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Risk of Pink Scarring After Breast Lift and Augmentation?

asked 2 years ago by Body Beautiful in Texas
Latest answer by Jaime Perez MD
Question viewed 5,851 times
Tags: age 25-34, breasts, female, 110-129 lbs, 5 ft 4 in to 5 ft 7 in, natural, scar

Opinion needed on getting a breast augmentation, and a possible lift. I have had four children, and I am 27 years old, 5'5", 125 lbs. I am very light-skinned, and I scar really badly so I am worried about scarring that will be pink, and very obvious on my skin tone. I want to look as natural as I can when I’m completely naked. I have added photos of my breast and upper body for a visual on exactly what my breast look like now. So lift or no lift? Augmentation, or not? Also any opinions on the Endoscopic-Assisted Breast Augmentation?

19 answers to Risk of Pink Scarring After Breast Lift and Augmentation?

Decision-making in breast surgery

What is it about your breasts that you do not like? What is it that you want? While artists and plastic surgeons have certain concepts about the ideal or perfect breast, it does not necessarily apply to each patient. Patients, and doctors, can be hyper-critical of breasts. Your breasts, by all normal parameters, are normal breasts. There are not screaming for surgery. However, what you desire will determine the treatment necessary to get you there. Once the path is outlined, you'll have to... more

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Breast lift and Augmentation

Dear Texas, The discussion needs to start with :"Do you like the current size/volume of your breasts?" - if the answer is YES - then we need to only focus on a breast lift (Mastopexy). IF the answer is NO - then we can discuss augmentation. In my opinion, although good looking results can be obtained with other incisions - the periareolar breast augmentation incision is in many cases, including yours, superior to all others. It allows unrivaled visibility of the breast implant... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Breast augmentation and lift

In my opinion, you could have a very nice result with a periareolar lift and submuscular augmentation. The lift will elevate the nipple, shrink your areolae which are too large now, and allow access to place the implants. In the end, you should have a very thin scar and it will be between the areolar skin and the normal skin so it wil be more of a boundry than a scar. Please see many photos of this on my web site.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Breast augmentation will give you nice results, but you may need a small lift

Hi, Thanks for submitting the pictures - it makes answering your questions so much easier! Looking at your pictures, you have ptosis (droopiness) of the breast gland, but not much droopiness of the nipple and areola. Most of this can be corrected with placement of a breast implant, which can add volume to the upper pole of your breast. Without examining the breast skin envelope, it's hard to know if an implant alone will allow the nipple-areola complex to settle in the perfect position. ... more

Sam Jejurikar, MD
Dallas Plastic Surgeon

Breast augmentation with possible lfit.

Hello. First I'll start by saying to keep in mind that anytime you have surgery you will have a permanent scar. However, you have very nicely shaped breasts. I would recommend you consult with a few board certified plastic surgeons in order to get different opinions before you make your decision. This is very important. best of luck to you.

Jaime Perez MD
Tampa Plastic Surgeon

Pink Scars after breast lift and augmentation

All scars are initially pink from the inflammation which occurs during wound healing. As scars mature they fade to a silvery white appearance. Thickening or spreading of scars can sometimes occur due to a variety of reasons but this is usually not the norm. My recommendation is to go with a large enough implant to fill out your skin yet still be compatible with your tissue requirements, ie. not too big or sagging will occur, and try to avoid putting a scar on your breast as a lift... more

Paul Rottler, MD
Saint Louis Plastic Surgeon

Scarring after breast augmentation and/or lift

First, keep in mind that any incision will leave a permanent scar. This tends to improve significantly with time, and with your skin tone I would expect a pink scar for the first 6 weeks followed by gradual lightening within the following year. Regarding a lift versus augmentation alone, it depends on how large you wish to go. Based on your photos, I suspect that you would need only an augmentation. This in turn means that you would have fewer incisions on the breasts. You can have... more

Nina S. Naidu, MD
New York Plastic Surgeon

Body beautiful...

