Do I need breast lift if I switch implants to smaller size?

Tracy M. Pfeifer, MD answers: Alternative to anchor incision for Breast Lift?

I got Silicone breast implants two years ago, going from a B cup to a full D. Since then, I've had Torsoplasty, Liposuction and gotten smaller.

Now, I'm a size 4 with a tiny waist (gastric bypass five years ago) but have enormous boobs. If I got smaller implants would I need to have a Breast Lift too? If so, is there an alternative to the "anchor" incision that would be less visible?


Tracy M. Pfeifer, MD
3 months ago
By Tracy M. Pfeifer, MD - Manhattan Plastic Surgeon

Hi Sleep36.  Without seeing pictures I cannot tell 100%.  However, in general, yes.  The smaller implants will take up less of the "skin envelope" and usually the excess skin will not shrink enough, so you will need a lift to get rid of this excess skin and, usually, you need the lift to reposition the nipple higher as well. 

The design of the scar depends on the distance the nipple needs to be elevated.  An anchor pattern is necessary if the distance is very long.  Shorter distances can be treated with a lollipop scar (peri-areolar and vertical) or with a lollipop plus a SHORT

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More answers to “Alternative to anchor incision for Breast Lift?”

A: Breast lift scars

George J. Beraka, MD
3 months ago
By George J. Beraka, MD - Manhattan Plastic Surgeon

Hi!

1)  You probably will need a breast lift.

2)  In Manhattan, we never use the "anchor" scar for a breast lift.  In my opinion, it is not necessary, and you get long lasting results with a "vertical" lift.

3)  You should end up either with circular scars around your nipples only, or else with "lollipop" scars.

Web reference: http://www.drberaka.com
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