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

If you want a  higher nipple (and maybe smaller areola) with a shorter breast fold, I would perform a LeJour lift using a lollipop scar. You could have this with or without an implant.

What Type of Breast Lift Would I Need?

I know that it is hard to tell from a picture. However, I'd like an idea on what would be done. So I am able to do more research prior to my consultations. Based on doing some of my own measurements. I think I have pseudoptosis Thanks

It is very difficult to tell exactly where your breasts sit in relation to the crease.  This is what really will determine if you need a lift and how much a lift you will need.  I would recommend a implant to gain the upper pole fullness with a minimal lift if needed, perhaps a circumareolar or circumvertical.  You may be able to get away with a projecting implant and no lift.  I would recommend seeking a board certified plastic surgeon to go over your options.

Pseudoptosis is caused by an excess if skin relative to the volume of the breast without descent of the nipple position.  This can be addressed with a variety of mastopexy options such as a doughnut or vertical skin excision.  These techniques can alter the contours aesthetically without the extensive incisions and dissection of the full breast lift.  The imblance of "surface" to "volume" will be corrected, but speak to several surgeons about their experience and ask to see their results before investing in your own breasts.