Avoiding Vertical Breast Lift Scar?

Be very careful!  You are a set up for a bad result.  50% of my revisional patients are people who were just like you and did not want what they NEEDED and ended up making compromises and ended up with terrible results.  The irony is they ended up getting what they NEEDED originally except with more cost and suffering.  You need what you need.  Do not just fill your breast to make up for excess skin. It will look good for a short period of time while it is swollen and then bottom out.  Spend more time looking for a surgeon who gets good results and closes incisions well.  The vertical scar can in many instances become invisible.Good luck

With significant descent of the nipple, a no vertical scar lift will work for some patients. You our need to seek out a plastic surgeon who is experienced in the no vertical scar technique to see if you are a good candidate. Based on the anatomy, not everyone will qualify. 

If you don’t get a lift performed, then simply do nothing at all.   breast implants without a formal lift will look terrible. I agree that a full anchor scar will be required. In fact I would recommend performing the lift only and placing the implants at a second stage. It will be much safer and your ultimate result will be much better.

Hi. Yes you can definitely avoid the vertical scar with a breast lift technique that puts a scar in the groove underneath the breast and around the areola. If you want implants then this needs to be done at a second stage. CheersDamien

Hello and thank you for posting. Avoiding the vertical scar is not a real option in your case. Not if you want to have the best results possible. Not even if you want to have mediocre results actually. Unless doctors tell you want you want to here instead of what you need, all surgeons will basically say you need a vertical scar lift for optimal results. 
Your breasts are asymmetrical, they are sagging and sit low on your chest wall.... plus most of your breast tissue is bellow your breast folds with a very low areola position. This is called Breast Ptosis and you are at, Grade 3 Ptosis. This means that implants alone will not lift them. You are actually a great candidate for a breast lift with implants with an Anchor type scar. 
Please understand that a smaller scar translates into less of a lift while larger scars equals more lift. This is why I think an anchor lift is necessary if you want the most perky results possible.
So the real questions you should be asking yourself are the following...
1. Are you ready for scars? Because if the answer is no, your simply are not ready for a lift.
2. Will you be happy with larger breasts that are still be saggy? With nipples that still look down and still sit on the bottom half of your breasts? (Probable results from a Breast Augmentation, regardless of a Donut Lift, to try and fill out excess or loose skin) Or... 
3. Will you be happy with very large breasts that are completely filled with very large implants that might weigh down your breasts and might make them sag or fall, faster then they should? And with nipples that still look down and still sit on the bottom half of your breasts ? (Probable results from a Breast Augmentation, regardless of a Donut Lift, with very large implants to fill out all the excess or loose skin) Or...
4. Will you be happy with bigger breasts that do not weigh too much, that are firmer, perky and more symmetrical but, with a larger scar that should fade with time? (Probable results from a Breast lift with Implants with Vertical or Anchor Scar technique with the correct sized implants plus skin and tissue excision for lift and symmetry.)
I feel that the questions most patients should answer yes to are questions number 1 and 4. If you want the best results and the longest lasting results, a breast lift with implants with the vertical scar is your best option. If your are ok with "soso" results then a breast augmentation alone is ok for you. But Most patients that try to avoid these scars, normally end up getting a revision as soon as possible. 
Best of luck!!
Dr. Miguel Mota

Thank you for your question. Unfortunately, there aren't any scarless breast lifts. You need to understand that there will always be a trade off - you will have scars but you will have the breast shape you desire. You cannot get one without the other. Anchor scars tend to be more unsightly, but may yield the best results for some patients. Other patients may get great results with a vertical lift, leaving a thin vertical scar that tends to heal very well.However, there are great scar treatment options out there! Using Embrace silicone strips or Biocorneum to treat your scars will reduce their appearance and aid in healing. 

In my opinion- none. Based on the your photo- the best way to achieve perkier breasts- and move your measurement to 23 or so cm-- you would need the anchor type lift. 

