Best Long Term Shape After Mastopexy? (photo)

Hi, Asymmetry became more pronounced after nursing where I grew 5 cup sizes. Want more symmetry + as perky breasts as possible with what nature has left me. Happy with size, don't need upper fullness, no implants. Favourite PS says to raise fold, anchor scar as lollipop as may restretch + bottom out in time with stretched skin. Other consults favour lollipop/short transverse - all will reduce right breast. Confused! Just want nicest long term shape, less concerned re scar. Thanks for your time

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11 Doctor Answers | Asked by WorriedGirl in UK

Doctor Answers (11)
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Best Long Term Shape After Mastopexy

There is enough skin excess on the right, that I feel an anchor pattern would serve best. It can allow for removal of excess skin in both vertical and horizontal directions and both seem to me to be needed here. It may be that the horizontal incision in the fold will not be needed in the left breast. Some reduction of the volume of the right breast will also be needed. All the best.

Best mastopexy proedure

Biased on your anatomy, a vertical mastopexy would give you the best result. Even though you are not concerned about the scars plastic surgeons would still like to minimize them if you could still get a great result. Scars are forever, so why not keep them as short as possible?

I'm Taking An Academic Approach To Choosing My Breast Lift Procedure

Your question "which mastopexy will give me the best long term shape" is a good one. You have added to this "you are less concerned about scarring and you want no implants". Putting this all together, I personally would recommend the classical anchor technique on the left with an anchor plus reduction on the right. I routinely add 0 braided polyester sutures internally to help reshape the breast tissue. These very much resembles Ted Lockwood's SFS sutures. The... more

The Ultimate Breast Lift provides long term lift with minimal scarring

Dear Worried, The Ultimate Breast Lift is a new technique that redesigns a woman's breast to reshape, lift and provide long term cosmesis. It was designed to transfer the weight of the breast off the skin envelope on to the underlying chest muscles. Unlike other techniques which place the scar at the weakest point (the weight of the breast stretches and weakens the vertical scar), the UBL does not. This makes the UBL an inherently stronger lift. Results are natural and... more

Best long term shape after mastopexy

It all depends on who is doing the surgery. Ask your plastic surgeon which technique he/she uses the most for your situation. Many of the surgeons that have posted prefer an inverted T technique. I personally would use a vertical breast lift technique that does not have a horizontal component for the scar. Neither technique is wrong. I do believe that internal sutures that are used to reshape the breast mound under the skin are more likely to have a longer lasting result than a technique... more

Breast lift surgery

The best technique is the one that will give you the best results with the least amount of scarring. A lollipop or an anchor type mastopexy is reasonable. I prefer a lollipop based upon the photos you posted.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Lift surgery for breast asymmetry

This not uncommon situation and the fact that there are several ways to deal with means there is no one correct or incorrect answer. I think you need anchor ( inverted T lift) of the right side. For the left you will still end up with an anchor lift with a shorter scar at the inframarmmary fold.

Best shape!!

From the posted photos I would agree with a inverted t lift and reduction of the larger breast. Very important you understand the process in detail spnyjere are no surprises.

Breast lift question

Every doctor will recommend the procedure that works best in his or her hands. In my practice I would have a short anchor on the right and a shorter anchor on the left. Trust your doctor since they of course want you to have the best result!

Breast lift: Anchor vs Vertical scar

Thank you for your pictures. Although I cannot give medical advice without a consultation and direct examination, I am happy to provide some guidelines that should be helpful. I appreciate your confusion. Part of the problem in getting a good understanding of various breast lift techniques is that the external scar is only part of the picture. What goes on underneath the scar is often more important for the stability of the long term result. Most of the... more

Type of Breast Lift Best?

Thank you for the question and pictures. You also provide a good description of your goals and major concerns. Based on the information you provide, I would probably suggest a full (“anchor”) breast lift for best long-term results. It may be possible to keep the length of the scars short especially on your left side. Best wishes.