Do I need a full anchor lift?

Your photos show that your breasts still have significant sagging, and your nipples are still low on the breast mound. As the "lollipop" lift has been inadequate, it appears that you will require a full anchor type lift for further improvement.

Unfortunately, despite 2 breast lifts, due to the inadequacy of the technique used, your areola diameter remained too large and the upper pol fullness of your breast could not be achieved. However, there is also a serious asymmetry. In this case, Pushup Lift will be the most suitable technique for you as a technique in which the areola is taken to its new location completely free and does not expand, can be reduced to the desired size, and the upper pol fullness can be provided with the breast's own tissue. All scars can be revised at the same time

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

You need at a minimum a conversion to a full anchor mastopexy. More likely than not....you would benefit from slight reduction of the breast tissue, otherwise, even with a full lift, you may sag more than you want.

Yes, you certainly need a full anchor lift. That is the only way to achieve more adequate symmetry because that is the only incision that will correct the vertical excess.

To achieve a lifted position, as well as as much symmetry as is possible, I would recommend an anchor style incision with a judicious reduction of the weight of the breasts and a mesh support internally to help support the weight of your breast overtime. A breast lifts longevity is due to the strength and elasticity of the skin, and if the skin is not strong and elastic the results do not hold up. The internal mesh creates a stronger layer internally to help support the breast tissue and take the load off of the skin only. Best wishes.

The anchor lift or Wise pattern lift would be indicated to reduce and lift your breasts and reduce the areolar size. You would have to be fine being significantly smaller for this to be indicated.

I would definitely recommend a full anchor-type mastopexy. This is the most durable and maximum way to fully rejuvenate your breasts. Otherwise, you have too much tissue which will only cause problems with ptosis moving forward. I would not hesitate to proceed. Thank you.

Yes you need a full lift and also a reduction to improve symmetry and improve your outcome. Your breasts are simply too large for just a lift.

Your results are typical of the lollipop lifts. The lollipop lifts are skin pinched procedures that attempt to push the breast up by compressing the breast below. At this time, I recommend The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured. Your areola can be made smaller as well.

Best Wishes,

Gary Horndeski, M.D.