Your pen name is befitting. Your body looks great for someone who hasn't had children at all, much less someone who has had four. You don't need a lift. An implant will provide enough lift to your breasts. As you have heard, there are many choices of incisions for breast augmentation, all of which heal very well and are well hidden. With your skin tone any scars will turn pink, but should fade to match your skin color over time. Good luck! see video

Kenneth R. Francis, MD
Manhattan Plastic Surgeon

Breast Augmentation with a lift

Judging by your photos, an augmentation with a wide implant will fill out your breast area as well as give you the upper pole fullness. Also, you will need a circumareolar mastopexy to tighten the breast and also make your areaolas a bit smaller. An implant alone I fear would not give the result that you are looking for and just simply make your breast larger and thats it. I would perform the dual plane technique with the lift. An endoscopic breast augmentation is great through the arm... more

Farbod Esmailian, MD
Orange County Plastic Surgeon

The risk of poor scarring is low after augmentation

There are several choices for incision placement when an individual is considering breast augmentation, in the fold under the breast, along the lower edge of the nipple, and high in the underarm area. All can heal very well and the choice is guided by personal preference and lifestyle issues. From a surgical standpoint, any surgeon skilled in augmentation should be able to accurately place the implant through each approach. Why some choose on incision over another is personal. The... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

All about breast augmentation

I appears as though you're an excellent candidate for breast augmentation. The incisions used can go either around the areola, underneath the breast, or in the axilla. Because you're worried about the scars, I would recommend placing the incision underneath the breast as this is a very well hidden area. Bring in some photos of breasts that you like so your plastic surgeon can get an idea of how big you want to be. Also, check out some before and after photos before choosing your surgeon... more

Jeffrey E. Schreiber, MD
Baltimore Plastic Surgeon

Scarring with Breast Augmenation or Breast Lift

Well let's start with the obvious-you look fantastic for having four children. Your breasts appear to have a very small amount of ptosis. And I mean a very small. In addition you have some loss of upper pole fullness. So the best bet would be a subpectoral augmentation with a low profile implant in the 300-350 range. This would both correct the upper pole loss and the minor ptosis. In addition I would do this through an inframammary incision. I make this incision 1cm below the... more

Christopher L. Hess, MD
Fairfax Plastic Surgeon

www.hessplasticsurgery.com

My two cents

I belive you will need a lift, which will make the breasts slightly smaller. Add implants to increase size/volume, upper pole fullness, and improve shape. The endoscope will not contribute if a lift is done. All wounds go through a period of redness starting several weeks after surgery, and usually fade in the months to come. Sometimes bad scars may form and require additional treatment. I agree that you need to visit with a board certified plastic surgeon to make your plans. sek... more

Scott E. Kasden, MD
Dallas Plastic Surgeon

Your breasts look natural now.

I hear conflicting statements in your remarks that give me the sense that you are experiencing guilt about asking for what you really want. Perhaps I am wrong but when you state: " I want to look as natural as I can when I’m completely naked. " You should be happy with the way you look now. The fact that you are not happy means that you don't like what nature did to you. Having said that, the next question is: Do you dislike the saggy (ptotic appearance) or the size. IF you... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Breast Lift or Breast Augmentation

To me, your breasts look too good to have a lift. If you want an augmentation, an endoscopic assisted technique doesn't make any sense for you: the crease under your breast is so well hidden that it is an ideal place to have the most accurate augmentation as well as hiding the scar. The bottom line is you need to find a board certified plastic surgeon who can help you to figure out what you should do.

Steven Teitelbaum, MD
Los Angeles Plastic Surgeon

Breast lift or not

If you want larger breasts thatn obviously an implant would be necessary. A small lift perhaps just with raising the nipple and areola would be neneficial keeping the incision along the border of the nativebreast skin and the areola. These tend to heal very well when the nipple is not lifted too much. But there is always a trade off with shape and scarring.

Steven Wallach, MD
Manhattan Plastic Surgeon

To lift or not

What you do will depend upon what you want to achieve and what you would be willing to give up to get there. Let me cut to the chase and guess that. 1. If you are very concerned about scars and 2. If you would like to look as natural as possible and 3. Assumming that you don't like the look you currently have then I would strongly recommend a breast augmentation with silicone gel implants with an incision around the nipple. The scarring will be small, the resukts will be good and you will... more

John P. Stratis, MD
Harrisburg Plastic Surgeon

Avoiding unnecessary scarring from breast lift and augmentation

There is risk of scarring in any surgery which is one of the many reasons why it is so important that you chose the right surgeon and be very detailed when filling out your client history forms. For example, if you skip over a question because you’re not sure what it means you may inhibit optimal results. Many people are unaware of what a Keloid Scars are. A Keloid Scar is defined as an abnormal scar that grows beyond the boundary of the original site of a skin injury. It is a raised... more

John Grossman, MD
Denver Plastic Surgeon

Breast Lifing, Augmentation, Recovery, scarring

Dear Body Beautiful, the choice of procedures will depend on your goals. All of the options that you have listed are good. The risk of scarring is present but small - unless your history of scarring is true Keloid scarring - then you are at high risk for visible 'pink or thickened scars'. With Warm Regards, Trevor M Born MD