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Avoiding Vertical Breast Lift Scar?

I had a consultation today for a breast lift with implant. I really do not want that long verticle scar that accompanies most breast lifts. The surgeon measured me and said I was a 29? He said that I would need the lift with the anchor incision, or I could just have the implant without lift, but the implant would go on top of the muscle. I'm really dissapointed because I do not want that large vertical scar. What are my other options for a lift? I have another consultation scheduled with a different surgeon, but I want to know if they are just going to tell me the same thing.

Asked 32 months ago by amerriott in agency, mo

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scar surgery scar Virtual consultation

No vertical scar breast lift

Hi, Fortunately women like yourself not desiring a vertical scar with a breast lift, have an option. This technique was developed after many years of performing the same unsatisfying and non-aesthetic lifts. It eliminates the need for a vertical scar regardless of the degree of ptosis (sagginess or excess skin). It also provides for a "Barbie" like fullness that is achieved by 'coning' a woman's own breast tissue, therefore, eliminating the need for implants... more

Doctor's Website

Gary M. Horndeski, MD

Houston Plastic Surgeon

Breast lift scar

Based on your picture, it does look like you will need a vertical scar in order to give you a good shape. Every patient is always reluctant to have the scar. In the beginning of my practice, I even let some of those patients convince me not to use it since they swore they would be happy without it. In every single case where I tried to do a lift without the vertical scar, for someone that needed it but wouldn't let me use it, the patient would regret it. The reason is, that after surgery,... more

John Diaz, MD

Beverly Hills Plastic Surgeon

Scar is Part of Breast Lift

There are many different techniques and incisions for performing breast lift, but they don't all produce the same results and every patient may not be a well suited candidate for many of the techniques. To add to the challenge, experts may disagree about what might be the best technique for a specific patient. As you consult with different surgeons and research different techniques, look at before and after (at least 6 months post-op) pictures of women who start out with... more

Doctor's Website

Paul C. Zwiebel, MD

Denver Plastic Surgeon

ASAPS ASPS

Avoiding vertical scar of breast lift

Judging by the severe sagging that you have (the amount of breast overhang and the very low nipple position), you need a lift, and a stronger lift than just a circular periareolar lift...you need a vertical scar as well. If you just have a circular scar lift, you will have flattening of your breast in the nipple area, a worse quality scar around the areolak and an inadequate lift. I would pretty much guarantee that you would return unhappy with the shape and the scars and have a revision... more

Robert M. Grenley, M.D.

Seattle Plastic Surgeon

ASAPS ASPS

All Breast Lifts Results are NOT the Same - Choose Carefully

Regarding: "Avoiding Vertical Breast Lift Scar? I had a consultation today for a breast lift with implant. I really do not want that long verticle scar that accompanies most breast lifts. The surgeon measured me and said I was a 29? He said that I would need the lift with the anchor incision, or I could just have the implant without lift, but the implant would go on top of the muscle. I'm really dissapointed because I do not want that large vertical scar. What are my other... more

Peter A. Aldea, MD

Memphis Plastic Surgeon

ASPS

When you need a breast lift, you need a lift scars included.

From your picture, you could camouflage the ptosis of the breasts with large implants probably. To truely restore the areola to its correct position, you'll need a lift. This cannot be accomplished with a "do-nut" mastopexy which is a lousy operation except in occasional cases. There are variations to the incisions, but in general, the more skin removal and repositioning of the areola, the longer the incisions.

Vincent N. Zubowicz, MD

Atlanta Plastic Surgeon

ASAPS ASPS

There are several options for breast lifts.

There are several main types of lifts with a few modifications of each. These are increasingly more invasive with greater scarring as you go down the list. crescent (scar only above areola) periareolar (circular scar all the way around areola) vertical (also called lollipop because of circular scar around areola and vertically descending scar) anchor (same as vertical scar PLUS a horizontal scar across the bottom) Unfortunately it is not as easy as just deciding... more

Richard H. Fryer, MD

Salt Lake City Plastic Surgeon

ASPS

Breast Lift Scarring

Hello Amerriott- I totally agree with everything my colleagues and your plastic surgeon have told you...and by the way, THANKS for the picture, it really helps us give you the most accurate information that we can without actually seeing you in person. I agree, the anchor scar is not what I would recommend; the vertical reduction/mastopexy/breast lift is a fantastic operation that gives the breast, at least in my opinion, the best rejuvenated, natural shape after surgery. With a more

