What type of breast lift procedure would be best suited for me and what type of ptosis do I have? (Photo)

Question

Female, 26y, 5’8”, 130lbs, oily + semi-sensitive skin. I have lower breast sagging, my nipples could be 1-2 inches higher, full bottom breast with no upper volume. I am interested in lifting my breasts about 1-2 inches. The fullness in my upper breasts are not my biggest priority. Please give me your recommendations! I am open to suggestion. Thank you in advance.

Alan Gonzalez, MD, FACS · Answer

Hello @Courageous350663, thank you for your question. In my opinion a periaerolar lift (breast pexy) to improve the shape of the breast and reposition the nipples according to the new shape would be the best procedure. The scar would be around the nipple for minimal scarring. To obtain more information and recommendations, it is best to consult one or more board-certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS.

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question. Based on your pictures, what type of breast or mastopexy do you need, and what kind of ptosis do you have? Based on your pictures your nipple-areola complex is above your infamammory fold. Therefore you have pseudo ptosis. Pseudo ptosis usually can be fixed by straight augmentation, mentioning that upper pull fullness is not a priority. 
In surgical approach to your breast, I would ask you if you want your breasts bigger. If you want your breast s bigger, I will go with a small implant and a lift. If you do not want your breasts more prominent, I will go solely with a lift. The lift I would suggest either would be a 360 circumferential perearelor incision with a vertical extension (lollipop) or an anchor incision around the areola down in front of the breasts and underneath the breasts. The lollipop and anchor mastopexy will give you a solid breast lift. The implant is totally up to you. It would improve the upper pull fullness and the overall appearance of the breasts. I hope this helps answer your question of what type of breast lift you need and what kind of ptosis you have. 
If you have any more questions regarding the breast lift or mastopexy, capsular contracture, or breast implants in general, please contact my office.  Since your breast surgery is somewhat complex for an average plastic surgeon, please seek an experienced, board certified plastic surgeon with significant experience performing these types of breast lifts. Do your research.  Make sure your chosen plastic surgeon has performed at least 100 breast lifts.  Make sure they have the before and after pictures to prove it.  Carefully examine their before and after pictures and check their reviews on RealSelf.  Good luck! Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of  the American Society of Bariatric Plastic Surgeons, Certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery,  and ​member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Finny George, MD · Answer

Hi, thank you for sharing your question. One-two inches would require a lollipop lift. This will raise the nipple/areola complex and Improve your shape and symmetry.

William Andrade, MD · Answer

Hello, for patients who have a difference in breast size, including more tissue on the lower breast on one side. I often find that the anchor scar (Wise pattern) lift provides the best improvement in symmetry.  This type of lift allows me to take more tissue from the lower part of the larger breast, which is difficult to achieve if a procedure with less scarring is used (like the donut lift (periareolar mastopexy) or the lollipop lift (vertical mastopexy)).

Michele A. Shermak, MD · Answer

Hello!
The 2 main options are lollipop or anchor incision. Donut pexy is not a great option. You have asymmetry and I prefer the anchor incision to control symmetry. You will need a small reduction on the larger breast to achieve symmetry. The lift - like you indicate - will likely not amp up cleavage but will lighten the breasts and create better symmetry, also allowing for reduction in areolar diameter.
Be sure to talk to a board certified plastic surgeon. You can find one at plasticsurgery.org.
Best of luck to you!

Thomas Trevisani, MD · Answer

In person exam is essential. Based on limited photos- it appears that you would benefit from  Mastopexy/ breast lift with slight reduction on the larger side. I suggest that you seek an experienced Board Certified PS

Martin Jugenburg, MD · Answer

Hello, thank you for your question. The anchor incision often gives more of a lift. We do try to avoid giving you additional scars if possible. Its difficult to say what type of lift you in particular will need without performing a physical examination and taking some measurements of your anatomy. I would go to your local plastic surgical office for a consultation. Bring in wish pics to communicate what you like.

Ted Eisenberg, DO, FACOS, FAACS · Answer

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 with different size and style breast implants. They then get to 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. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Gary M. Horndeski, MD · Answer

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. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

John Michael Thomassen, MD · Answer

A vertical lift would be ideal.  It is ideal for lifting over 1 inch and would shape your breasts nicely with the least scarring along the inframammary fold.

What type of breast lift procedure would be best suited for me and what type of ptosis do I have? (Photo)

Answers (16)

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