In my 20s, am I a good candidate for a periareolar breast lift after weight loss? (Photos)

Question

Hi! I have lost some volume in my breasts after significant weight loss. Ideally, I’d like to restore the appearance of my breasts to be more round shaped and perky. I am in my twenties and have never breastfed or been pregnant, and do not expect to for a few years. I am expecting to need a breast lift and implants to achieve my desired results, however, my main concern is scar placement from the breast lift. Would a donut lift be sufficient or would a vertical lift be necessary?

Thomas Trevisani, MD · Answer

Congrats on your weight loss! Based on limited photos - it appears that you would benefit from a mastopexy/breast lift with slight reduction on a larger side in order to achieve perky breasts. You have enough breast volume - so you may not even need implants. I suggest that you seek an experienced Board Certified PS and discuss your options

Fernando Ovalle Jr., MD · Answer

Hello and thank you for your question! Based on your photos there is moderate to severe ptosis with the nipple/areola complex far below the breast fold. There is asymmetry in the size and width of the breasts. Based on these photos, in my opinion, you are not a good candidate for a peri-areolar mastopexy and would need an incision that goes around the areola, down to the bottom of the breast fold and across the bottom (anchor incision/Wise pattern). This will be able to raise the nipple/areola complex sufficiently back to a more youthful position and also tighten the breast skin and tissues in the horizontal and vertical dimensions to give you the best results. Fat grafting or an implant may be added to increase the fullness and contour of the upper part of the breast if desired.

Daniel Barrett, MD · Answer

Dear Fearless8855,
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 thats being brought together to support the breast and hence improves longevity. 
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Leila Kasrai, MD, FRCSC · Answer

Your nipples are located below your breast fold therefore a donut breast lift would be insufficient. A vertical lift would be more suitable for you to reshape your breasts and make them perkier. Implants aren’t necessary unless you want significantly rounder breasts that are also larger.

Martin Jugenburg, MD · Answer

Hello, thank you for your question. Periareolar breast lift really just moves the nipple upwards however in your case a full breast lift would be need to achieve the "perkier" breast you want. Speak to your plastic surgeon about what can be done. Bring in some wish pics. Feel free to check out our before and after gallery for something you may want to bring with you.

In my 20s, am I a good candidate for a periareolar breast lift after weight loss? (Photos)

Answers (10)

Answer: Full breast lift

Answer: Full breast lift

Answer: Perkier breasts restoration

Answer: Perkier breasts restoration

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Everything you need to know about Breast Lift with Implants

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In my 20s, am I a good candidate for a periareolar breast lift after weight loss? (Photos)

Answers (10)

Answer: Full breast lift

Answer: Full breast lift

Answer: Perkier breasts restoration

Answer: Perkier breasts restoration

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.