Can I get breast lift with implants, with just a nipple lift? (Photo)

Dear mchava,

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 thats being brought together to support the breast and hence improves longevity.

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 your question — your concerns about scarring are absolutely valid, especially with a history of keloid formation.That said, what you’re hoping to achieve — a round, lifted, and fuller breast shape with around 300cc of volume — combined with what you suspect (likely tuberous breast anatomy) makes this a bit more complex than a simple "through the nipple" approach can solve.
Here’s why:
1. Periareolar (donut) lift alone won’t reshape tuberous breastsTuberous breasts often have:A constricted lower poleEnlarged areolasLimited natural projectionA periareolar lift is typically insufficient to release lower pole constriction, and it often leads to:Areolar wideningPoor lower pole shapeUnsatisfying projection, especially if an implant is added2. Anchor (inverted T) incision gives full control over shapeIn cases like yours, the best solution — both aesthetically and structurally — is often a Push-Up Lift using an inverted T incision. This technique allows:Full control of lower pole shapingProper implant placementCentralization of the nippleAnd creation of a truly round and lifted breast, even with tuberous anatomy3. Scar care is essential — but scarring is not inevitableEven with a history of keloid scarring, careful planning can reduce risk:Precise surgical closureTension-reducing techniquesPost-op scar therapies (silicone sheets, steroid injections, or laser)Many patients with keloid-prone skin still heal beautifully with proper care.If your goal is shape + volume + longevity, the right technique — even with a longer scar — will always give better results than a shortcut that leaves you disappointed.Let the scar be a thin line — not a compromise in outcome.