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Scarless Breast Lift

I'm sort of on the verge of needing a breast lift and wondering if the scars are not worth the trade-off... what kind of incisions or techniques leave the least amount of scarring?

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Breast lifts and scars

There are many different types of breast lifts available. These range from around the areola lifts, to short scar / LeJour / lollipop lifts, to limited incision "T" incisions to conventional "T" incisions. In general, the more the incisions, the greater the lift that is possible in the breasts. When a great deal of saggy skin is present, larger lifts are necessary. There is some evidence internal elevation and fixation of breast tissue may also help with the conduct of... more

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Brent Moelleken, MD

Beverly Hills Plastic Surgeon

ASAPS ASPS

Scarless breast lift

Hi, Fortunately, you do have another option other than the ones mentioned above. It is called the "Ultimate Lift". It is a technique that allows for the maximum amount of lift and upper pole fullness without the need for implants. The final results are very natural. Scars are hidden around the areola and in the natural crease of the breast mound. There is no vertical scar. I hope this helps you. Best wishes Dr H see photos

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Gary M. Horndeski, MD

Houston Plastic Surgeon

Breast lift - Minimizing scars is important

Hi there- I agree with you- minimizing the appearance of scars on the breast is critically important. The whole point of a breast lift procedure is to make the breast more attractive and youthful, and this is defeated if scars are unfavorable or conspicuous. I believe strongly in taking an aggressive approach to scars in this situation, with progressive suturing techniques and postoperative scar treatments as a complimentary service to my breast lift patients, so that they will never feel... more

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Armando Soto, MD

Orlando Plastic Surgeon

ASAPS ASPS

Breast lifts are wonderful today

In my opinion, using an implant to lift a breast is a losing situation for the patient. Typically the size of the implant necessary to remove the sag is too large for the patients ultimate aesthetic desires. If you are sagging and want llarge breasts then fine. But if you want to be lifted and desire to remain around the same size then just get a lift! The Donut Mastopexy is a deceiving term - There are many different types of procedures that utilize a scar only around the areaola - The... more

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Robert M. Freund, MD

New York Plastic Surgeon

ASPS

Don't compromise your result by trying to minimize scars.

Marian, Many patient are afraid of the scars / incisions used to perform breast lift surgery. However, in general, these incisions heal very nicely. It is a shame when patients compromise their result by demanding shorter or fewer incisions. There are minimal incision breast lifts, but these are best for people who only need a minimal lift. For people who need more extensive lifting, then you need longer or different incisions to achieve a nice aesthetic result. Sometimes, if you have... more

David Shafer, MD

New York Plastic Surgeon

ASPS

Most breast lift patients need a "lolly pop" scar.

Hi, Marian, 1) If you have only a little sagging, maybe you just need breast implants, which are put through very short incisions in the armpit, or in the fold under the breast, or under the nipple. 2) Also, if you have minimal sagging, an internal lift can be done through one of the scars described above. 3) Some patients (depending on the anatomy), can get a good lift with a "doughnut" scar just around the nipple. 4) If you have a lot of sagging, then you need a vertical... more

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Lots of information for that great question...

Marian- this is a great, and very common question. The principle thing that I would recommend to you is to avoid compromising the form of your breast for fear of the scarring. Any qualified plastic surgeon will be able to minimize the scarring with suture techniques, and although there are no guarantees, you should hopefully end up with fine white lines for your scars that progressively fade with time. You are better off having a great breast form and a little more scarring than a breast... more

Adam David Lowenstein, MD

Santa Barbara Plastic Surgeon

ASPS

There are many different lifts available depending on your needs

The degree of lifting and the amount of scars required to restore to you a youthful and toned breast depends on how much droopiness you have. The key relationships are where the nipple lives relative to the crease under the breast and whether it points forward or downward. The farther down, the farther it needs to come up to look good and the more incisions it takes to get there. The other key issue is the degree of horizontal skin laxity or excess skin present. Periareolar lifts require... more

Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

ASAPS ASPS

Periareolar or Vertical breast lifts have the most non invasive scars

In cases where the ptosis (droopiness) of the breasts is not excessive the innovative uses of periareolar or vertical lifts have revolutionized the appearance and the extent of the scars on the breasts. Both of these are used with or with out implants depending on the shape of the existing breasts. The periareolar lift also known as a donut mastopexy places the scars around the areola. It is best used in cases were there is minimal ptosis of the breasts. It is also best used with implants.... more

Sepehr Egrari, MD

Seattle Plastic Surgeon

ASAPS ASPS

Breast Lift without scars!!

There is no surgery without a scar, but plastic surgeons can often hide scars. therefore, you can have a breast lift by hiding the incision at the periphery of the areola. this is called a peri-areolar mastopexy. Benelli or peri-areolar mastopexy can be used for mild breast ptosis or sagging.

S. Sean Younai, MD

Beverly Hills Plastic Surgeon

ASPS

Minimizing Scar with Breast Lift

I understand your concern about minimizing scars while improving the shape of your breasts. There are different techniques to reshape the breast: the more the sagging, the more length to the incisions (scars). If breast implants can restore volume to a deflated breast, scars for placement of an implant can be minimal. The best way to find out what procedure might be best is to consult your plastic surgeon.

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Paul C. Zwiebel, MD

Denver Plastic Surgeon

ASAPS ASPS

Minimal scar breast lift

Breast lift achieves the following: Brings the breast to a more attractive position Reduces the size of Areola Helps the breast to become more perky The breast lift incision can be reduced if an implant is used and if deep suturing allows re-contouring of the breast. From your description, it seems that you are a good candidate for a combination of implant and a Donut Breast lift. This allows you to get the best shape while having Minimal scar which heals very... more

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Ali Sajjadian, MD

Orange County Plastic Surgeon

ASPS

The bigger the scars the better the lift

There areany different ways to do breast lifts BUT they all involve scars and the more skin removed, the better the lift and the tighter the breast. The patient satisfaction after a breast lift if maximized when the patient is willing to accept the greatest amount of scarring. The small scar lifts are appropriate only for small lifts and when they are used for larger lifts it is a compromise that neither the patient nor the surgeon are happy with.

John P. Stratis, MD

Harrisburg Plastic Surgeon

ASAPS ASPS

Breast lift and scars

The least amount of scarring is from no surgery. It progresses from breast implants only, circumareola lift (scar around the border of areola, a lollipop lift (vertical procedure), to a wise pattern ("anchor type incision). These techniques are employed based upon the amount of loose skin, the amount of breast tissue, and the position of the nipple.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Different types of breast lift

There are different types of lift e.g T-lift,vertical,benelli etc... In general the benelli is the smallest scar but it might not be the ideal lift for you. The type of lift is usually chosen based on the degree of breast ptosis(droopiness) as well as the need for implants. A good choice is to make sure that the breast lift technique chosen would give you the desired lift and breast shapping.

Hisham Seify, MD, PhD

Los Angeles Plastic Surgeon

ASPS

Breast Lifts and Scars

Marian, As you have read there are several different types of lifts depending on the severity of the breast sagging. Obviously, any lift will leave a scar. Claims of "scarless" breast surgery are often misleading. The good news is that most of the scars fade nicely and are specifically placed to be as inconspicuous as possible. The least amount of scarring is the donut lift but most surgeons agree that this often results in a shape that is somwhat flattened across the central... more

Robert Herbstman, MD

Red Bank Plastic Surgeon

ASAPS ASPS

Are the scars worth it for a breast lift?

