I've had 2 LOLLIPOP lifts with different surgeons. Both times my areola stretched back out, my breast sagged again, and I rejected stitches. I'm going to need a 3rd lift. Does this indicate the need for an anchor pattern? Should I ask for permanent stitches since I'm prone to spitting dissolvable (which in turn has left me with widen scars around the areola)? Because of this I had them tattooed with a scar camouflage which made everything worse so I need to have that removed in the surgery.
Answer: Breast lift Dear Ddrr123, 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
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Answer: Breast lift Dear Ddrr123, 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
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February 17, 2025
Answer: Anchor Pattern Yes, most patients are only candidates for anchor-pattern lifts as the horizontal resection is the only way to properly address the skin excess in the vertical (y-axis dimension). Lollipop lifts DO NOT have a horizontal resection and therefore place all of the tension on the vertical closure and around the areola while also not addressing the vertical excess of skin tissue of the breast.
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February 17, 2025
Answer: Anchor Pattern Yes, most patients are only candidates for anchor-pattern lifts as the horizontal resection is the only way to properly address the skin excess in the vertical (y-axis dimension). Lollipop lifts DO NOT have a horizontal resection and therefore place all of the tension on the vertical closure and around the areola while also not addressing the vertical excess of skin tissue of the breast.
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January 2, 2025
Answer: Areola stretch The areola tissue can stretch due to the tension on incisions. This can be related to several factors including large implants, genetics, etc. An exam would be needed to give a specific recommendation to help you achieve the best results.
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January 2, 2025
Answer: Areola stretch The areola tissue can stretch due to the tension on incisions. This can be related to several factors including large implants, genetics, etc. An exam would be needed to give a specific recommendation to help you achieve the best results.
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December 8, 2024
Answer: Breast lift A vertical or lollipop lift places too much tension on the vertical incision resulting is a longer nipple to fold distance over time. You should convert to a standard or Wise pattern. In addition I'd suggest using mesh or internal bra to support the breast to prevent bottoming out.
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December 8, 2024
Answer: Breast lift A vertical or lollipop lift places too much tension on the vertical incision resulting is a longer nipple to fold distance over time. You should convert to a standard or Wise pattern. In addition I'd suggest using mesh or internal bra to support the breast to prevent bottoming out.
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December 9, 2024
Answer: Widened areola after breast lift Hello. Thank you for your question. While it is difficult to specifically answer your question without photographs, areolar widening after a breast lift most often occurs with a circumareolar mastopexy, when the incision is limited to outside of the areola only. This type of breast lift requires permanent sutures to limit areolar stretch and it’s usually appropriate only for a minor breast lift. The addition of a vertical component in the lollipop incision usually reduces the tendency for areolar widening. Given your recurrent ptosis, you may benefit from a wise (anchor pattern) to provide a more effective lift but areolar stretch would not necessarily be significantly reduced when compared to a circumvertical mastopexy. If part of the areolar problem is hypertrophic scarring from spitting sutures, you may ask your surgeon to utilize a different type of absorbable suture. Good luck.
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December 9, 2024
Answer: Widened areola after breast lift Hello. Thank you for your question. While it is difficult to specifically answer your question without photographs, areolar widening after a breast lift most often occurs with a circumareolar mastopexy, when the incision is limited to outside of the areola only. This type of breast lift requires permanent sutures to limit areolar stretch and it’s usually appropriate only for a minor breast lift. The addition of a vertical component in the lollipop incision usually reduces the tendency for areolar widening. Given your recurrent ptosis, you may benefit from a wise (anchor pattern) to provide a more effective lift but areolar stretch would not necessarily be significantly reduced when compared to a circumvertical mastopexy. If part of the areolar problem is hypertrophic scarring from spitting sutures, you may ask your surgeon to utilize a different type of absorbable suture. Good luck.
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