is very little
lift and the areola becomes oval in shape and distorted with this
method.

The Benelli lift as performed by most surgeons is just the donut
lift, removing a donut shaped piece of areola and skin then using a
#Pursestring or double purse-string suture to tighten the skin. A true Benelli actually will expose much of
the breast through this incision and then the breast itself is shaped and
lifted with sutures. This is a more
complex procedure and is often not done as describe by Dr. Benellil.

Thanks for your question, and that's very good thought. Plastic surgeons are forever searching for new techniques for breast lift. But, the concerns you pointed out about the scar and long term results are true. Taking a bit of skin from the upper border of the areola tends to lead to an egg-shaped areola in time, and it tends not to hold up. Tightening skin from below seems to add some support, although nothing is perfect. However, mastopexy can be a very good procedure w/ high satisfaction rate. I'd meet w/ a plastic surgeon to discuss it. Best wishes.