Is there a way to lift the breast without cutting around the nipple? (photos)

Based on your pictures you are a great candidate for a breast lift, cutting around the areola is a necessary  component for a lift, always see a board certified PS in person for a detailed exam.Best wishes.

Dear xxnessa,

Determining whether you need simply a breast implant versus a breast lift or both can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position.

Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just breast augmentation depending on the size of the implant the patient wants. I often use an implant when I perform a breast lift because it provides more upper breast fullness after the lift.

These two surgeries can be done at the same time and this may be optimal as the risks can be minimized. 

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, it is actually breast tissue that is being brought together to support the breast and hence improves longevity.

On the other hand, many women have overdevelopment of breast tissue and require reductions. Some of the questions you need to ask yourself are if you are willing to have scars from the surgery, take the risk of losing nipple sensation and other complications in addition to possible problems breast feeding if you plan to have children in the future.

It is best that you visit a board certified plastic surgeon to discuss your options further. Only after a thorough examination you will get more information and recommendations.

Daniel Barrett, MD, MHA, MS

Certified, American Board of Plastic Surgery

Member, American Society of Plastic Surgery

Member, American Society of Aesthetic Plastic Surgery

hello thank you for your question and provided information as well..Based on your photo I see that you are a good candidate for a breast lift with implant.in your case it would be ideal to use small implants to obtain a better projection.  To determine the technique, it is ideal to have a consultation with your certified plastic surgeon to see you and determine which would be the correct one for your case.

Dear xxnessaThank you very much for your questions and photos!  A full breast lift would be necessary to have good shape, size and nipple/areola position.With Warm RegardsTrevor M Born MD

Hello and thank you for your question. Based on your photograph, you are a
great candidate for a vertical or wise pattern breast lift, both of which do involve incisions around the nipple.  This can be designed to result in an
improved shape and contour of your breasts while minimizing scar
appearance.  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

I
recommend The Bellesoma Method to 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 and the ability to breast
feed are maintained.  At the same time or
later, fat transfers can be performed if additional volume is desired.  The incision around the areola will allow you
to have the areola size your desire and it positioned higher on the chest wall
where it belongs.Best Wishes,Gary Horndeski, M.D.

Hello, unfortunately, there is not an effective breast lift procedure that does not require an incision around the areola. Given the degree of ptosis (sagging) that you have, I would recommend an anchor lift to give you the best aesthetic outcome. 
Keep in mind that a beautiful breast shape with a faded scar is still attractive and sexy. But an unattractive breast shape without scars is still unattractive. Achieving a beautiful breast contour is the primary objective of a breast lift, followed closely by limiting scarring to achieve the goals.
When the proper techniques are used to tighten the lower pole breast tissue to keep tension off of the skin, scars usually stay thin and fade wonderfully over time.
Seek a consult with a Board Certified Plastic Surgeon. Once you have narrowed down your list of who you would like to see, make sure that you review their before and after gallery for breast lift. If they have many photos and are able to achieve reliable aesthetic results with thin scars, they might be the right surgeon for you. 

Unfortunately there are no reliable surgical techniques that will lift your breasts without requiring an incision around the nipple.  Remember that surgeons don’t enjoy making unnecessary incisions, and these surgical techniques have been developed to give you the best aesthetic result.  Based on your photographs, you definitely will need a lift to achieve the best results.  Discuss your concerns with your surgeon. Best wishes to you.

Dear xxnessa,Incisions around the areola are a necessary component of breast lift surgery.  The risks associated with scarring and effects on the nipple/areolar complex must be accepted as part of the procedure.  Too many patients are led to believe by media propaganda and physician promises that there are no risks or complications associated with surgery...and there are, no matter how "simple" the procedure.  Good luck!