Can I get a lollipop scar breast lift? The last pictures are what I would like my breast to look like. (photos)

Dear Ms. Novalee,Thank you for your question, information, story and photos. Nothing substitutes for a personal evaluation and a face to face discussion of your options.Based on your photos and not being abel to examine you or take measurements I believe you will need both a mastopexy (lift) and augmentation to attain a normal looking breast.If you just have a breast augmentation you may have the "snoopy dog" appearance:When/if breast mound is in the correct position on your chest the resultant effect is that the nipple areolar complex (NAC) auto rotates down (like a waterfall). Resulting in a odd shaped breast and the NAC pointing downward.You have several choices to consider.My responses:BREAST LIFT1) the reason the breast sags is that the "skin covering" is proportional larger than the breast tissue.2) the majority of your breast tissue is below where the breast mound should anatomically be located.3)if you refill the volume only(breast implant)... the nipple areolar complex (NAC) will rotate over the top of the implant like a "waterfall" resulting in a full breast mound but unfortunately a downward rotation and location of the NAC.4)the only method known to create a aesthestically acceptable breast will require trading incisions/scars on the breast for a pleasing contour and relocating the NAC.5)depending on your desires (shape and size) the scar may vary from:A) just around the nipple (doughnut)B) to a added vertical incision (lollipop)C) to include a horizontal incsion in the breast crease (anchor)6)while breast incisions/scars are required....there are ways to modulate/improve the appearance of the scarring process.BREAST AUGMENTATION 1)size: Bra manufactures unfortunately have not standardized their bras...therefore cup sizes (A,B,C, etc.) are rough measurements. Breast implants are filled by cc.'swhich is much more accurate. So purchase several full bodied non padded bras and place rice (1 oz. = 30 cc) in a nylon and try on with some form fitted clothing. 2)types of fillers:A) silicone gelB) normal saline (newest variation on this is the Ideal breast implant)3)shaped vs non shaped4)projection vs base width (high to low)5)placement of the implantA)under the the muscleB)above the the muscleC)combination: dual plane.I suggest you select several nude ideal/model photos of what you want your breasts to look like and make a appt. with experienced Plastic Surgeon (in your area) who performs both procedures together and who is Certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).My best wishes,R. A. Hardesty, MD, FACSDiplomate and Certified by the Am. Bd. of Plastic Surgerywwwimagineplasticsurgery.com4646 Brockton AveRiverside, Ca 92506(951) 686-7600

Thank you very much for your question and photographs. Quite frankly, I would recommend that you only
have a breast augmentation at this time.
From your pictures, and the picture that you show as your ‘wish boobs’,
you will get 90% of what you are looking to achieve simply with an
implant. You are considering rather
large breasts, as seen in the picture of your ‘wish boobs’, and the volume you
are looking at will fill and elevate your breasts significantly. You can always have a breast lift at a second
stage, should you feel it is needed.