Lollipop mastopexy and fat grafting candidate? (Photo)

Hello @8cjgkkkk, thank you for your question. With a mastopexy, you can have better projections of your desired outcomes, since the nipples appear to be looking downward. This would also give the breast more projection at the top. In this case, the smallest possible scar would be in the shape of an inverted J to achieve better proyection and with breast fat microseeding you could achieve the look you want. The best course of action is to consult one or several board certified plastic surgeon for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez MD, FACS.

The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Dear 8cjgkkkk,
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

You actually would do better with the vertical lift to help reshape and tighten your breasts. Fat does not lift, but only enlarges the breast tissue. Another peri-areolar lift will still be limited like the first one.

Hi and welcome to our forum!From your photos, I note that your breasts are minimally asymmetric, your areolae are significantly enlarged, there is "pleating" of your areolar tissue, and you exhibit significant stretch marks of the breasts. There is minimal sag.Stretch marks indicate the presence of permanently damaged overstretched skin usually occurring during pregnancy or significant weight fluctuation where when pregnant or overweight, the skin's dermal elastic fibers stretch and finally rupture (like an old rubber band), resulting in the loss of elasticity and the development of streaks on the skin surface. The skin will stretch over a greater surface area and will predispose to further sagging.Your previous areolar reduction has apparently stretched out, resulting in recurrent areolar enlargement and breast sag. A vertical (lollipop) lift will reduce areolar size of more permanence as tension on the closure will be less than in a periareolar procedure (such as your previous areolar reduction) and will eliminate the sag.Do not choose a relatively larger sized implant or a relatively larger amount of fat transplant as the added weight (of the implants or fat) may cause further skin stretch and sag.Best wishes...