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

It appears highly unlikely that you could achieve a decent result with a nipple/periareolar lift and implants. However, a vertical (lollipop) lift could be an option, but that would need to be determined at an in-person exam.

Hello, in my experience the type of lift with a scar only around the areola (periareolar mastopexy) only elevates the position of the nipple by a modest amount, so I typically only offer this procedure for patients with mild sagging (stage I - II ptosis). For patients with more advanced sagging in which the nipples are near the bottom of the breasts (stage II-III ptosis) I will usually do a procedure that involves more incisions on the breast, which permit more nipple elevation and breast reshaping. However, every procedure must be tailored to the patient's goals and expectations. If a patient were to accept less of an improvement in nipple position, the periareolar mastopexy might be an option. Every lift plus implants (augmentation-mastoepexy) consultation is thorough and involves breast examination and measurements, trying on implant sizers, and a long discussion to understand the possible outcomes of different procedures.

Your breasts have a distinct breast fold and no constriction of tissue around the nipples, therefore they aren’t tuberous. Breast implants are centred behind the nipples, therefore without a lift your implants would sit low on your chest and not give you fullness in the upper portion. For this reason, a lift is recommended.

You will need a breast lift using 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 can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

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.

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.

Based on your one posted photo, I do not think you have real tuberous type breast, but they are slight hanging and would need some type of elevation. Adding an implant can give a light lifting, but most likely not enough for your desired results. But this can be discussed via virtual consultation. Expect implants with possibly a donut lift to give some improvement that fee would be $8000-$15,000 depending on type of implant. Again, best of virtual consult with.