Best Mastopexy Technique for African Americans?

I am a 1-year post op bariatric patient. After losing 90 lbs on a 4'11" frame, my breasts have gone from a DDD to a B, with LOTS of excess skin that still fills a C/D-cup bra! I recently had my 1st plastic surgery consult, and I am now VERY concerned about scarring. What's the best technique to reduce scarring as much as possible on African American skin? My skin does not keloid; however my scars from the bariatric surgery are VERY dark after 1 year. Is the full-anchor technique my only option?

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scarring African American after weight loss

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6 Doctor Answers | Asked by BariatricBeauty

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Breast technique

It is difficult to make any recommendations without a physical exam. However, if you have lots of severe sagging and loose skin, you will likely need a breast lift first. The basic principle with any breast lift is that you have to accept some degree of scar to achieve that much better shape and form. There are several breast lift techniques out there that will help you achieve a great result. Please visit with a board certified plastic surgeon to learn more... more

Choices for breast lifting technique are limited in massive weight loss situations

And as happy as I am that you were able to lose your weight, I am afraid you really don't have a choice as to what scars you will have after your procedure. Attempts to limit the scar initially will only result in the need for later revisions that would extend your scarring across the bottom of your breasts. Unfortunately, your only real choice here is whether to have the surgery or not. Surgery will bring the potential for scarring that you will simply have to accept in your... more

Curtis Wong, MD

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Redding Plastic Surgeon

A Breast Lift Can Greatly Enhance your Look after Weight Loss

Contratulations on your significant weight loss! I understand that you are considering a breast lift to restore a more youthful look to the breasts. I have some thoughts which may assist you. When a woman loses a significant amount of weight, the breast usually deflates and falls. In thinking about correction, we first look to see if there is enough volume of breast tissue to give the desired fullness after surgery. If there is... more

Best Mastopexy for African American Patient?

Congratulations on your significant weight loss; you should be very proud of this accomplishment. As you can imagine it is not possible to give you precise advice without direct examination and/or viewing pictures. Unfortunately, most patients who have had 90 pound weight loss do have significant loose/low breast skin necessitating full breast lifting for optimal results. Most patients (If properly selected and who are doing the operations at the right time of their lives) accept the... more

Mastopexy

My favorite especially in dark skin is the periareola or Benelli. Unfortunately it sounds like you are way too Low with too much skin and You are probably going to have no choice Other than what the first doctor told you.

Best Mastopexy Technique for African Americans

With as much volume as you have lost and as much excess skin that you have, it is not likely that anything short of a full anchor pattern lift will give you a successful lift. You will probably have hyperpigmented scars as you have from your bariatric procedure. The breast lift does a few things. reposition the nipple and areola reposition the breast tissue remove excess skin Incisions are needed for all of these. Sometimes, if all that is needed... more