Hello,  thank you for your question regarding breast left, breast augmentation and trying to avoid a vertical breast scar.  Based on only a single picture, a measurement of “29”,  and not a physical examination I would suggest the following options.   For the best results, I would suggest a breast implant and a breast lift.  Based on your picture, the bigger implant you  select, the less breast lift you will need —  up to a point.  If you choose an 800cc implant, this is not gonna work.  For your case, I would decide what breast size you want to be.  That will determine what size breast implant you need.  The size the breast implant will determine also what type of breast lift you need.  With a bigger implant, you may be able to get by with a donut breast lift or a circumperiareolar  mastopexy.  This may be the best way to start.  If you still don’t get your desired breast shape and look you desire, you can always convert to a vertical or anchor mastopexy.  I hope this answers your questions regarding avoiding the vertical component of the lollipop or inverted T or anchor last exit. If you have anymore questions regarding breast left, mastopexy, breast augmentation, vertical breast left, lollipop incision breast left for anchor incision breast left, please contact my office. Sincerely, Dr.Katzen. (Certified by the American Board of Plastic Surgey and Member of the American Society of Plastic Surgery.)

While I would need to examine you in person, 29 may be the distance in centimeters from sternal notch to nipple. That measurement is relatively long, implying that you have a significant amount of ptosis or sag. From your image, I would actually say that you don’t need the anchor incision breast lift, which requires the greatest scar burden, but it does appear that you would be best suited for a vertical breast lift with an incisional scar around the areola plus one down the lower pole of the breast. To achieve the degrees of lift you likely need, you need that vertical incision.
Like you, I do have patients who come to me concerned about scarring before their surgery. Afterward, however, few patients ever mention it to me, because the overall surgical result is so transformative. There is a surgical technique called the periareolar breast lift, which only involves an incision around the nipple / areolar complex, and the incision hides well along the border of the more darkly pigmented areola. However, you would be better suited for the vertical breast lift, and it is important not to choose the wrong technique in pursuit of fewer scars. The technique used determines how much lift can be achieved. In general, there is a significant difference in the aesthetic outcome of a mediocre versus a high quality breast lift, and by choosing a suboptimal surgical technique, you may compromise your ultimate aesthetic result in terms of breast shape or perkiness.
In addition, surgical scars typically heal much more cleanly than accidental trauma and often form a thin, almost imperceptible line. For many of my patients, when the scar is fully mature after one year, it is difficult to see that vertical scar, but scar healing does vary by individual. An important aspect of my surgical patient care is a comprehensive scar care regimen to help optimize your ultimate scar.
Your comfort with the scars are a very personal aspect of the surgery, but to the extent you are able, I urge you to keep in perspective the lesser importance of the incision pattern. I advise patients never to compromise contour for a lesser scar. I’d argue that it is more important to choose a highly experienced board-certified plastic surgeon who is a specialist in cosmetic surgery of the breast and body. Good luck with your surgical journey!

Thank you for your question.  You appear to be an excellent candidate for a breast lift to bring the breasts up and reduce the size of the areola.  The type of incision needed is best determined by physical exam.I perform a liposuction breast lift/reduction known as Breast LipoLift®. This specialized technique spares more nerves and blood supply as well as removes tissue from the areas you don't want such as near the armpit and the lower portion hanging near your stomach. Once I use this to shape the breast, I then remove the excess skin to tighten the breast and create a more proportional silhouette with better cleavage. This procedure is also more accurate than traditional breast lifts or reductions since I use 3D measurements to uncover size asymmetries. During the procedure I remove exactly whatever is more from the larger side to get as close to symmetry as possible. Since I perform this less invasively the recovery time is faster and drains are not necessary. Over 90% of my patients are out to dinner the next evening taking only Advil and Tylenol if even needed. The size would depend on the proportion with your body versus going for a cup size.  It has been proven to have less complications than traditional breast reduction (please see my Breast LipoLift® page web page) and should not affect nipple sensation, mammograms, cancer risk or breast-feeding. The best way to assess and give true advice would be an in-person exam.  Please see a board-certified plastic surgeon that specializes in breast plastic surgery.  Best of luck!    Dr. Schwartz Board Certified Plastic Surgeon#RealSelf100Surgeon #RealSelfCORESurgeon#RealSelfTopContributor

It all depends on the position of the nipple/areolar complex position. If there is significant loose skin, then the vertical incision is necessary to give you the ideal result. The length of the vertical scar is not long, only 4-5 cm from the bottom of the areola to the crease. This scar heals very well. If there is a lot of excess skin, then the anchor incision is necessary.
Don't make the mistake of using too big of an implant just to eliminate the vertical/horizontal scar.