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.