Follow-up: Breast lift/axillary breast skin removal: what is the best option for minimal scarring? (Photos)

The vertical lift can be used for more severe droopiness. This lift involves a vertical and a periareolar incision and is referred to as circumvertical or lollipop lift.An axillary (or armpit) incision can be used to remove a small ellipse of tissue. This arm lift is best utilized for patients who have loose skin confined to the arm pit area or uppermost aspect of the arm.Axillary brachioplasty produces only a small improvement, and the patient must be a good candidate.

The best option for minimal scarring is 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.  The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief and long term stability.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.  The excess skin in the axillary area that you are concerned about is incorporated into the breast when lifted using this technique.Best Wishes,Gary Horndeski, M.D.

Dear luls777,
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 thatsbeing brought together to support the breast and hence improves longevity.
If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for the excellent questions.
I have found that axillary or armpit tissue can be removed (excised) with an incision which hides nicely in the armpit. Often I will use liposuction to decrease the fatty tissue on the region first, which then allows me to pull the extra skin tissue towards the armpit. Regarding the breasts, I would recommend either a vertical (lollipop) scar or a Wise (anchor) pattern for the skin excision for the lift. A circumareolar will not give a good result in this case and you will benefit from the vertical scar.

I would suggest minimally invasive radiofrequency skin tightening with Renuvion to help tighten and flatten that area. Liposuction can be added for any residual fat.

Hi and welcome to our forum!
From your photos, the distance from the top of your breast bone to
your nipples appears to be increased. The distance from nipple to the fold at the bottom
of the breast appears relatively normal. The nipples reside below the fold at the bottom of the breasts and you demonstrate moderate to significant sag.The axillae demonstrate lax skin with irregular contour. 
I would recommend a vertical (lollipop)
lift.  No change
in breast volume will occur as no breast tissue is removed during the
procedure. However, following a lift, the breasts may appear smaller due to
the change in breast configuration and the removal of excess skin. 
The procedure will restore the conical shape of
the breast, place your nipple-areolar complexes into normal position,
and will increase superior pole fullness as well.A crescent excision of excess axillary skin will eliminate the loose skin but at the cost of possible unfavorable scarring. On the conservative side, one may consider a series of non-surgical skin tightening procedures (we employ Venus Legacy) to tighten the skin, achieving a moderate degree of improvement. 
Visit a board certified plastic surgeon.
Best
wishes...