Issaquah Breast Lift doctors

You have very good reason to be concerned, but not necessarily because you are African American. While its true that some people of color tend to make thicker or keloid like scars, this is actually quite unusual on the breast unless there is some problem with wound healing. I do lifts and reductions on African Americans all the time and they get very satisfactory results.

It is a misconception to think that a Binelli Lift always results in a lesser scar. As Dr. Rand pointed out, the very worst scars from Binelli Lifts are a result of trying to avoid the scars of a more complete lift is needed (which can turn out quite good), and trying to accomplish too much with a Binelli lift which results in excessive tension on the wound leading to widening, pigmentation irregularities, and generally poor scarring. With a very large areola you are at even more risk for problems. Adding an implant tends to put even more tension on the scar. Also Binellin lifts tend to flatten the breast, so if your breast is already flat, the Binelli lift would not be a good choice.

Although you might prefer to avoid the scars of a lollipop or traditional lift, those might ultimately be a better choice for your situation.

You are looking for a very natural look with less breast overhang and a somewhat higher nipple position and smaller and less stretched areola.  Judging by the photo example of what you are looking for, you are not concerned about having more upper pole fullness or even a "natural" implanted look.  There are two reasons to use implants...if patients are looking for larger breasts, or if they are looking for more upper pole fullness. I would therefore suggest a breast lift, perhaps a "lollipop" or vertical technique, versus a circumvertical or anchor lift depending on physical exam in terms of how much overhang you have and how low your nipple position is.  Periareolar or Benelli lifts, in my opinion, only work well with implants, as otherwise they result in a persistent flat breast, and if this mild lift is overused (used in a patient who needs a stronger and better shaping variation of a vertical scar lift), then the resulting breast shape and scar quality suffers. If you have a lift to obtain a better breast shape, and later decide that you want more upper fullness from a small and natural-looking implant, this can be easily done.

Typically the main discomfort following an augmentation and lift is due to the placement of the implants, particularly if placed under the pectoralis muscle.  The lift, consisting of just essentially skin incisions, does not add much discomfort nor probably anything to the recovery period.  I restrict my lift patients from going without their bra, bouncing, or lying on their breasts for 6 weeks after surgery until the incisions are well healed.  I do pretty much the same for my implant only patients.