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Possible to Put Scar Under Breasts for Lift and Implants?

I want a breast lift and breast implants, but do not want the vertical scar. I want only the scar under the breast like you get for implants. Is this possible?

Asked 30 months ago by Breast in Roanoke VA

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breasts bigger scar

Lift scars are not only in the crease

Sometimes you can't have what you want and this is one of those times. If you need a breast lift you must have at least an incision around the areola for a minor lift and also one down the breast and usually also in the crease for a more significant lift. You just can't cheat mother nature and you won't get the best result and shape and look without it. Sorry...

Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

ASAPS ASPS

Rarely can a breast lift be done that way

Think about it: if you put a horizontally under the breast, you only shorten the vertical distance between the nipple and the bottom of the breast. If you are one of the few whose nipples is high enough and there is no horizontal laxity, then that might work. But this also requires a long horizontal scar, and in actuality is not done very often. I'm aware of the Passot and Lalonde methods, but there are issues with their shape and that is why I believe they have not caught on much, and... more

Steven Teitelbaum, MD

Los Angeles Plastic Surgeon

ASAPS

Breast Lifting Technique?

Thank you for the question. Unfortunately without examination are viewing photographs it is not possible to give you good advice regarding breast lifting surgery. What technique of breast lifting will be helpful to you (if any) will depend on several factors including the quality of skin elasticity ( often poor after significant weight loss), the amount of “loose” skin present, the position of the nipple/areola complexes in relation to the inframammary... more

Tom J. Pousti, MD

San Diego Plastic Surgeon

ASAPS ASPS

Scar position for breast lift with implants

There are many ways to limit the size and location of the scars when performing a breast lift with implants. It is possible to use a scar on the lower crease of the breast to place a breast implant. However a scar in this location will not lift the breast. For this reason, we typically avoid this scar when doing a breast lift with implants. Usually the breast lift scar can also be used to place the implants at the same setting. In our practice, the most common location of... more

B. Pat Pazmino, MD

Miami Plastic Surgeon

ASAPS ASPS

Go for the best breast shape, not a particular scar

Ask your surgeon which procedure will give you the BEST SHAPE. Having examined you, he can make that determination. Do not compromise the shape of your breast for scar placement. In the long run, all surgery has some form of scar. The key, is that the result/improvement should be well worth that scar. You need to decide how much the scar would bother you and compare that to how much the shape of your breasts bother you. Treat the one that bothers you most. Look at photos of others who... more

Parham Ganchi, MD

Wayne Plastic Surgeon

ASAPS ASPS

Under the Breast Scar for Implants and Mastopexy

Breast ptosis or sagging is graded from 0-4 depending on the position of the nipple in relation to the inframammary fold or under breast crease. If the nipple is a grade 1 than breast augmentation can give a slight lift. Unfortunately, using just an inframammary incision may allow to get rid of excess breast skin/tissue but it will not lift the nipple as needed in a breast lift. You may be able to get a better result using a periareolar incision and an inframammary incision.... more

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Christopher L. Hess, MD

Fairfax Plastic Surgeon

ASPS

Breast Aug and Lift

There are many types of breast lifts and all involve some type of a scar. You can read about they on my breast lift page linked below. But in general they start around the areola and extend on the breast and at times along the breast at the crease. You may be a candidate for an inframammary incision, one along the crease and then also a crescent which involves and incision around the top half of the areola. This is not a fit all procedure and you need to be examined and evaluated to see... more

Farbod Esmailian, MD

Orange County Plastic Surgeon

ASPS

Possible to put scar under breasts for lift and implants?

The most important thing to decide is if you want the nipple areolar position elevated on the chest wall. If you want it higher, then you need a scar either on the top half of the areola ("crescent mastopexy") if the distance to be lifted is small or a scar around the entire areola if the scar if the distance for the nipple to be elevated is significant. The other set of variables is the balance between the volume of breast tissue and the skin envelope. By definition, a breast... more

Ricardo Rodriguez, MD

Baltimore Plastic Surgeon

ASPS

Scar vs. Shape

Breast lifts typically involve scarring around the areola, then the vertical extension and lastly the horizontal scar under the breast. Remember that you are lifting and not pulling down. The trade-off here is scar vs breast shape. If you need a breast lift, it is best to get the best procedure possible and just come to terms with the fact that there will be scarring. If you wish to avoid scarring and need a lift, that will result in less than optimal breast shape in the end. It is a... more

Bahram Ghaderi, MD

Chicago Plastic Surgeon

ASAPS ASPS

In certain circumstances

The only instance I know that a lower, transverse scar will give some improvement is for a condition called pseudo-ptosis. When the nipple is at a near normal position but there is bottoming out of the breast. A transverse excision of skin and breast tissue will get rid of the hanging tissue beneath the nipple, but the scar is usually quite long, and the procedure does not elevate the nipple. Internal suturing of the breast tissue will give some minimal improvment.

Robert M. Jensen, MD

Medford Plastic Surgeon

ASAPS ASPS

Breast lift scars

Hi! A real breast lift requires a scar around your nipples, and possibly also the vertical scar (so you end up with a lollipop scar). We do a lot of breast lifts, and I can tell you that women accept the scars with no problem if they love the new shape of their breasts. It's usually a good trade off. It's a very bad idea to try to correct major sagging just with implants. You create a new deformity. If you have serious sagging and don't want scars, it's better not to have surgery.... more

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Breast lift and implant scars

Incisions for a lift combined with a breast augmentation varies. For minimal ptosis, an implant may be all that you need. If you have a little more ptosis, then a cicrumareola procedure can be performed. As the ptosis worsens, a vertical lift or a "T" closure will be necessary.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Putting scar under breasts for lift and implants

Let us put logic before wishful thinking. You cannot lift anything by pulling on its bottom. Similarly, pulling on the bottom of the breast may take some skin laxity out, but will not and cannot lift the breasts. As many of us who have used traditional breast reduction and breast lift procedures can attest, the horizontal scar is NOT a benign thing. The longer this scar is (due to the extent of overlying skin), the more it becomes visible as it is no longer covered by the breast. More... more

Peter A. Aldea, MD

Memphis Plastic Surgeon

ASPS

Maybe, but probably not

The vertical portion of the "anchor" technique is for... lifting the breast mass narrowing the breast width restoring the breast's conical shape The "no vertical scar" technique works best if... your breasts are long but not too droopy they are already narrow you like a rounder (rather than conical) shape Obviously, these limitations preclude most women from the "no vertical scar" technique. The majority of breasts benefit from the lifting and narrowing... more

Michael C. Pickart, MD

Ventura Plastic Surgeon

ASPS

It depends on your anatomy

It depends on how much laxity you have in your breasts. Some patients with some degree of sagginess can have a breast augmentation and a peri-areolar lift resulting in a scar only around the areola. If you haven't done so already, I would recommend that you see a board-certified plastic surgeon in consultation to see what your options are. Dr Edwards

Michael C. Edwards, MD

Las Vegas Plastic Surgeon

ASAPS ASPS

No vertical scar technique for breast lift and implants

The "No-vertical scar" technique was described several decades ago by Dr Passot and popularized in the last few years by many plastic surgeons around the country. This involves a horizontal scar in the fold in addition to the areolar scar which is a must in any breast lift technique. This technique is not suitable for every patient and a thourough evaluation could only determine the whether this technique is the best option for you. Best of luck!