Should I Be Concerned That If I Get Cresent Lift/Implants that the Scars Will Be Visible?

asked 8 months ago by Mercedes97
Latest answer by Tom J. Pousti, MD
Question viewed 206 times
Tags: crescent, scar tissue

I'm so torn between a Full TT & reverse with mini TT. I really like the idea of keeping my natural belly button & having hidden scars under my breasts, as the doctor recommending the reverse TT says he won't cross the midline of my breasts. Most of my excess skin is above my BB & I have diastasis that can be fixed with the mini TT. I'll also get crescent lift/implants. My concern is that the scars under my breasts will eventually sag down & be visible, also possible bunching between breasts.

8 answers to Should I Be Concerned That If I Get Cresent Lift/Implants that the Scars Will Be Visible?

Breast lift/tummy tuck types

Thank you for the question. I think the operations you are discussing carry a high risk of complication, some of which you have already outlined. In my opinion, the mini tummy talk and the reverse tummy tuck procedures are operations that produce very limited results and are very rarely indicated. It involves a shorter incision but does not address the majority of the abdominal wall issues present for most patients who present consultation. For example, the area of skin excised... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Crescent lifts and reverse tummy tucks

I would question the judgment of a plastic surgeon recommending a reverse abdominoplasty and a crescent breast lift. The so-called "crescent lift" is a misconception that has been tried and abandoned by most experienced plastic surgeons. It depends on the skin to "pull" the nipple-areola up and doesn't actually move the breast nor does it allow for the tension to redistribute around the areola. Resulting scars are usually worse than those around the entire areola.... more

Scott L. Replogle, MD
Denver Plastic Surgeon

Crescent Breast Lift and Reverse Tummy Tuck

A crescent lift scar is definitely more noticeable than a scar around the lower portion of the areola. I rarely use this scar because it tends to distort the areola by lifting in only one direction (upward) causing it to become elliptical in shape. The circumareolar (all the way around the areola) lift heals very nicely and provides much more lift without distorting the shape of the areola. I am more concerned with your decision to undergo a reverse tummy tuck. This is... more

Louis DeLuca, MD
Palm Beach Plastic Surgeon

www.drlouisdeluca.com

Breast Lift and Reverse Tummy Tuck Scars

All breast lifts cause scars that are noticeable, some more than others. Breast lifts are all about trading off one problem (sagging) for the acceptance of another. (scars) While the crescent lift has the least amount of scar of all of the breast lifts, it places them in the one spot that is most visible to you. For the patient who needs just a little upward movement of the nipple with implants, it can produce a subtle but noticeable improvement. Generally that scar does well even though it... more

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon

Migrating scars

I think the combination of reverse abdominoplasty and mini-abdominoplasty is a nice procedure for a very small, select group of patients who have issues of skin laxity in the area above the umbilicus and diastasis issues below the umbilicus. Good candidates for this procedure are always, always slender. This procedure is particularly nice if implants or a lift are done at the same time. Fixing the infra-mammary scar to the fold under the breasts is a challenge. I... more

Lisa L. Sowder, MD
Seattle Plastic Surgeon

www.sowdermd.com

Should I Be Concerned That If I Get Cresent Lift/Implants that the Scars Will Be Visible?

Scars resulting from breast lifts will be visible. They may do very well over time, but they are never invisible. If a lift is necessary to get a satisfactory contour, the scars are a reasonable trade-off, and much better than an implanted breast where the skin hangs off of the implant or the nipple points at the floor. However, I think crescent lifts are not very useful...they do not really lift the nipple, they do not control the size of the areola, and the patient is... more

Robert M. Grenley, MD
Seattle Plastic Surgeon

Watch out for peculiar surgeries

Having a reverse TT is very rare and the scars usually do cross the midline and can be pulled down onto the abdominal wall creating an unfixable situation. If you have a rectus diastasis it is also usually above the umbi and a miniTT won't get there. A crescent mastopexy is also something I have largely given up on as it can distort the nipple areola shape and the scar half way around the areola can be more eye catching than one all the way around the areola... more

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Reverse Tummy-Tuck.

Your question asks about creascent breast lifts, but your discussion talks about reverse tummy-tuck. As far as the 'reverse' tummy-tuck, you are right. There is concern regarding the scar 'creeping' lower as time goes on. Typically, with time, things that are high get lower. An inframammary scar from breast augmentation tends to stay in place because the fold is an area where the skin is fixed to the tissues beneath. Incisions with inferior pull... more