Can I have a breast lift with lichen sclerosis? Will it cause healing issues?

Dear Neat599148,

it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Your concerns are completely valid, and it’s wonderful that you’re being cautious and seeking multiple medical opinions before moving forward. Lichen sclerosus can make the skin thinner and more fragile, which understandably raises concerns about healing after surgery.
The key here is collaboration and timing. A breast lift may still be possible for you, but only once your skin is stable and well-managed under your dermatologist’s care. When lichen sclerosus is active, especially if the skin is inflamed or fragile, it’s best to delay elective surgery until your dermatologist confirms that the condition is well controlled and the tissue strength has improved.
What I would recommend is to have your plastic surgeon and dermatologist communicate directly. Together, they can assess your skin’s current condition and determine whether surgical lifting is safe at this stage or if you’d benefit from a period of topical treatment and stabilization first. In some cases, adjusting medications or introducing topical estrogen therapy can help thicken the skin and restore resilience before surgery.
Healing from a breast lift relies heavily on the skin’s ability to hold sutures and form healthy scars. When planned carefully, with the right timing and gentle surgical technique, even patients with delicate skin can heal beautifully, but patience and preparation are essential.
You’re absolutely right to be cautious, and your desire for a safe, beautiful result is exactly what will lead you to the right plan. With close coordination between your two specialists, it’s entirely possible to move forward when your skin is ready, safely and successfully.
Dr. Sibel Atalay, MDBoard-Certified Plastic Surgeon & Destination Doctor