I am currently a 36G, 5 feet 6 inches and 130 pounds and 36 years old. My breasts have always been a tremendous weight that causes back pain, headaches and overall posture problems. I have breastfed three children and I'm left with heavy tissue and sagging breasts. I am wondering if you think I would be eligible for a short scar or scarless breast reduction and not in need of the full anchor scar? I've attached my photo for your review. Thank you so much in advance.
Am I Eligible for a Short Scar or Scarless Breast Reduction?
Doctor Answers (23)
Not a chance
Short scar or no scar reductions are basically liposuction. You have Grade 3 ptosis and need a full standard mastopexy with an inverted T or lollypop scar. Anything else will not give you a good result.
Am I Eligible for a Short Scar or Scarless Breast Reduction?
I will echo the opinions expressed by my colleagues, Based on your photos, I do not believe that you are good candidate for a short scar breast reduction. Because of the ptosis exhibited in your photos, a significant reduction will require the use of an "anchor" type scar.
Vertical Breast Reduction vs Anchor Incision and Scars
All surgery prodeces scars. Plastic surgery is designed to have the scars defy detection as much as possible. We can get nice incioions and resultant scars which usually heal fine. In some patients thick scars can orrur. I do not know who told you there is a scarless breast reduction; there is no such thing. You may be able to have a vertical breats reduction? Then again you will also be told you may be best served with the anchos-Wise pattern. I think either may work. Elizabeth Hall-Findlay in British Columbia has done 10,000 or more of this and she is the inventor-founder of the vertical reduction with the medial procedure. I believe she may suggest a vertical reduction with medial pedicle for you. Look her up on the internet...Google her...ansd send her your pictures and ask her opinion. I am betting she suggests the vertical with medial pedicle which is a super operation that I find really pleasing. If she says anchor its anchor. She is the number one authority in the world bar NONE. Elizabeth Hall Findlay. Contact her. If its possible to avoid the anchor it is nice. My Best, Dr Commons
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I give courses at national meetings on performing Vertical reductions. I like doing them on the right candidate. You may not be a good candidate because of the severe laxity of the tissues, but a full exam would be critical.
Am I eligible for a short scar or "scarless" breast reduction?
Overall I am a great fan of vertical reductions and mastopexys in the lejuer fashion. You are unfortunately the very case where you require a traditional inverted T reduction. In order to place the nipple areola in the proper position, it will need to be raised 4.0cm – 5.0cm at the very least to get some where near the mid humeral line. That would leave too much skin to be excised centrally and would require an inframammary extension. You would get a better overall shape going into the procedure, designing it with an inverted T.
Also surprisingly, you will probably not need a great deal of breast tissue removed since when you diminish the skin envelope the remaining breast tissue takes on a significantly smaller volume.
Finally, liposuction to your breasts (aka "scarless breast reduction") would only make them more deflated and really has very limited use.
Here's a link to a case that's similar to your own so that you can get a better sense of what an inverted T reduction would look like.
Scars after breast reduction
Any type of surgery on the breasts will produce scars. Liposuction will result in the shortest scars but is not "scarless". Although it may be an option in some patients the amount of droopiness (ptosis) of your breasts does not make you a good candidate for this procedure. Short scar breast reduction surgery may be performed by a number of different techniques, usually involves only periareolar and vertical scars, and allows for repositioning the nipple superiorly, removing excess breast tissue and eliminating excess skin. It does not require the full anchor scar and you are a candidate for this surgery.
Breast Reduction Scars
With the size of your breasts, you are not a candidate for any sort of short scar or scarless breast reduction. Your nipples need to be moved several centimeters superiorly and you also have a lot of excess skin and breast tissue. For these reasons I do not feel that you will be happy with anything other than an anchor-type scar.
How scarless of a breast reduction
Breast reduction has two components, the reduction of volume, and the lift. To reduce volume modestly without a lift of the nipple scarless breast reduction is in essence liposuction which alone can reduce a fatty breast. In order to correct your loose skin and breast sag, at least a vertical or 'lollipop' reduction is needed to get the nipple up and onto the front of the breast. It is possible depending on the amount of skin laxity that the 'T' pattern will give you the best lift and shape and you could go either way depending on your goals, but our vote is for the full 'T' reduction. You will not be disappointed with the result.
Best of luck,
Type of Breast Reduction
Although we would all lilke to eliminate scars, when there is just too much skin that will not shrink, there is no way to do so. Your problem is that you, in spite of having large breasts, have enen more excess skin. When you reduce the breast tissue further, this difference becomes even more marked. As much as I haave tried to reduce the scar in ladies like you, I still get the best results with a standard “anchor incision.” Every one of my patients, despite the longer scar, think the trade off is well worth it.
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