Do All Breast Lifts Result In Scars?

There is a technique known as a benelli periareolar lift, which uses a scar around the areola to gather up and lift the surrounding skin. The downside is the possible stretching and dilation of the areola. The technique requires as permanent suture to prevent the the stretching of the areola. If this suture fails, the areola may dilated and result in an undesirable post lift appearance.

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

Hello, thank you for your question. That is a very common concern with this surgery so you are not alone. To really get a lift of your breast tissue with typically implement either a vertical lift (lolipop) or sometimes depending on the degree of breast ptosis or sagging we will recommend a horizontal and vertical lift (anchor scar). The scars are not the most aesthetic in appearance in the first year. After that they tend to fade. There are some treatments for lighter scars including medical tattooing filling in pigment where it lacks or depending on how your scars heal there can be options. Speak to your plastic surgeon about your concerns. Check out our before and after gallery for a better idea.

Dear maria254,
for scars, I close all of my incisions in 5 layers and do not use absorbable sutures because they cause inflammation and worse scarring. I tape all of my incisions in the office visits once a week for six weeks after surgery to improve the appearance. After taping, I start my patients on a scar gel therapy for 3 months that they have to put on their incisions twice daily.You should discuss your concerns with your plastic surgeon as different surgeons have different approaches in scar management.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

All incisions result in a scar, although most are very acceptable after they are mature. There are different kinds of lifts that have different incision patterns. There are some that go around the areola only. These incisions are often hidden within the pigmentation of the areola. There are also anchor and vertical lifts which do involve an incision down the center of the breast. It is important to select the type of lift that will give you the best outcome based on your anatomy and surgical goals.

A breast lift almost always moves the nipple-areola higher which requires skin removal, so that is the minimal scar. This is a donut or Benelli lift, and can only lift a small amount without flattening the breast. The vertical/lollipop lift is more common because it improves shape and projection. It will also depend to a degree on the size of the implants.

All breast lifts require scars but the most unattractive scar is the vertical scar. The 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. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

There is something called a donut lift where the incisions are around the areolae. Unfortunately it has its own problems. The good news is that the vertical scar usually heals very well

Breast lifts, also known as mastopexy, generally do result in some degree of scarring. The extent and visibility of the scars depend on several factors, including the surgical technique used, the patient's skin type, and their healing process. Here are some key points to consider:
Types of Scars from Breast Lifts
1. Periareolar Scar:
o This scar encircles the areola and is typically used in a "doughnut" or "Benelli" lift. It's one of the least visible scars since it's confined to the pigmented area around the nipple.
2. Lollipop Scar:
o Also known as a vertical scar, this starts around the areola and extends downward to the breast crease. It is common in moderate breast lift procedures.
3. Anchor Scar:
o This is the most extensive type, combining the periareolar and vertical scars with an additional horizontal scar along the breast crease. It's used in cases requiring significant reshaping.
Factors Influencing Scarring
• Surgical Technique: The method chosen by the plastic surgeon can influence the size and location of scars.
• Patient's Skin Type: Some skin types are more prone to noticeable scarring. Darker skin tones may develop more prominent scars, while lighter skin tones might scar less visibly.
• Post-Operative Care: Proper care, including following your plastic surgeon's instructions, can minimize scar appearance. Treatments like silicone sheets, gels, and scar massage can also help.
• Healing Process: Individual healing varies. Some people naturally heal with more noticeable scars than others.
Scar Management
While all breast lifts will result in some degree of scarring, there are several ways to manage and minimize them:
• Follow Surgeon's Instructions: Adhering to post-operative care instructions is crucial.
• Use of Scar Treatments: Silicone sheets or gels can help reduce scar visibility.
• Avoid Sun Exposure: Protecting scars from the sun helps prevent them from becoming darker and more noticeable.
• Consider Laser Treatments: Post-healing, laser treatments can help reduce scar appearance.
Scarring is an inevitable part of any breast lift surgery, but with proper care and advanced surgical techniques, these scars can be minimized and become less noticeable over time. Always discuss with your plastic surgeon about the best techniques and post-operative care for your specific needs and concerns.

Yes, breast lift surgery typically involves incisions, which can result in scars. The extent and visibility of the scars can vary depending on the surgical technique used and an individual’s healing process. However, experienced surgeons work to minimize scarring and often place incisions in inconspicuous areas to make the scars less noticeable over time. It’s important to discuss the potential scarring with your surgeon before undergoing the procedure to understand what to expect and how to care for the incisions post-surgery.