What Type of Breast Lift Would I Need?

The choice of lift depends on several factors including your desire to remain the same size or larger which would require implants and place you at greater risk for sagging in the future. A lollipop (vertical) lift would allow you to reduce the excess lower fullness as well as the size of the areola whereas a minimal scar technique will not..

A breast lift or Mastopexy is designed to reposition the nipple and reshape the breast. This procedure can be combined with a breast implant which can add volume to the breast and can be utilized to shape the breast around the implant. In order to figure out exactly what you need you have to have an idea of what you want. A frontal photograph only can tell a small amount of information about your breasts, likewise measurements only give an piece of the Mastopexy puzzle. A four dimensional evaluation involves looking at breast skin quality and stretch, nipple position, existing volume and the desire for a breast implant. I would recommend that you meet with a board certified plastic surgeon, or two, and listen to what recommendations are made. There is a textbook algorithm which can provide some direction, but you already have a significant volume and good shape to your breasts, so you may be looking at a Mastopexy augmentation which would involve the placement of a conservative sized breast implant with a vertical type breast lift, or just a breast implant alone. Be careful with a periareolar lift which may lead to wide areola and scars.

I hope this helps.

Dr. Trussler

From your photos it looks like you have pseudoptosis.The simplest thing to do would;d be to put a silicone implant on top of your muscle.To do a mastopexy would entail more scars such as a donut mastopexy with a scar around the nipple.You could do a lollipop incision as well but once the scar is made you buy it.i would just consider an augmentation.