Can I get a nipple lift with implants to avoid scarring?

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  With that
being said, based on your photographs, the best shape and contour could be
achieved with an implant and a vertical or wise pattern breast lift.  I rarely
recommend a Bennelli or circumareaolar (donut) lift.  Over time, the
areola tends to enlarge with a thickened scar.  The other even worse
problem with a circumareaolar lift is that it flattens out the shape
of the anterior breast over time.  A vertical or wise pattern lift with an
implant can result in a very nice shape if good technique is
used.    The size of the implant is based on your desired
breast size/shape, your chest wall measurements, and soft tissue
quality.  This decision should be based on a
detailed discussion with equal input from both you and your
surgeon.   Make sure you specifically look at before and
after pictures of real patients who have had this surgery performed by your
surgeon and evaluate their results.   The most important aspect is to
find a surgeon you are comfortable with. I recommend that you seek consultation
with a qualified board-certified plastic surgeon who can evaluate you in
person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

Hello,
You are not a good candidate for any sort of periareolar lift. So much so, I can't imagine even the most brazen of providers who perform breast surgery would offer that surgery to you. All the usual problems would likely occur to you: 1. thickened irregular scaring around the areola. 2. Enlarged and irregularly shaped areola. 3. Pleating of breast skin around the areola. 4. Persistently low areola. 5. Flattening of the breast mound. 6. Persistent sagging of the breast mound. A periareolar lift would be a disaster, a travesty. Your breasts are heavy, asymmetric in size and shape, and very sagging; your goal breasts could only be obtained with a formal lift, asymmetric reduction, and implants. Go visit a few ABPS certified/ASAPS member surgeons who specialize in breast surgery. Best of luck!

This is a question I get asked often in my practice.  Based on the long distance from your sternal notch to your areola and the degree of breast ptosis (droop) that you have, a circumareolar mastopexy is not recommended.  This type of lift tends to result in less favorable scars and tends to flatten the front of the breasts.  You would have a more aesthetically pleasing and effective lift with a full mastopexy.  Although many women have reservations about having a vertical scar on the breast, this scar tends to heal very well in the vast majority of patients.  I would consult with a few board certified plastic surgeons in person to discuss your options in more detail.  Best of luck!