Can I get a Lift with minimal scars? (Photo)

Question

I am 31 and up until 3 years ago i was 135lbs 5'4" and had perfect 34D cup breasts. I had to go on medication and went up to 175lbs and my breasts are now a 36DD but have dropped (Grade 1 ptosis) I am currently working to lose weight. When i get back down to a weight im happy with (goal is 140-145) I want to know if i can get a lift without the bad ancor/vertical scarring?

Raffy Karamanoukian, MD, FACS · Answer

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars. 
 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Jeffrey M. Darrow, MD · Answer

Once you have achieved the weight that you wish, you would need to consult with a plastic surgeon who could determine the position of your nipple to your inframammary fold as well as how much of your breast tissue sits below your fold. In addition, the distance from your nipple to your fold would help determine what lift pattern would be most appropriate for you.  If the distance from your nipple to your fold is too long and your breasts are protocol, some shortening of that distance must be done and hence a vertical scar would be necessary.

Leila Kasrai, MD, FRCSC · Answer

It’s difficult to predict how a 40lb weight loss will affect your breast shape. It is common for the breasts to sag to some extent with dramatic weight loss, but there is no guarantee. It would be best to achieve your ideal stable weight first before considering what type of breast lift, if any, would be necessary. At that time, a side photo would be helpful.

Eric Swanson, MD · Answer

You will be best served with a vertical lift. An anchor lift is not as effective and causes too much scarring. A vertical scar is required. Techniques that avoid a vertical scar (like the donut lift) are not very effective and can distort the areola.

Gary M. Horndeski, MD · Answer

The breast lift technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Camille Cash, MD · Answer

Since you are intending to lose weight it is best to complete that goal before considering the type of lift that is recommended.  Weight loss effects people differently.  Some women notice no change to their breasts while others have dramatic changes.  The correct lit can be determined after you have lost the weight.

Connie Hiers, MD, FACS · Answer

Wait until you have reached your goal weight and then go to a plastic surgeon to see what option might work best. When you submit photos, please remove all clothing and do not try to push your breasts together with your arms.

Mats Hagstrom, MD (license on probation) · Answer

To make a quality assessment, we need quality pictures.
Take a look at how plastic surgeons take before and after pictures.
It’s generally in an upright standing position with your arms relaxed down by your side. Paragraph breast primarily moves the nipple position.
It’s not very good at restoring volume to the upper part of your breast.
Consult with plastic surgeons in your community.
Ask them to show you before and after pictures of previous patients who had similar body characteristics to your own.
 Bring pictures of yourself to use as reference.
Best,
Mats Hagstrom MD

Can I get a Lift with minimal scars? (Photo)

Answers (9)

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