Would a breast benefit me? (Photo)

Question

Hi, I had a breast lift 2 years ago using the round block technique which left me with an enlarged areola and then I had an anchor revision, the shape is much better now but I'm left with high riding areolas, in your opinion would a breast augmentation help to make the areolas seem more centered or will it risk worsening the situation?

Daniel Barrett, MD · Answer

Dear nessta,
it is hard to tell for sure without an examination. BAsed on your photos, it looks like revision surgery would improve the position of areolas. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Stefan Mark Szczerba, MD · Answer

Yes these areolas seem to be riding high.  To lower this is difficult - it usually includes a Tissue Expander to stretch the upper part of the breast and then replace with a permanent breast implant.  In summary it is doable, but not easy.  A breast implant can also help, but typically it's not as predictable.  All the best!

Richard G. Schwartz, MD · Answer

Correcting high-riding areolae is very difficult.  Also, following the round block and even the anchor lifting techniques, there may be too much weight of breast tissue in the lower center of your breasts, below the areolae.  There isn't a reliable, long-term method to suspend that tissue upward behind the areolae.  Therefore, I would suggest surgery to include removal of a wedge of your own breast tissue just below the areolae in the midline of both breasts (as this is the weight that sags first and most), tighten and lift the remaining tissue, and then place an implant centered behind each areola.  This is called a Plus/Minus breast lift as the surgeon is removing some of your own tissue, but replacing it with an implant in a better position.

Gary M. Horndeski, MD · Answer

Breast implants alone will not solve your problem. I recommend a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

John L. Burns Jr., MD · Answer

You breast tissue sits below the areola which are too high and too wide.  I'd suggest a revision to make the areoles smaller and to shorten the nipple to breast fold distance.

Connie Hiers, MD, FACS · Answer

You could get more volume with implants, but the excess skin needs to be removed inferiorly to settle your nipples back down. Once down, you may actually see they are in the correct place. Your breasts are bottoming out from below.

Camille Cash, MD · Answer

A breast augmentation will not correct the issue.  The implants will simply add volume to the look that you have now.  Selecting implants that are too large may make the situation worse as they may be too heavy for the tissues to support.  Visit with a board certified plastic surgeon near you to discuss your concerns and learn more about your options.

Would a breast benefit me? (Photo)

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