Is any type of areola incision BA (lift or implants) a good fit for me? (Photos)

Dear Victoria thank you for your question.
Breast changes after weight loss are highly variable between patients. Although ideally measurements should be done in person, by evaluating your photos at the moment i see you have a slight degree of ptosis. It may be corrected by doing a periareolar technique combined with a "round-block" suture to make sure the areola's shape does not change in the future. Should you wish to increase upper pole volume a small implant can be added at the time of surgery.

Hmmm... this is tough because most of us experience plastic surgeons have given up on trying to avoid lollipop or anchor scars- they just don't produce good results over time. The alternative approaches such as periareolar are ok for putting in implants but not to reposition the areola. Best Wishes!!

Congratulations on losing the weight! It is extremely difficult to remain committed and motivated. I would not perform any breast surgery until you have reached your desired weight, and it is stable. Further weight loss would likely lead to more deflation and sagging of the breasts. There are many ways to perform a breast lift, but a general rule of thumb is: the more the scar, the greater the lift. In your case, a periareolar lift would be inadequate to give you the nipple elevation you need because not enough skin will be removed. As part of any lift, the areola will be reduced and more rounded, so the feathering would not affect the final appearance of the areola after surgery.

Based on photos - it appears that you would benefit from a Extended Mastopexy w/possible reduction- to rejuvenate your breasts. I do not believe that anything shorter than that can deliver satisfactory result. I suggest that you seek an experienced Board Certified PS and discuss your options during in person exam

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements and they choose what looks right for them. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

The technique I recommend is 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.

Best Wishes,

Gary Horndeski, M.D.

Your breasts are still very full and your skin and tissues are lacking good support. Further, the size and shape of your breasts indicate the amount of both horizontal and vertical skin excess to FAR EXCEED what a periareolar excision can accomplish. What you want are beautiful, attractive breasts, and you will need to have both vertical and horizontal incisions to obtain those results. Your scars will become virtually nonexistent in a year or two.

Dear VictoriaValencia1
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 and photos. An examination in person would be required to properly evaluate you and make specific suggestions or recommendations, however based on your history and photos it appears that unfortunately there is no way to achieve a satisfactory breast left without an anchor type scar. That said, most women find that they are so pleased with their improved breast shape that the scars essentially become a non-issue.
You have to ultimately decide what is more important to you. The final appearance of your scars depend on two factors: your surgeon, and your genetics.

You would best get to your target desired final weight before I undergoing surgery, then do your research and select a board certified plastic surgeon whose aesthetics seem to align with your own based on his or her Before and After gallery. Best of luck to you.

No, you have too much sagging for a peri-areolar lift. You will need the anchor or at least the vertical lift to have a nice result. Once you have reached your weight goal, then you can tell if you want more volume with implants or just a lift. Right now you have plenty of breast volume.