Crescent breast lift for nipple asymmetry? (Photo)

Thank you for your inquiry! We would love to sit down with you and discuss your options! Schedule a consultation with a Board-Certified Plastic Surgeon to help you reach your goals.

Unfortunately your breast footprint is low and cant be changed with a cresent lift. Among your nipple position is normal; a reverse T skin resection with inframamarian fold elevation may be a suitible option for this situation.

Dear iiixixcvii,

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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

I perform crescent lifts fairly frequently and believe it is a good technique to lift a nipple 1.5 and sometimes 2 cm to create symmetry with the level of the opposite nipple. The tradeoff is a scar around the upper half of the nipple.

However I agree with a previous post that the main culprit is the left implant has bottomed out and correcting that with a left inferior capsulorrhaphy will pull the nipple down some.

An in person exam with measurements would help determine whether the capsulorrhaphy alone will suffice, or whether a crescent mastopexy should be added. Measurements would also determine whether excising some skin from the lower pole is also needed.

A crescent breast lift will not be effective. A circumareola donut mastopexy would be better. Also, this can be done to both nipples to create a better symmetry. The one that is lower can be raised slightly higher or the higher one can be slightly lowered.

Best Wishes,

Gary Horndeski, M.D.

Hello and thank you for your question.
It is difficult to make recommendations without a physical examination and additional photographic views. However, based on the photograph provided it does appear that you have "bottomed out" with an elongated distance from your nipples to your inframammary folds. The left IMF also appears to be slightly lower the the right. In my opinion, you would benefit removal and replacement of both implants with capsular repair along both folds, creating more symmetric pockets. This would also reposition the implants so the nipple areolar complexes would be located over the most projected portion of the implants. Good luck. I hope this helps.

The crescent lift tends to elongate the areola over time. However, the peri-areolar lift should work well and keep your areola circular.

A crescent lift is not the solution.
Your L breast implant is sitting lower .It needs to be elevated in order to correct the asymmetry,

Based on the one posted, a photo then noted a symmetry of the nipple complexes cannot be corrected by a crescent lift. I recommend a donut lift or a donut lift with a minor L shaped inferior extension. Best of virtual concert with expect fee to range from $5000-$8000.