Is it possible to get a proper breast lift with the location of the horizontal scar? (Photos)

Question

In the past I had a unilateral reduction to fix asymmetry. The surgeon removed too much fat and the other breast drooped more. This surgeon's way of fixing the breast that drooped more was removing excess skin from the bottom part of my breast and not lifting the areola. Because of this he left a horizontal scar below my inframammary fold and the breast always remained droopy. Can that breast even get a proper breast lift now with the location of the horizontal scar so low?

Jeffrey M. Darrow, MD · Answer

Measurements of your left breast should be done from the bottom of your areola down to your fold. The same measurements should then be created on the opposite side. This may require additional skin resection and other skin tightening in order to create a symmetric result.  There should be no need to lower the fold on your right side if this was the position of your original fold.  If one of the contributing factors to you having a breast which settled to low is your lack of skin elasticity and strength, a scaffolding such as GalAflex can be sutured into the breast that helps support the position of the breast with the breast lift. Discuss this in detail with your plastic surgeon.

Emre Guvercin, MD, FEBOPRAS · Answer

The distance between areola and inframamary fold seems to be longer than normal, and right breast seems saggy again. With the lack of upper pole fullness, a revision breast lift with Push-up Lift can be performed without resecting any breast tissue and keeping your breast volume. Your scars may be revised during the procedure also.

Daniel Barrett, MD · Answer

Dear bellaluna123,

my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity.

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

Gene Sloan, MD · Answer

I believe the best way to achieve symmetry in the short term and for the long term is to do the same thing on both sides. The same lift scar configuration with the same measurements, the same amount of breast tissue, and when implants are involved the same size implant on each side.  Still, over time asymmetry may develop as the chest wall the breasts are sitting on is asymmetric and skin and tissue differences cause each side to age differently. My recommendation for you is bilateral mastopexy revision.

Gary M. Horndeski, MD · Answer

At this time, you would benefit from scar revision and donut mastopexy. However, fat transfers would most likely help you the most, particularly with the upper pole of the hanging breast. The scar revision would result in a more narrow scar in the inframammary fold. Also, the fat transfers would create upper pole fullness to give more attractive looking breasts.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. All things are possible. Just takes the right plan and approach. Often times, trying to do two different things on two different breasts with the hopes of getting them to turn out symmetric is not the best plan. I would recommend a bilateral revision by someone with experience with revision breast surgery to re-shape things and get the most ideal outcome possible at this point. Might not be perfect, but I think that better is a very reasonable expectation.
Hope this helps!
Dallas Buchanan, MD
VIVIFY plastic surgery
Tampa, FL

Darryl J. Blinski, MD · Answer

Based on the two poster photos, I would recommend an impersonal virtual consultation to discuss your options of revision of full breast lift and location the scars and the suture techniques involved. Expect fees to range from $5000-$12,000. Best of virtual console with.

Is it possible to get a proper breast lift with the location of the horizontal scar? (Photos)

Answers (7)

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