What Incision Pattern is Least Noticeable After a Breast Reduction Surgery?

How can the scarring be as hidden as possible.

Doctor Answers 9

Breast reduction scars

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The “best” operation (an incision lines) may depend more on your physical examination (for example breast size and shape)  and your chosen surgeons expertise. Some visible scarring is inevitable but usually fades with time (or benefits from scar revision surgery).

Patients with large breasts and resulting symptoms generally choose to have the scars over the continuing symptoms associated with the large  breasts.

Make sure you are seeking consultation with a well experienced board-certified plastic surgeon. Best wishes.

Breast Reduction and Scars

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All of the incision patterns have visible scaring whether it is the vertical (aka circumvertical, lollypop, LeJour), the extended vertical (aka J or L lift, Hammond lift), the modified anchor (short horizontal scar), or the standard anchor scar.  The choice of what type of scar pattern you get is mostly influenced by the size and shape of your breasts, less with the preference of the surgeon. 

Whether or not they are noticible has more to do with the quality of those scars than the position or length of scaring.  The variables that affect scar quality include the surgeons techniques, your genetic predisposition, and the after care for your newly healing incisions.

Best results will be obtained from surgeons that perform this surgery frequently.  These people are most likely  certified by the American Board of Plastic Surgery and are members of the American Society for Aesthetic Plastic Surgery.  In the end you will most likely be thrilled with your results, as most women are who have had breast reduction surgery.

Best of luck!

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 100 reviews

Breast reduction scars

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A true breast reduction, not a lift, with resection of significant tissue, requires the T-shaped scar. A lift, which has a different main purpose, can be performed via a variety of incisions. The goal of breast reduction is to create the best result in terms of the shape of the breasts. If the operation is performed with diligence and the skin sutured carefully, the scars should fade out after the first year of healing.

Lollipop reduction

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The verticle breast reduction or lollipop incision creates the least scar and best shape.  Most surgeons in the united states still use the anchor pattern which is rarely needed.

I have only performed breast reductions with limited incisions during the last 15 years of my 25 year experience.

The shape and scars are always better with fewer problems such as delayed healing or wound separation.

Jed Horowitz MD, Newport Beach Ca

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Breast reduction incisions

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You are correct, there are many options for incisions and surgical techniques for breast reduction surgeries.  But far more important than the exact incision utilized is meticulous technique and optimal surgical planning to allow for the best chance to achieve the best surgical result possible.  Choosing the proper surgery and not compromising by selecting a procedure that may offer a shorter scar, will help you to achieve a superior result.  Scars on the breast, with good surgical technique, tend to heal extremely well on average.

Vertical Breast Reduction

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The vertical  breast reduction does a great job.  The incision is shaped like a lolly-pop. This procedures is used for moderate sized breast.

Miguel Delgado, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 81 reviews

Less scar, less noticable after breast reduction

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The short scar pattern for breast reduction produces the least scar and we use this pattern most often for breast reduction, especially in younger patients. It is true that the lower or transverse scar of the 'T' is hidden in the breast fold however it may be seen out to the side of the breast or in the low cleavage. Less is better.

Best of luck,


Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 44 reviews

Breast reduction = a trade for shape and size for scars

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Fundamentally a breast reduction is a trade-off of shape (lift) and size improvement (reduction) for the scars it takes to do it.  Everybody has a different starting point and there is no way to do this without visible scars.  The key is to get the best result and shape and the scars will usually become a non-issue after a year or two.   

Breast reduction technique that has no visible scars

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There is now a surgical technique that allows women to have their breasts reduced and lifted with minimal visible scars. It's a revolutionary procedure that permanently secures the new breast mound to your chest wall muscles to minimize migration of your new breasts downward. This in turn, allows for instant relief of pain associated with heavy breasts. Therefore, your breasts are no longer supported solely by a skin envelope like standard breast reduction techniques. Your existing breast tissue is made into an inner cone (mimicking a breast implant) and an inner bra is made from the excess skin to add support to your newly shaped breast. An added benefit is that the vertical scar is eliminated altogether - regardless of how large or saggy your breasts are. This technique is truly revolutionary, but extremely complex. It is certainly not a cookie cutter technique and requires an experienced surgeon to execute it successfully. Best wishes, Dr. H

Gary M. Horndeski, MD
Texas Plastic Surgeon
4.6 out of 5 stars 230 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.