The moon-shape (crescent) lift involves a scar hidden along the upper half of the areola border.  The donut (circumareolar) lift involves a scar hidden around the entire circumference of the areola border.  These scars camouflage very well where the darkly pigmented skin of the areola meets the lighter skin of the rest of the breast.  These lifts work well when the nipple is only slightly downward pointing but positioned relatively well on the chest wall.  One of the disadvantages of these lifts is that they can only raise the areola up to a maximum of about 2 cm.  They also tend to flatten the breast shape and are not ideal when there is saggy breast tissue in the lower pole.  Therefore, based on the low position of your nipple areola complex and the amount of breast tissue laxity you have, you would not be a good candidate for either of these lifts.

Hello,  thank you for your question regarding breast left, breast augmentation and trying to avoid a vertical breast scar.  Based on only a single picture, a measurement of “29”,  and not a physical examination I would suggest the following options.   For the best results, I would suggest a breast implant and a breast lift.  Based on your picture, the bigger implant you  select, the less breast lift you will need —  up to a point.  If you choose an 800cc implant, this is not gonna work. 


I would recommend an in-person consultation with a plastic surgeon where a thorough physical examination and measurements will be made to determine the best treatment plan for you.  At the consultation, you should view before-and-after photos of various breast lift techniques in patients with breasts similar to yours to see if you like the results before undergoing surgery.  Best of luck!
“Adding a breast implant to the procedure sometimes allows the surgeon to shorten or even eliminate scarring, since the implant will then take up some of the slack caused by the breasts’ sagging,” says Fort Worth, TX plastic surgeon Dr. Jonathan Heistein. “Some breast augmentation patients may even be candidates for a radiofrequency treatment called BodyTite, which can provide a slight lift without requiring additional surgery.”
Some patients report pain the day after their liposuction surgery. Usually, this discomfort is minor and can be relieved with pain medication and moderate walking. In less than a week after liposuction, most patients are able to move and walk normally, even returning to work with minimal discomfort. Patients should take showers instead of baths for about a week after liposuction. During this time, swelling, bruising, and numbness will begin to go away. 

As with any surgery, a breast lift involves incisions in the skin, it's more important that you focus your research in find a Board Certified Plastic Surgeon who specializes in this kind of procedures than try to refuse what is suggested, not all breast lifts are the same your scar will depend of what kind of technique we can perform according to your body including sagging, size, and shape. keep in mind It’s also important to avoid behaviors that can make breast lift scars worse. 
Dr. Cohen specializes in breast lifts, augmentations, revisions and reductions as well as breast cancer reconstructions. A long time dream of Dr. Cohen’s was to travel to developing countries and provide expert surgical care to those who have no other possible access to medical care. This became a reality in 2007 when she became a founding member and Vice President of ISMS Operation Kids.
While there is no upper age limit for patients who want to have liposuction, there are risks associated with any type of surgery. Therefore, patients should be in basically good health in order to safely undergo the procedure. Patients who suffer from serious medical conditions or who take certain medications may not be good candidates for liposuction. Consult with your primary care physician and plastic surgeon to find out whether you are an appropriate candidate for this procedure. Because liposuction removes fat but does not tighten skin, patients with good skin elasticity tend to experience the most aesthetically pleasing results. Older patients typically have less supple skin than younger patients.
Traditional Liposuction: In traditional liposuction, the surgeon uses a thin tube called a cannula, connected to a powerful suction pump. After inserting the cannula through a small incision, the plastic surgeon helps break up the fat by manipulating the cannula and injecting fluid into the area. Although it does carry some risks, traditional liposuction is very effective in taking out fat, and it is still one of the most popular forms of the procedure.
Cellulite is caused by fat cells pushing through the collagen, the connective tissue directly beneath the skin's surface, causing a dimpled appearance. The appearance of cellulite is not related to the amount of body fat an individual has and is prevalent even in healthy and underweight people. Cellulite is more common in women because men have a tighter collagen mesh pattern beneath their skin. Liposuction can help aid cellulite removal in both men and women, but it is important to remember that there is no permanent "cure" for cellulite. The success of cellulite removal is dependent on many factors, including genetics. Because of this, patients should not expect liposuction to eliminate cellulite from their bodies.
Ultrasonic Liposuction : This popular form of liposuction uses a specialized cannula that emits ultrasonic sound waves into the fat deposits to liquefy fat cells and make them easier to remove. By utilizing ultrasound technology, the doctor can remove larger and denser fat deposits, and he or she can tighten the surrounding skin. However, there is a greater risk of burns and scarring due to the heat from the ultrasound waves.
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