Will a crescent incision/areola lift and nipple length reduction help me? (Photo)

A periareolar lift may be an option for you.  I would search for the surgeon who you
feel is most likely to give you
the best results. Look at reviews and before and after pictures on that
surgeon's website. Kenneth Hughes, MDLos Angeles, CA

Minor breast lift procedures can be performed safely in the office without a general anesthesia. The amount of "lift" that you can expect from a crescent, however is not very much.  I personally don't perform crescent lifts because the amount of repositioning you can achieve with that technique is not worth the scar in my opinion. Most likely you will require a peri-areolar (doughnut) lift. The amount of lift that you need can be determined in a formal consult.I use a permanent suture to help maintain the size and shape of the areola because over time it will tend to stretch out and become larger than normal. I think this is an important part of the lift that not all surgeons incorporate into the procedure.You can also reduce overprojecting nipples easily in the office.As you make your decision make sure you visit with a board certified plastic surgeon. There is a link to a list of all the board certified plastic surgeons in the country in my free breast augmentation planner.  You can download the planner at aBetterBreast.comI would be happy to help answer any other questions regarding these procedures that you might have.

We would probably recommend a concentric mastopexy, or an incision entirely around the nipple, rather than a segmental or crescent lift.The concentric mastopexies tend to pull in all directions and 'span' the areola rather than pulling only on one section.  For many patients, the incision tends to be less noticeable if it is completely around the areola.Like so many other procedures in plastic surgery, using a procedure that places less stress and strain on the incisions tends to lead to a less detectable result!Generally these procedures can be performed under local anesthesia or light sedation, although most patient tends to prefer a light general anesthetic as it is more comfortable.

A doughnut breast lift, also known as a periareolar lift, involves removing a doughnut-shaped piece of tissue around the areola to lift and reshape the breast. This procedure typically includes resizing the areola, which can actually reduce the size of the areola if desired.
However, the procedure does not generally cause the nipples themselves to become larger. The primary changes occur in the breast tissue and the areola. Any concerns about the size or appearance of the nipples should be discussed with the plastic surgeon, who can tailor the procedure to achieve the desired results.

Both of the procedures you are discussing can be performed easily under local anesthesia.  The main issue that I have with your plan is the crescent technique.  That technique, even when "properly performed" would not be expected to raise the areola more than .5 cm or so , and therefore your goal of 1.5 cm is very ambitious for that procedure.  I would suggest a complete periareolar, or circumareolar, technique, and even then, you will be pushing it at 1.5 cm without accepting some flattening of the breasts and possible distortion of the areolar shape or edge.  A crescent mastopexy is the most likely to cause a wide scar, an elongated or stretched areola, and all minimal if any change in position.  Find an experienced board certified plastic surgeon who can tell you all of the potential drawbacks and limitations of such procedures in addition to all of the good points, because only then will you get complete information and be able to make a fully informed decision about how to proceed.  Good luck.

It is possible to perform nipple and areola procedures in the office under local anesthesia in selected patients. The crescent technique and the circum-areolar technique can raise the nipple/ areola a variable amount depending on the size and shape of the areola. Nipple reduction can also be performed in the office in most cases. Consult with an experienced plastic surgeon who is certified by The American Board of Plastic Surgery and good luck!

It is quite possible to do these procedures under local anesthesia if you are otherwise healthy. The superior crescent can only lift the areola and nipple a modest degree but may also cause other distortions of the areolar. While your photos show some asymmetry, it seems that you might consider a reduction of the nipple projection in conjunction with a lift of the right nipple within the areola itself (sort of a superior crescent lift of the nipple base). This might even out the level of the nipples themselves without incurring the distortions of a superior crescent lift.Robin T. W. Yuan, M.D.

Sagging589,Crescent mastopexy, though initially effective, tends to cause differential tension on the areola, allowing the nipple to stretch eccentrically over time, leading to an elliptically shaped areola.  Elliptical areola shape is an issue which you already have, best seen with stimulation of the nipple as in the first photo..  A better choice may be a Benelli mastopexy which will provide uniform tension and ability to correct apex skin laxity, as well as to reposition the nipples slightly upward and more symmetrically.  A nipple reduction procedure can be done at the same time to address nipple elongation and redundancy. These procedures usually can easily be done under local anesthesia in most circumstances, though I still would take the patient to the operating room in my surgery center. Recovery time is generally minimal, as is discomfort.  I hope that this helps. Nipple reduction is discussed at the link that follows.

The issue of the nipples and areolar size or position are two different issues and are really your choice as cosmetic adjustments. Reducing the nipple size/length is a relatively simple procedure that can easily be done in the office with only local anesthesia given the surgeon's experience with this procedure and anesthesia. It is even easier than an earlobe reduction procedure. A so-called crescent or periarolar reduction or reposition is not an actual lift of your breast but merely a limited rearrangement of the size, shape, and position of the areola on the breast mound. It is a more involved procedure than a nipple reduction and in my experience is usually done with local anesthesia and IV sedation which can also be done in a properly accredited office surgical facility.If the procedure involves any entrance into the area around the implant or alteration of the capsule (or changing the implant) I would recommend full operating room conditions although such a procedure can still be done under local anesthesia with IV sedation if the surgeon is experienced with this. I would recommend the nipple reduction procedure but not the periareolar procedure as you may need adjustment of the implant in relation to the breast in the future and can avoid the periareolar scars. Nipple reduction is a remarkably scarless procedure. 

Yes, a crescent lift is useful for minor areola repositioning but only by an experienced surgeonl. It sounds like such a simple little procedure, but if not done right it can leave you with a stretched out upper areola. Nipple shortening can be very pleasing but may result in the loss of ability to breast feed. Both procedures would normally be done with a local anesthetic.