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Wanting Breast Lift with Implants - Least Amount of Scarring Possible

asked 1 year ago by ohyesiam in california
Latest answer by Ricardo Rodriguez, MD
Question viewed 827 times
Tags: 130-149 lbs, 5 ft 4 in to 5 ft 7 in, DD cup, scar

I am wanting a lift with the least amount of scaring ( possibly peri -aeriola?) and a breast augmentation at the same time, I want to go somewhat on the larger size (400-500cc) I want to end up about a size DD, I am 5'6 and 130 lbs. I am willing to trade some lift for less scarring. I am wanting to know if this is advisable/possible for me, and if so what the approx cost would be. I am able to travel for the right doc but many won't offer est. w/o in person consult which is not always possible.

16 answers to Wanting Breast Lift with Implants - Least Amount of Scarring Possible

Bennelli Lift has minimal scarring for breast aug with lift

The Bennelli Lift is a periareolar scar, which will soon fade such that you will not even notice it. I use the technique often when I am performing a breast aug with a lift. With the Bennelli technique you will not be compromising any of the 'lift' . You will get perky breasts with a youthfully positioned nipple. Yes, you can have it all! Please read my blog post below which is explains the procedure in greater detail.

Ricardo Rodriguez, MD
Baltimore Plastic Surgeon

Breast augmentation and mastopexy

Thank you for the question and picture. Based on experience, I would suggest that your 1st concern should be obtaining the best results possible (scarring concerns should be secondary). Most patients undergoing this procedure will accept scarring as long as their overall goals in regards to size, shape, contour and symmetry are met. In other words, if you select your surgeon based on the offer of a “limited scar” procedure you may be disappointed... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Breast Lift with Implants

Based on your profile picture, my recommendation would be a circumvertical lift and submuscular augmentation. I find the perioareolar lift to do a nice job of lifting the nipple position a few centimeters, but not great for breast reshaping. In addition, similar to a facelift or tummy tuck, it is how you reshape the deeper tissues that leads to a long lasting result. I believe a circumvertical (lollipop) incision will allow for this parenchymal/breast tissue reshaping... more

Paul S. Gill, MD
Houston Plastic Surgeon

Short scar mastopexy breast lift: not always the best option or choice

You should really serach the patient: "Peri-areolar breast lift with augmentation- Not Happy" on realself to see why a lift wtih the "Least amount of scarring possible" (in your own words) is not always a good idea. Sometimes a longer scar can achieve a better result. see video

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Lifts and augmentation with overly large implants

Granted it is not possible to be certain from the photo but it looks as if your nipple position is high enough relative to the inframammary crease that you don't have enough ptosis (sag) to need a lift and can be filled out with a lift effect using an implant alone. This could limit the scar to 2 cm in the inframammary crease with a saline implant or 3 1/2 to 4 cm for a gel implant. Again, an implant does not truly lift the breast but gives the effect of a lift by filling out the... more

Scott L. Replogle, MD
Denver Plastic Surgeon

Less scar breast lift and augmentation

You would be a great candidate for a periareolar breast lift and augmentation. You may not be as perky as you would be if you did a full "anchor" type incision, but the benefit of less scar sounds like it would be better for you. The larger implant will also enhance the ability to use this approach.

Jonathan Heistein, MD
Fort Worth Plastic Surgeon

Circumareola lift

ALthough it is difficult to say from one photo and certainly hard without an exam, you may be an excellent candidate for a circumareola lift with an implant. This will lift the areola and limit the incision to the border of the areola.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast lift + large (400-500cc) augmentation with minimal scaring

The answers by both Dr. Rand and Dr. Baxter are right on the money. Some times doing less over the long term actually ends up looking worse and needing more. Since the majority of your problem is glandular ptosis, the ideal solution would entail a submuscular augmentation where you could utilize a somewhat larger prosthesis and maintain long term stability combined with a vertical lift which allows the surgeon to excise the ptotic inferior breast tissue. This results in a tighter more... more

William F. DeLuca Jr, MD
Albany Plastic Surgeon

www.delucaplasticsurgery.com

Breast lift with implants

A vertical breast lift or a lift with a lollipop scar is the best for you. It will raise your breast tissue and enlarge the breast. No need for a horizontal scar. If you do a round incision around the areola only with the implant, it will raise your areola, but you will be unhappy with the breast shape and scar. It tends to spread the areola and only raises the areola, not the breast. Looking at your picture, the first option would be best for you.

Luis A. Vinas, MD
West Palm Beach Plastic Surgeon

Lift with large implants

Dear Ohyesiam, it would be best to have a frontal view of your torso and your breast measurements to better assess your question. but according your height and weight, using up to 500 cc submuscular implants will definitely bring you to a DD. This size will be quite big for your torso, which puts you at a higher risks for future problems, such as bottoming out. you could maybe get away with just a crescent lift = half-moon scar on top of the nipples, versus having full... more

Florence Mussat, MD
Chicago Plastic Surgeon

Breast lifts represent scarring vs shape

You are exactly the kind of patient who has a real problem with this issue. The reason is that you have a high enough nipple position to be a periareolar lift especially if you try to gather the extra skin up with a fuller implant. However, you have enough skin laxity in the lower pole that with only a periareolar you will probably get a flat front baggy bottom result and may still need a full lift later in life. If you are willing to NOT have a great shape you can... more

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Wanting Breast Lift with Implants - Least Amount of Scarring Possible

Best to see 3 boarded plastic surgeons in CA. Than you can determine if you are a candidate for larger implant plus which lift would be best for you. You only posted a side view, a full frontal is of better help. But my guess would be a 500 cc HP and a donut lift. Fee range for saline $4,500 to $6,000, while silicones from $5,500 to $7,500. Best of luck from MIAMI Dr. Darryl J Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon

Minimizing scarring with breast augmentation and lift

Many people think of minimizing scar as equivalent to minimizing the length of the scar, but don't consider that the quality of the scar also counts. A lot. Where this pertains to breast lift (mastopexy) is the following... if you need a vertical lift and get a periareolar lift instead, you may have avoided the vertical scar below the areola, but the periareolar scar might be worse (lumpier, wider, more irregular) than it would have been with the vertical... more

Douglas J. Mackenzie, MD
Santa Barbara Plastic Surgeon

www.pacificplasticsurgery.com

Breast lift/Augmentation

A Breast augmentation/Mastopexy (both enlargement and lift together) is a more complex operation then either procedure alone. There is considerably more scarring involving and although the breasts will be lifted and have more volume, slight asymmetries or contour irregularities may be introduced. Inserting breast implants of the size mentioned to achieve a DD cup may be difficult and the need difficult to tell from your photo. Evaluation by a board-certified plastic... more

Stephen Delia, M.D.
Boston Plastic Surgeon

Breast lift and augmentation with minimal scar

Both you and your plastic surgeon want the same thing: a nice shape and minimal scar. However, in order to determine which version works best, you would need to be seen personally so it is likely that you will be able to find someone in your area. A few words of caution: Although you can get more lift with larger implants, over the long run bigger implants will sag more and make the problem worse. Also, it can be tempting to put the implants above the muscle so they can sort of drop into the... more