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

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.

Based on the breast shape, it corresponds to tuberous breasts. The upper chest area appears very flat, with the breast tissue extending downward.
From the side view, we could better assess how much the breast is sagging and how far the nipple position is below the inframammary fold, but assessing from the front view alone has its limitations.
Nonetheless, judging by the nipple position from the front, a lollipop incision is necessary. If augmentation is done without removing the excess sagging skin, the breast will likely continue to appear droopy. The issue is not the size of the implant, but the tuberous shape and significant sagging of the breast, which will require skin excision through an incision.