Consensus on the Ultimate Breast Lift Technique? Would I Be a Good Candidate for No Vertical Scar? (photo)

Question

I've researched the "ultimate lift" that eliminates the need for a vertical scar. The description I've found: "A new technique of internal suspension similar to a push up bra corrects these problems. Upon completion, The Ultimate Lift has incisions hidden at the nipple-skin junction and near the junction of the breast and chest." Would I be a good candidate for this or do I "need" a vertical scar? I don't want to be a guinea pig but I don't want the scars! I also don't want implants.

Brent Moelleken, MD · Answer

The problem with saggy breasts is that there is too much skin for what is inside the skin.

	So what are you going to do with all the extra skin if you are not removing it?  

	As Dr. Rand has noted, there is in general a tradeoff between scars and results in breasts lifts.  Anchor type lifts are powerful in that they remove a lot of skin.  Lifts performed solely around the nipple (areola) are weak and are best reserved for cases requiring minimal lifting, or minor repositioning of the areola.  Lollipop type lifts are good for in-between problems.

	Ultimately the best result is obtained when you don't try to do too much with a weak technique.  A generation of aggressive Benelli lifts has taught us that.

Ozge Ergun, MD · Answer

Thanks for the question. Some patients might have inadequate breast tissue. In case of gland and fat tissue decrement due to breastfeeding and for the patients with saggy nipples, we definitely need to apply silicone prosthesis procedure for breast lifting. For more information about which technique is best for you, a consultation is required. I wish you all the best.

Joel Patrick Maier, MD · Answer

After reviewing the Ultimate Breast
Lift technique photos, the trade off for no vertical scar is more of a wide, flat
breast. If that suits your desires and goals, then it is the procedure for you.
I prefer using a superomedial pedicle for all my reductions and mastopexies
with full anchor scar. In my opinion, this technique maximizes breast shape
with good projection, perkiness and a durable, pretty shape. Bottom line is every
plastic surgeon has their own technique, but make sure you do your homework
with multiple consultations, reviewing before and after photos so you can make
a decision that is best for you.

Gary M. Horndeski, MD · Answer

Dear Bean,

	Unfortunately for my well meaning colleagues the Ultimate Breast Lift is a proprietary technique and, therefore, not readily available for them to perform. Let me clear up the confusion: the UBL is UNLIKE ANY OTHER METHOD. Please do your homework and look at the before and after pictures. It is clear that breasts are full, perky and esthetically pleasing. I would also recommend you speak to women who have had the procedure. Yes, the anchor and vertical lifts are true and tried, but they have proven to fail in providing women with long lasting lifts. The truth of the matter (and every honest PS surgeon will agree) is that a vertical scar inherently weakens the lift. An incision at the point of maximum  tension is architecturally faulty. This is the point where most wound failures occur. The weight of the breast is often times too much for the skin alone to handle. This is why the UBL is unique. The UBL reconstructs the breast and anchors it internally. It DOES NOT rely on the skin envelope alone like the others. As you know skin stretches with weight. The UBL relieves the skin envelope from the weight of the breast successfully achieving a long term lift. It just makes sense.

	I hope this helped!

	Kind regards,

	Dr. H

Armando Soto, MD, FACS · Answer

Hi there-

	If you were able to avoid the scars that you think you might  find objectionable, but ended up with funny looking breasts, and needed to spend more time and money having this corrected... or worse, found that the deformity that resulted from this cutely named operation could never be corrected, would you be happy?

	If this operation were really the revolution that the doctor promoting it says it is, we would all be doing it.

	Please don't make one of the biggest and most common mistakes we see women make- that of shopping for the scar or operation they think they want, and then looking for the surgeon who will do it on them.

	Remembering that your goals should be to stay safe and to have the highest likelihood of being happy with your appearance when you are done, there can be no doubt that you would be much better served by looking for the best surgeon for you, and worrying about the details of the technique later.

Ronald J. Edelson, MD · Answer

I have heard about the so called ultimate lift and have also seen a patient who had one done and was not very happy. The vertical scar is the one that tends to heal the best, so devising a procedure to avoid it is not a significant advantage. From your photos, I would recommend a full lift, including an anchor scar. I think your breasts need to be lifted too far to get a decent result with either a Benelli or vertical lift.

Robert W. Kessler, MD, FACS · Answer

Always be careful with proprietary, named techniques. Established techniques have stood the test of time and yield excellent results. We are in a period of great innovation but you need to do your homework.

	The degree of drooping of your breast is significant and will require the vertical scar to yield the pleasing shape of the breast you desire. Although the vertical scar is the only one in a conspicuous position it heals beautifully. You appear to be quite fair and this is a good indicator of the quality of the scar you will have.
	
	Seek out a board certified plastic surgeon with significant experience in breast lifting. Look at before and after pictures to understand scar quality and the surgeons aesthetic.

	Good luck and I hope this was helpful

Andrew Smith, MD, FACS · Answer

This is a great question that seems to generate a lot of confusion out there.

	Less scarring is always appealing with regards to a breast lift.  The problem is that if your shape needs more of a lift, there generally is no short cut.  You look like a good candidate for a vertical scar breast lift. Leaving out the vertical scar would be problematic in terms of repositioning your nipple areola complex as well as shaping your breast.  In addition, the vertical scar tends to heal very well.

	Make sure to look at pictures of similar shaped breasts before and after both procedures to make a good decision for yourself.

Keith Denkler, MD · Answer

Breastlifting is best with minimal scars. However, larger breasts require more incisions for optimal shaping.The "Ultimate breast lift" is not without complications as seen in the link below.

Tim Sayed, MD, MBA, FACS · Answer

From your photos, I agree with the other posters here that you need at minimum, a modified vertical breast lift (which includes the vertical scar, extended like a "J" or "L" into a portion of the fold under the breast, or a full, inverted-T, anchor-pattern lift. As for implants, it depends on the size and projection you desire. Are your breasts satisfactorily large for you when you put them up in a bra? If so, you probably do not need implants. If, however, you still feel your projection is less than you desire, then a lift with implants would be advised. Only an in-person examination can fully answer your question appropriately. However, be wary of the promise of "minimal" length of scars; I have never had a patient be happy with a short scar and poor shaping or nipple position, but my patients are generally quite happy with a great shape, great nipple position, great volume and slightly longer (but generally well-healed, fairly inconspicuous) scars.

	Hope this helps.

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