In general, smaller lifts leave smaller scars, larger lifts leave larger scars. The smallest lift is a 'crescent lift' which leaves a scar along the upper aspect of the edge of the areola but only raises the nipple and areola a little. A periareolar lift leaves a scar around the entire edge of the areola and can raise the nipple and areola several centimeters but may have a flattening effect on the breast. A 'lollipop' lift is like the periareolar left but adds a vertical... more

James McMahan, MD

Columbus Plastic Surgeon

ASAPS ASPS

Scarless breast surgery

There are no true scarless breast lift. The extent of the scar will depend on the amount of lift you need. For a small lift, sometimes what you need is an implant which can be inserted through a small cut in the breastfold. This is a very well-hidden scar. For certain mild droopiness, a 'donut' shaped lift can be done. The scar is placed on the margin of areola and hence is less obvious. For patients needing a greater degree of lift, at least part of the scar will have to be... more

Anindya Lahiri, MBBS

Birmingham Plastic Surgeon

No scar No lift

Without and adequate exam none of us can determine what is the best operation to meet your expectations with minimal scarring. There is not some thing as a scarless breast lift. The real question is do you need a lift and if so how much. Some patients with very minor or grade one ptosis with obtain a lift and increased fullness with breast augmentation alone. Others require minimal lift which can sometimes be done with only a periareolar incision and and implant. In the... more

Richard Linderman, MD

Indianapolis Plastic Surgeon

ASAPS ASPS

"Scarless" breast surgery: no such thing

If you need a mastopexy, there are a variety of techniques resulting in different placement of scars. You should speak with your surgeon to determine which technique would work best for you, and explained to you the exact placement of the scars and the possible cosmetic appearance. Just keep in mind that there are a variety of factors that influence scars, and that every surgeon has had patients with the scars are conspicuous and has had patients where they are difficult to find. If... more

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John E. Sherman, MD

New York Plastic Surgeon

ASAPS ASPS

Breast Lift Scars

There is no such thing as a scarless breast lift. However, as plastic surgeons, we are trained to minimize and hide the scars from a breast lift, and any surgery procedure, as much as possible. The scars burden required to obtain a full, perky breast increases as the amount of sagging and loss of breast volume increases. This is a brief outline of the scars that can be expected after a breast lift, in order of increasing amounts of preoperative breast sagging: 1. ... more

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Jaime Perez MD

Tampa Plastic Surgeon

ASPS

Scarless breast lift

New techniques used today in breast lift surgery can significantly reduce scarring to a minimum to where the scars in selected cases become almost imperceptable These techniques include 1 Subareolar Mastopexy In this procedure the areolar skin is elevated and multiple suture are placed beneath the areola to reduce tension on the scar 2 Dermal grafts or mesh is used to support the glandular tissue .Usually it is not necessary to use a... more

Hilton Becker, MD

Boca Raton Plastic Surgeon

ASAPS ASPS

No effective breast lift can be done without scars

If a patient needs a breast lift (mastopexy), the improvements in "uplift" to the breast mound and nipple and shape improvement far outway any negative with the incisions or "scars". The typical "anchor" pattern of incisions involves the incision around the areola which fades typically and is not really seen. This allows the plastic surgeon to decrease the often "dilated" diameter of the areola as well. There is also a vertical incision in the... more

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James F. Boynton, MD

Houston Plastic Surgeon

ASAPS ASPS

Scarless Breast Lift

The idea of a scarless surgery is an attractive one. In reality, any time a surgeon makes an incision on the skin, we, as humans, all heal by scar. It is better to think of it as minimizing the length of any scar and optimizing its position in order to obtain the best result. Depending on the degree of ptosis (sagging) and the size of the nipple areolar complex, you may wish to consider a vertical mastopexy or a periareolar mastopexy, ometimes known as a lollipop and donut... more

Richard J. Wassermann, MD, MPH

Columbia Plastic Surgeon

ASAPS ASPS

Many kinds of breast lifts

Scars for a breast lift go anywhere from just around the areolar (periareolar) to that plus an up an down scar (vertical) to that plus a scar at the base of the breast across the breast length (anchor or wise pattern). which one of these you would do best with can be determined by your surgeon. i think the thing that you have to realize is, you may be sacrificing shape for scar. in other words, although a periareolar scar may seem the most attractive option, as it... more