Will I need a lollypop incision after explant to reduce areola size and breast lift? (photos)
Doctor Answers 13
Areola Reduction Alone After Implant Removal
For the best results seek the consultation of a plastic surgeon certified by the American Board of Plastic Surgery. They have a website listing all the certified plastic surgeons. Members of the American Society of Aesthetic Plastic Surgery will all be board certified in plastic surgery and have demonstrated an interest and special skill in cosmetic plastic surgery as well.
Donut mastopexy or lollpop?
A donut lift is not powerful enough to treat the shape you have. The areolar size can be reduced at the time of the lift.
I commonly do this as a one stage procedure.
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Will I need a lollypop incision after explant to reduce areola size and breast lift?
I would recommend removing your implants first then perform a lift at a second procedure after the tissue had completely healed. This may be 2-3 months after the removal of the implants.
Delay the lift
As others have said, I would likely opt to remove the implants and capsules and wait a few months to let the tissues heal. Some patients do not ultimately want any more work done when staged like this...almost half actually don't desire the lift or areola reduction later. :)
John Di Saia MD
#Explant #BreastImplantRemoval - Will I need a lollypop incision?
For some people, the goal is the least amount of scarring, even at the expense of the shape. For others, the best shape is the goal, even if that means more scarring. What you choose will depend on what you want, and the guidance of your plastic surgeon, so it is worthwhile to visit a few different surgeons until you find one you're comfortable working with.
Often, the best ultimate result is achieved by staging the procedure - removing the implants at the first surgery and then waiting several months (some would say 6-12) to allow your breasts to contract on their own. At that point, you (and your surgeon) would be in a better position to decide what procedure, if any, would be best for you.
I hope that this helps and good luck,
Dr. Alan Engler
Member of #RealSelf500
Lollipop lift and explantation
Do I REALLY need a Lollipop Scar?
To get the results we want, we often need to do things which we would rather not do. Such as practice scales on the piano, so extra swimming laps, push away certain foods, read boring articles etc. Moreover, great results depend on doing what NEEDS to be done rather than shying away from it.
When you see a Plastic surgeon, it is important to know what would produce the BEST result - the one he/she would be proud to show at one of our meetings to thousands of fellow Plastic surgeons, NOT the one he/she could "get away with". It is then up to you to decide which outcome you prefer.
In your case, you demonstrate a so-called "Waterfall effect" the breast tissue is sagging and falling off very high implants. The doughnut incision suggests that you would have done much better with a lollipop incision at that time since it was unable to correct the sag AND seriously distorted the shape of your areolas. (BTW it frequently does it when used to overcome more than minor sagging of the nipple complex).
Once the sagging skin along the bottom of the breast is removed and tightened, thereby moving the breasts up and making them filler, you will have a vertical scar. The round shape of the lollipop is the result of an upward shifting of the breasts and restoring a circular appearance to the areolas.
I would encourage you to seek the best solution for you.
Dr. Peter A. Aldea
Explantation with lift
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