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

You are going to need a full, wise-pattern (Anchor) lift for your breasts.   I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills 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!

Thanks for your question!  Based on the amount of ptosis (droop) that you have, I think you would benefit from a true mastopexy or breast lift.  After seeing you in person, I could determine if we could get away with doing a lollipop or vertical mastopexy or we would need to do a full wise pattern (anchor incision). You may find a surgeon willing to give you what you are asking for, but I don't think you would be happy long-term.  Good luck!

Based on the photos, you wouldn't be a good candidate for a "donut lift" which leaves a scar all the way around the areola.  I would recommend a full lift to raise the position of the nipples and remove the extra skin that hangs below the breast fold.  A full lift with augmentation would get you the best, perkiest result.  

Thanks for your question. Based on your photograph, and on your goals, you will require a full breast lift (mastopexy) with or without placement of implants. I recommend that you meet with several board certified plastic surgeons to discuss options in detail. Best of luck!

Dear msnaijaluv,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, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Implants alone do not adequately lift the breast when there is significant sagging, no matter the size or the type, and will not produce a good cosmetic result in a patient who also needs some variation of a lift. A crescent lift or a donut lift will not produce a good cosmetic result in a patient with your individual anatomy.

Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest your plastic surgeon be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person and be very realistic about your potential cosmetic result. 

Robert Singer, MD FACS 

La Jolla, California

Thank you for your question. Based on the picture full breast lift (lolli pop) with or without implant needed to correct ptosis and asymmetry. Please consult with a board certified PS for evaluation