I am 18 years old and considering a breast reduction and lift. I want to have this surgery done so bad but my only concern is the scarring. Therefore, how bad are the actual scars and will a type of cream or lotion help reduce the appearance? HELP!
Breast Reduction and Lift Scarring - How Bad Are They?
Doctor Answers (13)
Breast Reduction Scar Management?
Breast reduction surgery is one of the most patient pleasing operations we perform. Although there are many benefits of the operation patients should consider the presence of scars ( and the potential for unsatisfactory scarring) in their decision-making.
Time tends to improve the appearance of scars. You will find that the scars will improve in appearance even after a year has gone by. Sometimes the use of silicone-based products can be helpful. In the event of unfavorable scarring steroid injection may be helpful. The use of superficial radiation treatment is possible for symptomatic scars. Sometimes scar revision surgery and careful scar management afterwards may be helpful. Despite anecdotal reports I have not seen significant improvement with laser treatment of scars.
Predicting scars from breast lift (mastopexy) and reduction
There are no magic creams that will prevent scarring. Scars are 50% the surgeon's technique and 50% your genetic response to that injury which cannot always be controlled. Scars can range from very fine white lines to to thick rope-like scars and everything in between.
Scars after breast lift can be minimized
In order to get the best shape and size of breast with a lift some incisions around the areola and under the breast are necessary. In most patients these incisions can be very minimal after four to six months with proper care. This care begins in the operating room with layered closure and minimal sutures on the surface. This is followed by prolonged scar therapy with proven techniques of placement of special sheeting over the scars for an extended period of time. In the event a bad scar is incurred then a scar revision may be required.
Tal Raine MD
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Breast scars in lifts and reductions
There are mainly three factors involving permanent scars that are required to lift and/or reduce breasts. These are their length, their location, and their appearance.
Experienced plastic surgeons today can limit the extent of the scars on the breast to around the areola and from the areola down to the inframammary crease (a "lollipop" incision) and can close the incisions as well as anyone can, but there is no way to guarantee how they will look or how you will feel about them.
As for reducing scars or their appearance, there is nothing that actually works to improve on normal scarring. There are some things that can be done to limit or reduce abnormal or excessive scarring but have no influence on normal healing/scarring and pigmentation. Most of the creams and topicals are wishful thinking but probably won't harm anything.
When breast scars are fully matured (can take a year or more) it is reasonable to consider permanent makeup for them which is tattooing in skin color, particularly around the edge of the areola.
Breast Reduction/lift scars are permanent, but can be minimized
There are many short-scar, "lollipop"-type procedures that can make scars shorter after breast lift/reduction. There are also creams, dressings, and lasers that can be used to help scars look more attractive over time. But you will have permanent scars, period. Meet with several surgeons and look at their before/after photos to get a good idea of the typical scarring after such surgery. Nobody can promise you a great scar--a lot depends on your own body's healing ability and scarring tendencies. But a good surgeon will work with you to make your scars the best they can be over time. Scars take a year or more to fully mature, so you should have follow-up visits with your surgeon for at least that long.
Breast reduction and scars
Yes, whenever a surgeon performed surgery on any body part their is always a scar from the procedure. There are many variables contributing to the quality of the scars but these can be reviewed during your exam. They can heal very well.
Women accept breast reduction scars if they love their new breasts.
1) Most breast reductions and lifts can be done with a vertical (lollipop scar) technique. This is a minimal scar approach. The scars fade a lot but do not disappear.
2) I can tell you that I hear a lot of worry about the scars before surgery. After surgery, I very rarely hear about the scars, and it's not because they are gone. What happens is that the patient realizes that she has made a very good trade off.
Breast Reduction and Breast Lift Scars are Acceptable especially with Short Scar Techniques
Breast Reduction and Breast Lift scars are identical. In the vast majority of women they can be done as Short Scar Techniques with only a Lollipop or balloon shape scar instead of the vertical T / anchor shaped scars. See a Plastic Surgeon familiar with the Short Scar Technique and find out if you are a candidate for it.
The vast majority of our Breast Reduction / Breast Lift patients are extremely happy with their results despite the scars which become quite acceptable.
Dr. Peter A. Aldea
Scarring in Breast Reduction and Lift
To perk up a drooping breast, your surgeon will remove excess skin, reposition the nipple, and redrape and tighten the remaining skin to support the breast. The areola may also be reduced in size. A mastopexy (breast lift) raises droopy breasts from one to several inches and excess skin is removed. If you're sagging or asymmetrical, and are looking for perkiness, you'll need a lift--or, if you also want more volume, a lift and implants.
Any type of incision for a breast lift will leave a scar, but there are ways now that are minimal scarring and give a pleasing, perky result. I commonly use a minimal incision technique (Le Jour), eliminating the need for large scars while providing a pleasing breast contour and shape that is proportionate to the patient’s body. This Le Jour technique can now be used on a wide range of sizes and results in a perky, conical breast that many women find desirable. The resulting incision from this procedure looks like a lollipop with the incision around the areola and down to the fold in the breast.
When women with saggy breasts want to go bigger, I usually advise doing a breast lift along with the implants. Otherwise, the implants create what we call a “double bubble,” where the breast droops off the end of the implant like a sock. Some of my patients, however, don’t want a lift because they want to avoid additional scarring, so sometimes implants alone can fill out the skin and eliminate the saggy appearance.
Breast reduction and lift scarring
as I was taught many years ago by my chief in Plastic surgery residency, "do not do these surgeries unless you can live with permanent scars." So the breast reduction and brachioplasty are very common scar deforming operations, no matter any post operative therapy done. Discuss with your PS of choice. From MIAMI Dr. B
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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