Breast Lifing, Augmentation, Recovery, scarring

Trevor M. Born, MD answers: Risk of pink scarring after breast lift and augmentation?

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?

Risk of pink scarring after breast lift and augmentation?
Trevor M. Born, MD
5 months ago

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

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A: Breast lift or not

Steven Wallach, MD
5 months ago

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.

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A: Body beautiful...

Kenneth R. Francis, MD
5 months ago

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!

http://www.youtube.com/watch?v=xU2hM3GOXT0&feature=player_embedded
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A: Scarring after breast augmentation and/or lift

Nina S. Naidu, MD
4 months ago

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 your implants placed through an incision in the infra-mammary crease, around the areola, or within the armpit (this incision requires the endoscope, but  it is difficult to place large silicone implants through the armpit incision).  Depending on your preferences and your surgeon's recommendations, all three would allow you to have minimal scarring visible even when naked.  Good luck, /nsn.

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