Breast Lift: Q&A
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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.
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30 Doctor Answers |
Asked by
amerriott
in agency, mo
+11
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.
Examples are provided...
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+3
Avoid Breast Lift Vertical Scar-Find an Expert
Thank you for your question.
Many surgeons today perform the Circumareolar, Donut or Benelli Breast Lift which places the only scar around the Nipple Areola and avoids the vertical scar.
However a good result requires and expert surgeon and not all breasts can be lifted using the no vertical scar technique.
Ask your surgeon about the risk of pleats aroung the Areola using this technique-this is the main limitation.
+3
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...
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Breast Reduction/lift - Atlanta, GA
I have had very large breasts longer than I care to remember. I was wearing a minimizer bra...
+2
Breasts left without a vertical scar.
Thank you for your question.
As you may see there are multiple options for breast lift surgery. A crescent lift or a periareolar lift does not leave a vertical scar but if your surgeon did not recommend them he or she likely feels that you need a great deal of skin tightening.
There are vertical scar only lifts, which do not remove as much skin either, but this is the scar that is putting you off.
There it is a type of lift that leaves a scar only around the areola and...
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+2
Avoiding scars with breast lifts
Your photos show a relatively severe grade of ptosis or breast sag. In order for you to be happy with the shape of your breast long term, you really need to have some type of breast reshaping breast lift. Every surgeon is going to have a particular technique that works best for them and there really is no right or wrong way to provide a breast lift procedure. But every technique has slightly different scarring. I have found that if a scar heals poorly, it tends to be the horizontal scar...
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+2
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...
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+2
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...
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Santa Monica Plastic Surgeon
+1
Your Picture Suggests That Your Breast Lift Could Be Performed Without A Vertical Incision
Patients frequently express anxiety about the vertical skin incision used when breast lift surgery is performed. Unlike incisions placed around the areola and in the breast fold, this incision is not easily hidden. Plastic surgeons prefer avoiding this incision whenever possible, but realize that in some cases it represents a necessity.
The correction of breast sag requires the removal of excess skin. The more severe the breast sag, the greater the amount of excess skin...
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+1
Scars
There are many ways of performing a breast lift. The vertical breast scar can be avoided in some patients by using a peri areolar technique.
+1
The vertical scar
Hi Amerriott,
I would be quite cautious in your search for a breast lift that does not involve a vertical scar. Traditionally, three incisions are available to lift the breast. These are the incisions around the areola, the vertical, and the horizontal. If one was to compare the quality of these scars once healed, one would find, surprisingly, that it is the vertical scar that heals best. Quite often these vertical incisions are extremely...
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+1
Avoiding Vertical Breast Lift Scar?
There are certainly patients that can undergo a procedure which places the scar around the nipple areolar complex for a breast lift. Unfortunately, not every patient qualifies for this type of procedure. There are some procedures with vertical scars that heal very nicely and this scar is usually not a frequent complaint.
+1
Avoiding scars in breast lift surgery
While many techniques exist to perform breast lift surgery, each has some associated scar. The concern for scars is significant in all of cosmetic surgery. For this reason, when consulting with a patient I always attempt to provide the least scarring alternative for their procedure. However, the contour of a breast and the long lasting result are also significant. If the vertical scar, or any other, is necessary in order to provide a long lasting contoured result, then...
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+1
Breast lift and scars that follow
The considerations that you have to make when considering a breast lift include:
1. Whether you are going to use implants or not.
2. What kind of breast shape do you prefer.
3. What scaring are you willing to accept.
Scars are a necessary evil but can improve breast shape. If you are reluctant to accept a vertical scar then you will likely have a flatter, boxier breast as a result. Nobody likes scars but to achieve the best breast shape sometimes requires...
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+1
Avoiding the Vertical Scar
Dear Amerriott,
First, I would strongly recommend against getting the implant without a lift. Even if this improved your appearance for a a short while, the weight of the implant would eventually cause it to drop, and in my experience, it would eventually leave your breasts with a ball-in-sock appearance. In your case, I would recommend a vertical scar mastopexy at the very least. Although it adds a vertical scar, the shape of your breast would be optimized...
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+1
Avoiding Vertical Breast Lift Scar
The breast reduction is one of the most satisfying procedures that a woman can have performed. Unfortunately, one must be examined before deciding on the type of incision required. Depending upon the elasticity of the breast skin the surgeon will decide on the different patterns of the breast excision. Sometimes a patient requires a mastopexy with implant.
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Avoiding Vertical Breast Lift Scars
It is not possible to avoid a scar if you have true breast ptosis or sagging breasts. There is no magical operative procedure that will not have scars around the nipple or vertically as well as horizontally if you want a “true long-lasting” breastlift.
+1
Bennelli Lift has minimal scarring for breast lift
There are other techniques which result in much less scarring!
The Bennelli procedure lifts the breasts by simply putting a scar at the border of the nipple areolar. This, in my opinion, is the best technique available for lifting the breast with an implant. It is a superior option to the Weiss Pattern, aka the anchor scar or inverted T scar procedure.
The Crescent mastopexy is another technique available if you are getting a small lift.
In either case, there is much less...
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+1
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...
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+1
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.
+1
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...
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+1
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
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+1
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...
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+1
"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....
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+1
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...
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+1
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.
+1
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...
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Baltimore Plastic Surgeon
+1
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.
+1
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...
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+1
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,...
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+1
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.
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