Can I have a breast lift without moving the nipples? (Photo)

Question

I took a bad photo before, I was wanting implants because I have lost volume, also unsure if I 'needed' a lift, I wanted to avoid that if possible, also my nipple measures 17cm from the notch so they aren't low, is there such a 'lift' without moving or cutting around the nipple??

Hayley Brown, MD, FACS · Answer

Sagging with still high nipples is termed "pseudootosis". It can be possible to lift the breast yet keeping an already high nipple in its current location. You may be a candidate for implants alone or even some type of lift with or without implants. Without an exam, assessing your goals, breast measurements, and skin tone, it is hard to tell you what would be best. Therefore, I would recommend a few consultations to see what makes the most sense.

Pejman Aflaki, MD · Answer

Hello and thank you for your question and sharing your photos. You do have some glandular ptosis. You will likely benefit from a mastopexy augmentation (lift + implant). I would seek consultation with a board-certified plastic surgeon for a full evaluation and advice. Best,
Pejman Aflaki, M.D.
  
Johns Hopkins-trained double board-certified plastic surgeon

Daniel Barrett, MD · Answer

Dear Jammyjane,
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 thatsbeing brought together to support the breast and hence improves longevity.
If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Scott W. Vann, MD, FACS · Answer

You have a condition where your breast skin especially lower breast skin sags but nipple is in normal position. You need a lift that removes and tightens the lower skin with no incision to the nipple aerola area. An implant can be placed at the same time. Consult with a plastic surgeon who does a lot of breast lifts and you like their before and after photos. Good luck.

Connie Hiers, MD, FACS · Answer

As you noticed, your nipples are in good position, but your own breast tissue is sagging. Yes, an incision can be done underneath to help tuck the breast and remove excess skin. However, the breast may look somewhat flat. I would suggest the regular incisions for the lift for the best results.

Vincent P. Marin, MD, FACS · Answer

You have glandular ptosis and do not have a lower than ideal nipple position. You need a lift to reduce the "bottom heavy" shape of your breasts. Unfortunately there will be some scarring around the areola to help re-drape the skin. Otherwise, there will be issues with the final shape. You should see a board certified plastic surgeon in your area to get a formal opinion through an in-person consultation.
Best of luck,
Vincent Marin, MD
San Diego Plastic Surgeon

Daniel Zeichner, MD · Answer

Hi and welcome to our forum!From your photos, I note the distance from the top of the breast bone to the nipples is normal. The distance from the nipples to the fold beneath the breasts appears increased. There is loss of superior pole fullness. Although the nipples reside above the fold beneath the breasts, there is excessive tissue between the nipple and the fold. This entity is called pseudoptosis.  Correction can be accomplished with an infra-areolar breast lift. The nipple areolar complexes will be untouched. It will increase breast projection and superior pole fullness.Visit a board certified plastic surgeon for in-person evaluation and discussion.Best wishes...

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