Peri-areolar with implants or lollipop lift? 240cc or 260cc? (Photos)

Implants tailored to your measurements and desires will restore volume and shape, dual plane via areolar incision with reduction should give desired results.

Further discussion with your plastic surgeon is recommended to confirm best options, risks, limitations.

Since your nipples are located above your breast fold, a minor lift may be sufficient. High profile beast implants alone may also suffice.

Hello,
Thank you for your question.
Thank you for your detailed question. Based on your petite frame (5'6", 98 lbs) and goal of modest volume enhancement with areola reduction, your surgeon's recommendation of a 240–265cc implant with a donut (periareolar) lift and full profile implant seems thoughtfully tailored to your anatomy. The difference between 240cc and 265cc is minimal (about one tablespoon in volume), so your final decision can focus more on subtle differences in projection and how your breast tissue distributes that volume. Regarding the donut lift, it's true that its effectiveness depends on skin elasticity, breast shape, and degree of ptosis. It's typically most successful for mild sagging and moderate areolar enlargement, especially in smaller-framed patients like yourself. The lollipop lift offers more skin tightening and reshaping for moderate to severe ptosis but leaves a vertical scar. If your surgeon believes the donut lift will achieve the desired lift and areola reduction without causing distortion, and your skin has good elasticity, you may be a suitable candidate. Ultimately, surgeon experience with this technique and your personal tolerance for scarring vs. shape improvement are key in finalizing the decision.

You can see in your photographs that your nipple-areola complex is widely separated and the breasts are low on the chest wall. The lollipop or donut lift will not increase your cleavage. I recommend The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

you are correct that many surgeons do not like to perform circumareolar procedures, when a true lift procedure is needed. Based on your photos, I would consider this more as an areolar reduction than with the goal of lifting the breast. Your nipple position is centered over the breast mound and sits above the fold, so from this standpoint this would be a reasonable approach. 20 cc is quite a small difference in terms of the average person's ability to tell a difference- The most important thing is that the implants are matched to your particular breast width.
Sean M Fisher, MD Aesthetic Plastic SurgeonSeattle, WA

Based on your nicely post of photos that demonstrate slight hyperplasia of breast with slight enlarged nipple complexes. My recommendation would be augmentation high profile implants. Dual plane is acceptable with a donut lift. Expect fees to range from $5000-$10,000. Best of virtual counsel with. Additionally, there is a risk with the donut lift that the nipple complexes could get stretched because of the increase volume of the complete breast this needs to be discussed in detail with your surgeon. Or if you chose to do a virtual consultation more information can be given at that time. As for doing a lollipop lift That adds an additional vertical scar down the inferior center portion of the breast past the info memory increase. I do not recommend that in this case. Again consider all options before making a final decision. As far as size a difference between 240 cc and 260 cc is less than an ounce of fluid so it’s negligible Again if you want a larger breast, you have to go up to at least a 300 cc implant. Regards.