In my opinion you will need a lollipop lift. If you try to test the limits of the peri areolar lift you end up with early recurrent droop and a very enlongated (in a vertical direction) elliptical shaped areola that looks very odd. With lifts, the more incision you will tolerate, the better and longer lasting lift you will get.
You would have to be seen in person so that a proper assessment can be performed. I will often use either a cirumareolar approach or a lollipop incision for most lift and augmentations. Best of luck.
With the degree of sagging you have at this time I do not think that an areolar incision alone will be able to correct the problem and you will not have as good of a result compared to at least a lollipop incision
Many patients have a preference of avoiding surgical incision lines on their breasts if at all possible. Though I would need to confirm based on a face-to-face examination it appears to me that if your expectations are reasonable a periareolar or "limited" breast lift with implants could work for you. The procedure will narrow the diameters of your areolae which would otherwise be expected to widen from the pressure of the implant and raise the position of your nipple approximately an inch or an inch and a half. Attempts at further uplifting of your nipple position with a limited uplift would have effects of flattening your projection and make your breasts look less natural.
Jon A Perlman M.D., FACS
Diplomate, American Board of Plastic Surgery
Member, American Society for Aesthetic Plastic Surgery (ASAPS)
ABC-TV Extreme Makeover Surgeon
Beverly Hills, California
Thank you for submitting your question and your photos. Based upon your pictures I think that while a periareolar lift is possible, I don't think that you are as likely to have as good a result with that approach as you would if you have a lift employing a 'lollipop' incision. An in-person exam with an experienced Board Certified Plastic Surgeon will allow that person to assess your breasts and explain to you whether you can achieve your expectations with or without the vertical scar. Most women who have a lift with a vertical scar find that the vertical scar fades very well, and frequently is less noticeable than the scar around the areola.
It is rare that I say yes to an areolar breast lift with augmentation. In your case though, it might be a yes. You should be evaluated by an American Board of Plastic Surgery board certified plastic surgeon for an examination and discussion of your goals, options and expectations. Good luck!
The type of lift you will need will depend to some extent on your goal look. But I have many patients each year with your anatomy that do well with implants and a periareolar lift as long as they want a more natural finished look.
Unfortunately, without a direct examination it is impossible to say what will work best for you. However, in general, the lift around the areola itself is not very strong and will only raise things a little bit. Adding the vertical portion ("lollipop") gives the surgeon more flexibility and helps achieve a better result. I recommend going for a few consultations with board certified plastic surgeons and see what is recommended. I hope this helps.
Thank you for your question. Based on your photo I concur with others that he most likely will need a breast lift or mastopexy with a vertical component such as a lollipop or anchor lift. During the course of the breast lift your areola diameter can certainly be reduced. Please find an experienced board certified plastic surgeon. For more information please read the link below:
No.Your breast shape would be unacceptable with only a periareolar lift. The choice is the breasts you have now without scars or better shape/symmetry/position/size but WITH scars of a full lift. The choice is yours and the "right" answer is whichever you choose.