John Philip Connors III, MD

Atlanta Plastic Surgeon

ASAPS ASPS

Anchor scar not necessary for you,but you do need a vertical scar

If you want a nice breast shape, you need a lift, period. And not just a circumareolar (around the areola) lift. That won't work for you--you'll regret it if you try to get away with just that. A circumareolar lift cannot lift a breast from 29 cm up to 19-20 cm--just not possible. You need that vertical scar, but you do NOT need that long anchor scar. You would do great with a SPAIR mastopexy (lollipop-type scar). Only add an implant if you want to be... more

Carmen Kavali, MD

Atlanta Plastic Surgeon

ASPS

"Lollipop lift"

Based on the photo you provided, you would be a good candidate for an augmentation with a lift (mastopexy) using a "lollipop incision. So, unfortunately, there would be a vertical incision used to provide a lift of the nipple-areola complex. I would consult with a board certified plastic surgeon to discuss all of your options. However, compare the pros and cons of having a lift done, usually the pros out weigh the cons. Please check out my website for more information.... more

Tom J. Pousti, MD

San Diego Plastic Surgeon

ASAPS ASPS

How to avoid a vertical breast lift scar

Today there are many techniques possible for breast lift surgery. In our practice, our first priority is to create a round and youthful appearance of the new breast. Another priority is to minimize the amount and the length of the incisions needed to create this new breast. When choosing a plastic surgeon, ask how many breast lifts they perform and specifically which type area in our practice, 95% of our patients receive their breast lift through a periareolar incision or a... more

B. Pat Pazmino, MD

Miami Plastic Surgeon

ASAPS ASPS

Breast lift and scars

Just form looking at your front view photograph the only way to lift your nipple is by putting an incision on the chest and raising it. This will require a vertical lift at minimum. A circumareoala or Benelli lift will not give you a great result because of the distance with which you need to move the nipple.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Avoiding vertical scar of breast lift

There are many ways to do a mastopexy. The only method that avoids a vertical scar is the PERIAREOLAR mastopexy. The choice of the procedure will ultimately depend on the shape and size of the breast you desire. Each procedure has its pros and cons. There is a tradeoff in each procedure.Periareolar mastopexy can cause a wide areola, and is a limited lift. You may require another lift faily quickly after the first surgery. Vertical mastopexy (HAMMOND) procedure may be longer lasting better... more

Samir Shureih, MD

Baltimore Plastic Surgeon

ASAPS ASPS

Can have breast lift and breast implants without vertical scar.

Hi. In Manhattan, we frequently see women like you. The most common solution is a minimal scar breast lift ( circular scar around the nipples ) together with breast augmentation. Very safe.

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Vertical scar breast lift

A mastopexy or a breast lift can be performed in many different ways with different incisions. If your breasts are sagging and the nipple position is somewhat low (as in the photo) you would require a vertical incision to give you the best breast contour. Although patients are often times reluctant to have such a scar on their breasts, the improved shape is what most patients want in the end. The scar usually heals quite well. Most patients will accept a scar in exchange for a great shape... more

William Bruno, MD

Beverly Hills Plastic Surgeon

ASAPS ASPS

May consider staging the implant and lift procedures

Your questions hits at the core of breast surgery. The balance between breast shape and the resulting scar. The implant alone will give you a better volume and improved appearance in a bra/clothing. However, the implant alone will not significantly improve the droopines of you breast. Here is the trade off. If you cannot tolerate the scar, and can accept the droopiness, then get the implant alone, you can get a lift later if you desire. To get a nice result with one surgery, you may... more

Reza Nabavian, MD

Santa Monica Plastic Surgeon

ASPS

Great question, and the photo definitely helps.

This question come up a lot in my practice and I would tend to agree with your consult. You can gat a very nbatural result with an above the muscle implant, but the width needs to natch your breast. If you desire more upper pole fullness , a lift will be necessary, and I would perform a short-scar or lollipop lift rather than an anchor scar. The bennelli or donut mastopexy, may limit the vertical scar but usually at the expense of a widened areaolae. Hope this helps.