What do perky C cups really look like? (photo)

A vertical breast lift or reduction would be a reasonable option
just based upon your photos. Find an expert in breast surgery who has
great reviews and great before and after photos.Kenneth Hughes, MDLos Angeles, CA

Thank you for your question and photo.Allow me to give you my opinion on what a perky breast should look like...A youthful breast is not about size. What makes a female breast beautiful is a high position on the chest, skin tightness, symmetry, round shape, firmness, areolas that are proportionate to the size of the breast and the least amount of scars possible.In your case, I would not give you a highly visible vertical scar, nor would I reduce the size of your breasts. Your breasts are causing back and neck pain because the weight of the breast is on your skin envelope pulling and aggravating your sensory nerves. There is a new technique called the Ultimate Breast Lift that does not require a vertical scar and that anchors your breast on to your chest muscle to provide long term results and relieve back/neck pain. So, you see a reduction is not necessary to alleviate the pain. Your chest muscles will carry the weight for you. Your areolas will be reduced and your breasts will be reshaped and repositioned higher on the chest wall. Should you insist on a reduction, it can be achieved with the same technique.Best wishes,Gary Horndeski M.D.

Hello,If you want your breasts smaller, you could have them reduced safely. Given the degree of sag, your areolar width, and your desire for being small (and I assume tight), a formal type of anchor incision breast reduction would give you the best result. Any answers you get from this website does not replace an in-person consultation with a plastic surgeon who is expert in all forms of cosmetic breast surgery. Risks, benefits, and alternatives will be discussed with you so that you can make the most informed decision possible. Best of luck!

A breast lift would address your concerns in regard the shape, position and areola size. A breast reduction could do all this also, but would also make your breasts smaller. The question is, do you feel your breast are too big or just too low and saggy. I usually ask my patients how do they feel about their breast size when they are up in a good supportive bra. If you feel they are about right size then, maybe only a lift. If you feel your breast are way too big up in the bra then you probably need a true reduction. Most of the patients I have had with your appearance have picked in between with a lift with small reduction.  That way I try to get exactly what they want. Discuss all this with your plastic surgeon.

If you want a volume reduction, then get a reduction.A lift will not relieve the symptoms you describe. In looking at your photo it certainly would be reasonable to have only a lift, but the surgery is about making you happy.As for the technique, a lollipop incision only describes the incision - not the technique. I prefer the Lejour technique to the Hall-findlay technique because of durability, shape and ease of scar healing.All lift and reduction techniques will make the nipple areolar complex smaller. I give my patients three choices for areolar diameter - 38mm, 42mm and 45mm. A simple rule of thumb is that larger nipples and breast volumes get larger areolar diameters.If you would like more information on breast lifts, please read my book " Cosmetic Breast Surgery - a complete guide from A to double D".