Is is possible to perform a vertical scar breast lift without implants on me?

I do not recommend vertical scars for any breast lift because they are unsightly and can widen.  The technique I recommend is The Bellesoma Method.  This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.  Later, fat transfers can be performed if additional volume is desired.Best Wishes,Gary Horndeski, M.D.

Hello, some surgeons feel that they can get good results from a vertical lift even on patients with advanced ptosis, but I find that for my patients with major sagging, the anchor scar lift often yields better results.  Also, some surgeons who do exclusively the vertical scar lift purposely leave the nipple lower than ideal to avoid the look of "pseudootosis" in which the nipple is high but there is still excess tissue hanging on the lower part of the breast.  If I am debating which type of lift will look better I "tailor tack" the breasts when the person is asleep, and alter my plan if necessary to achieve better results.  Every surgeon has techniques that work well in their practice so it is important to get multiple opinions.

An in person consultation would be best for a better evaluation to determine if one of three options is best for you to achieve upper pole fullness: breast implants which you have ruled out, breast lift (The vertical lift can be used for more severe droopiness. This lift involves a vertical and a periareolar incision and is referred to as circumvertical, or lollipop lift) only if you are happy with the size of your breasts, breast lift with fat transfer (Results are largely dependent upon the skill of the surgeon, his/her ability to remove fat without creating contour deformities, and your expectations. You would need a consultation with a board certified PS to determine your available fat stores and type of breast lift to meet your goals with the smallest possible scar.

Lollipop scar breast lifts typically leave the breast mound with recurrent sag and/or nipples to high, especially with women whose breasts have significant vertical skin excess, like yours. Opt for the anchor scar lift. As for breast implant illness, there’s no data to suggest that it’s real, so don’t let that stop you from getting breast implants. 

I would perform a different procedure. I would perform a standard lift with anchor scars which will at least give you some upper fullness without an implant. You could have the implant added later if you want. The reason not to do the implant at the same time has to do with increased complexity and risk because your nipple is being moved pretty far. I will perform single stage in patients that don’t need to be lifted as far as you do. If you go to surgeons websites you will find very few photos of cases that start like you and get an implant in one stage with the lift.

A lollipop lift without implants is definitely possible.  Best to come in for a consultation so that the expectations from that procedure can be shown.

You'd have a nice natural look with a vertical mastopexy (I do a Lejour technique), and depending on the quality of your breast tissue you could get some roundness to the upper pole as well, with no worries about an implant.

Yes!! You can definitely avoid implants if you wish. You are an excellent patient for a breast lift without implants, as long as you are not interested going bigger. There is no need to be scared of an extra scar though, not if it means your going to get better results! A small anchor lift will lift your breasts much more then a lollipop lift, and it will even tapper and tighten your breasts much more. Basically it will give you better results, and most importantly longer lasting results.The only difference between an anchor lift scar and a vertical or a lollipop lift scar is the horizontal scar on the breast fold. In experienced hands this scar can be done very small and it can easily be hidden within the fold. This is never a problem and it heals even better then the vertical scar. This scars is responsible for tapering the base of the breasts and when necessary, it adds more lift and is the best way to achieve e nice round and defined shape at the base. Try to think of these scars like part of the tools a surgeon needs to perform a best lift..... the more tools we have at our disposal, the better results we can offer.Best of luck,Dr. Miguel Mota 

Bottom line is you want a lift with minimal scarring there are threads that can be used to elevate the breast. This would leave minuscule entry points. However the tried and true technique for best long term results are the vertical or anchor approaches. I prefer the vertical approach and tailor the inferior bump it creates with a slight horizontal component. Implants are not necessary. Vectra 3 dimensional imaging may help you. See a board certified plastic surgeon you are confident in. Good luck. 

Without examining you it is difficult to be certain but based on the photos it looks like it would be the ideal procedure for you. I would personally never propose an anchor lift to someone with as little ptosis as you. The nipples appear to be only a few centimetres below the inframammary crease so an anchor lift would, in my hands, be complete overkill. Most north american surgeons default to the anchor lift, but it is really only necessary in the most extreme circumstances. Book a consultation with a few more board-certified plastic surgeons near you until you find one confident that they can offer what you are looking for. Hope that helps!