Can periareola lift and fat transfer work for me? (Photos)

Question

I’m unhappy with how far apart my breasts are, along with how low my nipples sit and the shape/size of them when they’re soft (they almost have a diagonal appearance). My ideal goal would to have them made to the size they are when hard, along with lifting them up towards the centre. I’m also considering having a fat transfer to the top/center area of my breasts in hopes it will give me a rounder look/better shape. Here are my current breasts (with both hard and soft nipples) along with some photos how I’d like my breasts to look.

Stefan Mark Szczerba, MD · Answer

The results you're hoping for seem subtle... fat graft is a good option to help build fullness in tough areas such as the cleavage.  For upper pole fullness fat graft is also a reasonable option- but you have to have reasonable expectations there.  Breast implants give much more definition to the upper border of the breast.  If you have enough fat to work with, using fat to give the shape adjustment and size adjustments to your "goal photos" seems reasonable.  Best Wishes!!

Joel Patrick Maier, MD · Answer

Fat transfer is an excellent option for modest enhancement and shaping of the breast. The perioareolar "lit" you mention will be a good option for your desires (if fact. periareolar lifts are rarely a good idea). In my opinion, much better to leave the areola with a natural appearance rather than see a circular scar that you hope heals well. If not, you have a permanent problem on your hands. I hope this helps. Thank you.

Emre Guvercin, MD, FEBOPRAS · Answer

In your case, a breast lift is definitely unnecessary. Instead, the most reasonable and effective option would be breast harmonization with MIA. This minimally invasive procedure, performed under sedation and analgesia through a small incision near the armpit, takes about 15 minutes and allows you to quickly return to your daily routine. With MIA, you can achieve your ideal breast shape and volume without the downtime of traditional surgery.

Daniel Barrett, MD · Answer

Dear rebeccac1999,

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

Jeffrey M. Darrow, MD · Answer

Thank you for your photos. From your photos it appears that the level of your inframammary folds are symmetrical.  Elevating your natural fold is very difficult.   Your nipple and areola are positioned well above your fold in a youthful position. The shape and size of your breast is close to symmetrical. There is no reason to do a lift which would put permanent incision lines on the front of your breast. Fat transfer is possible to narrow your cleavage and to give you some superior pole fullness, although volume retention from fat grafting is somewhat unpredictable.  A more reliable and predictable volume enhancement of your breast would occur with a breast implant.

Gary M. Horndeski, MD · Answer

A periareola lift can elevate the nipple-areola slightly higher and more medially. Fat transfers are usually good for 1 cup size change. You appear quite thin and finding a donor site may be difficult. At size 32 or 34, each 100 cc of fat corresponds to 1 cup size change. However, not all the fat survives so you will need 150 cc of fat for 100 cc to survive. The operation is done on an out-patient basis and costs $7,000.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Camille Cash, MD · Answer

From the description of your goals and submitted photos it doesn't appear you need a breast lift.  You can consider an implant to give you more overall volume and upper pole fullness.  I encourage you to begin by visiting with a board certified plastic surgeon near you for a consultation.  I've also included a video I hope you find helpful.

Connie Hiers, MD, FACS · Answer

You do not appear to have fat to transfer, so I am suggesting implants. The bases of your breasts cannot be moved, but wider implants can feel in the gap somewhat.

Hilton Becker, MD · Answer

You do not need a lift.
If you have sufficient fat, fat grafting is an option .You could also consider a small implant

Darryl J. Blinski, MD · Answer

With a great series of posted photos in which photos. It must be stated that sending which photos there was no realistic expectation that can be guaranteed to achieving those results. With that in mind option would be to do bilateral donut lift with fat grafting under the nipple, Arriola and generalized fat grafting after liposuction to increase the size and positioning of the breast. Expect fees to rate from $8000-$12,000. Again, best of virtual consult with regards

Can periareola lift and fat transfer work for me? (Photos)

Answers (10)

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