Lollipop breast lift with implants delivers two goals in one surgical setting: Correct the pendulous shape and add more volume with the use of breast implants, which are either filled with saline or silicone.
To demonstrate the results of lollipop breast lift with implants, leading Los Angeles plastic surgeon Dr. Tarick Smiley has recently posted a series of videos on Snapchat involving a patient who has had the procedure.
The patient had severely drooping breasts in which the areolar complex, or the ring of pigmented skin around the nipple, settled beyond the breast crease, or the inframammary fold. Furthermore, her areola was disproportionately big relative to the breast mound.
“The patient needs the base of her breasts reconstructed. The base looks tubular and so we need to reshape it in order to deliver a fuller cleavage,” Dr. Smiley said in the video.
To reshape the breast and elevate its sagging tissue, Dr. Smiley performed lollipop breast lift technique in which a circular incision around the areola and a vertical line down the midline to the inframammary fold were used; hence, the resulting scar would resemble a lollipop.
The lollipop breast lift suits patients who need their areola lifted more than 2 cm, which the donut lift (i.e., only incisions around the areola’s border are used) cannot accomplish.
Meanwhile, several factors determine the ideal position of the areola, although the most critical one is the breast size. In general, its placement should promote a teardrop shape, or at least a 45:55 ratio, in which most of the volume is found in the lower breast pole.
Compared to the standard breast lift that also uses a crescent-shaped incision along the base of the breast, the lollipop lift generally results in shorter recovery and lower risk of wound dehiscence.
In standard breast lift, which is also referred to as anchor lift, the junction where the vertical and horizontal incisions meet is prone to wound dehiscence or delayed healing due to tension on the skin.
With lollipop lift, Dr. Smiley elevated the sagging tissue of the lower breast pole and reduced the areola by one-third of its previous size.
Afterwards, Dr. Smiley positioned implants beneath the muscle, which provides additional tissue coverage and support; these are particularly important in patients with a history of breast ptosis (sagging) and women with decreased skin thickness to prevent drooping recurrence, palpability, and rippling.