Could I be a candidate for a periareolar incision with uplift? Have large breasts, asymmetry and loss of volume.

Question

Hello. I’d like some advice please regarding my breasts. I have always had asymmetry although did not appreciate how much until I took these pictures. I have always had a large cup size (f-g) but also a very narrow back (28) which I think makes the breasts look saggier. I would consider a small implant to replace volume at the top however I am not keen on a vertical scar. Could I be a candidate for a periareolar incision with uplift. Thanks in advance.

Daniel Barrett, MD · Answer

Dear Justeunpeu,
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 that's being brought together to support the breast and hence improves longevity. 
If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Tom J. Pousti, MD · Answer

Thank you for the question and pictures. Based on your photographs and description of concerns, you will likely be a great candidate for breast lifting plus/minus breast augmentation surgery. Exactly what operation you should undergo will depend mainly on your personal goals, best communicated in the consultation process.
 Be careful with your decision making: the type of breast lifting you undergo will make a big difference when it comes to the expected outcome. For example, it is likely, that the "circumareolar" breast lift (AKA Benelli breast lift) will leave you with an unsatisfactory breast shape and/or wide areola/scars. In other words, the most predictable/consistent way to lift your breasts and "control" the size of your areola would be a full breast lift.
The Benelli breast lift can be effective for patients who require minimal breast lifting.  The Benelli breast lift  Is not a "powerful" breast lift when it comes to lifting breasts that demonstrate significant breast ptosis (sagging).   Again, this type of breast lift can have the effect of a flattened breast profile.
My best advice: select your plastic surgeon carefully. Make sure that he/she has significant experience achieving the types of outcomes you will be pleased with. Then, communicate your goals carefully, as well.   I find that the use of goal photographs and computer imaging are very helpful during this communication phase. Working together you will come up with a good plan to achieve your goals.  
Best wishes.

Could I be a candidate for a periareolar incision with uplift? Have large breasts, asymmetry and loss of volume.

Answers (2)

Recommended reading

Everything you need to know about Breast Lift with Implants

Our mission is to create a world where every investment in modern beauty is Worth It.

Could I be a candidate for a periareolar incision with uplift? Have large breasts, asymmetry and loss of volume.

Answers (2)

Browse related questions

Recommended reading

Everything you need to know about Breast Lift with Implants

Our mission is to create a world where every investment in modern beauty is Worth It.