Periareolar, bilateral mastopexy, or anchor lift? (Photo)

The answer is neither a periareolar nor an anchor mastopexy. I continue to be astonished at the number of anchor mastopexies that are carried out. The anchor mastopexy results in a long inframammary scar, descent of the inframammary fold and a generally boxy breast shape. The periareolar procedure is a poor mastopexy and often results in enlarged, distorted areolas. The vertical lift cones the breast, raises the fold and does not distort the areola. I believe it is necessary to go to the anchor procedure only in very large, droopy breasts; I do this in less than 10% of cases. All the best.

I appreciate your question.







I perform a liposuction breast lift that removes tissue from the areas you don't want such as near the armpit and the lower portion hanging near your stomach. Once I use this to shape the breast I then remove the skin to tighten the breast and create a better shape with nice cleavage. Since I perform this less invasively the recovery time is faster. The size would depend on the proportion with your body versus going for a cup size.







The best way to assess and give true advice would be an in-person exam.  Please see a board-certified plastic surgeon that specializes in aesthetic plastic surgery.



 



Best of luck!



   



Dr. Schwartz



Board Certified Plastic Surgeon



#RealSelf100Surgeon



#RealSelfCORESurgeon

In my opinion you can achieve a nice result with a vertical or lollipop mastopexy.  The periareolar mastopexy refers to the incision just around the areola.  The anchor mastopexy is probably too much based upon the pictures you presented.

I'm not surprised that you have gotten conflicting recommendations regarding your case.  First of all eliminate the peroareolar lift altogether.  It will not or ivied much if any lift and will likely stretch out your areolae.  Of the other two types of lifts, I like the lollipop lift because it provides the lift you need, will reduce the areolae and the scars heal very well.  Not all surgeons are comfortable or experienced with the lollipop lift and therefore may be less likely to offer it as an option.  The anchor lift is also fine, but definitely avoid the periareolar lift.

A
mastopexy or breast lift operation is designed to improve the shape and
position of the breast without reducing their size. It is used for breasts
which sag or droop (ptosis). Sagging of the breasts may occur with normal
development for some women, or as part of the aging process. Pregnancy,
breast-feeding and weight loss are other conditions which increase breast
ptosis. Some patients will have a better shape to their breast such as increased
superior fullness if an implant is used at the time of mastopexy. The procedure
can also be combined with a minor breast reduction to reduce the breast width
if desired. The surgery will create an elevated, more youthful breast contour.
Also, the procedure will create nipple and areolae of the desired size and at
the correct height.
I prefer to  use a #shortscar technique,
#LollipopScar or #DonutLift” rather than the majority of surgeons in the United
States that use an anchor pattern lift which involve more significant scarring. The best thing would be to visit multiple board certified surgeons for consultations to see which procedure would be best to help achieve your desired results.

Hello,

First thing you should know is that if your surgeon doesn't place the implant through an inframammary incision prior to performing a breast lift, you are at higher risk for capsular contracture, the most common complication of breast augmentation. So, if you already have an inframammary incision, the concept of 'lollypop' can appropriately fade away, and you can focus on what a formal mastopexy can do: a total reconstruction of the breast mound in terms of shape, symmetry, size, nipple position, and areolar size and shape.  All with the best possible scaring because skin excess was addressed in the most expeditious fashion with the employment of both vertical and horizontal excisions. As for the HP recommendation, it makes no sense to me, as HP implants are more likely to drop out. If we were really worried about your strong muscles, then a textured implant would be more effective at minimizing dropout. Go visit a few ABPS certified/ASAPS member surgeons that specialize in cosmetic breast surgery. Best of luck!

"Bilateral" means right side and left side, or BOTH breasts.  "Mastopexy" combines the Greek root "masto-" (breast) with "pexy," a derivative of "pexia" (solidity).  Mastopexy is the medical term for surgical lifting and fixation of a pendulous breast.  Depending on the precise outcome you desire, either augmentation alone or augment with areola lift indicated, in my opinion.  Under no circumstances would I commit you to lifelong scars beneath your breasts that are part of an "anchor" lift.  The link here shows a woman not so different from you who had augmentation alone.  Again, what's right for you depends on your exact anatomy, skin tone, preferences, and desired outcome.  These cannot be determined with certainty online.

An anchor lift might be excessive for you case. Consider augmentation and a periareolar lift of the NAC. Seek a plastic surgeon that performs hundreds of these procedures, has great reviews and photos, and is an expert in this field.

Thank you for your photos. You are a god candidate for a breast lift with a lollipop incision and implant.

The distance of your areola to the infra mammary creas is too long, thus the lower pool has to be adjusted to prevent the implant to drop too soon!

Also the implant placed under the muscle will prevent to drop sooner!

Good luck with your surgery

Thank you for your question.  Based on your photos, placement of implants with a lollipop (vertical) breast lift should do well.  Periareolar patterns tend to flatten the breasts and cause spreading of the areola whereas an anchor pattern in your case is probably overkill.  Be sure to consult with an experienced board certified plastic surgeon.  Good luck!