Am I a good candidate for peri-areolar mastopexy? Goal is fuller, perkier breasts (photos)

Question

I want fuller perkier breast, a lift is recommended, I want to know if I am a good candidate for aperi-areolar mastopexy?

Semih Yildiz, MD, FEBOPRAS · Answer

In the visible photos, there appears to be some breast droop and lower-pole laxity, but the exact lift choice depends on nipple position, skin stretch, breast footprint, and implant goals on exam. A peri-areolar lift is best for very mild elevation or areola reduction; it is not a powerful lift.

If your goal is fuller and noticeably perkier breasts, a peri-areolar mastopexy may under-correct the shape or place too much tension around the areola, which can lead to widened scars, areola stretching, or a flattened breast shape. If the nipple needs more than a small lift, a vertical or short-scar lift with implants is often more predictable. An in-person measurement of nipple position and skin quality is needed before deciding.

Martin Jugenburg, MD · Answer

Hello, thank you for your question. You have natural breast tissue but to have them lifted most plastic surgeons will recommend a full lift anchor incision. Speak to your plastic surgeon about your options and feel free to check out our breast lift before and afters through our link.

Gianfranco Frojo, MD · Answer

Not many patients are good candidate for a peri-areolar mastopexy as this technique ONLY tends to work to reduce the size of the areola with minimal actual lift. In addition, peri-areolar scars tend to be wide, which can be particularly problematic in individuals with more pigmented skin. Please proceed with caution and make sure you see a very experienced board-eligible or board-certified plastic surgeon trained in breast surgery.

Leila Kasrai, MD, FRCSC · Answer

It depends on how much of an improvement you’d like. A donut lift achieves only a minimal improvement so it may not give you the result you want.

Gary M. Horndeski, MD · Answer

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.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Zoran Potparic, MD · Answer

Based on these photos, you need much mre lift than donut breast lift may offer. Vertical breast lift with lollipop scar would be my choice. Good luck.

Jeffrey Lisiecki, MD · Answer

Great question--your breasts do not appear to be ptotic, as your nipple-areola complex is above the level of the fold underneath your breast. For a fuller, perkier breast, you would do well with just a breast augmentation, either with implants or fat graft (or both) depending on your size and shape goals. Peri-areolar mastopexies have a very limited utility, as they tend to stretch out the areola and look unnatural with time.

Robert M. Tornambe, MD · Answer

I appreciate your concerns, and it appears from your photos that a modest lift can be achieved with the Peri-areolar approach. However, a much more effective lift will be achieved if a vertical component is added. I understand that this results in more scarring, however, that technique allows your surgeon to lift and shape your breasts in a better fashion. Come see me or another board-certified plastic surgeon in our area to explore the best options for you. Good luck.

Daniel Barrett, MD · Answer

Dear Inventive962298,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. 
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

You will probably need the vertical lift which will do a better job with shaping the breasts. Don't go too large with your implant, or you will sag again.

Am I a good candidate for peri-areolar mastopexy? Goal is fuller, perkier breasts (photos)

Answers (12)

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