Female, 28, 145lbs, 5’4, can I avoid anchor scars when getting a breast lift with implants? (Photos)

Question

Female, 28, 145 lbs, 5’4. I want to get a breast lift with implants but due to my line of work, I’d like to avoid the visible scarring that comes with the anchor lift. I don’t mind a bit of droop after surgery as it will look natural. Can satisfactory results be achieved with a donut or crescent lift? Thanks.

Morad Askari, MD, MBA · Answer

"Given your preference to avoid anchor scars and your willingness to accept some natural droopiness post-surgery, a lollipop lift combined with larger implants might be a suitable compromise. This approach can address moderate sagging and provide additional volume while limiting scarring compared to the traditional anchor lift.
However, the best approach depends on your specific breast shape, degree of sagging, and desired outcome. The lollipop lift offers less extensive scarring but may not provide as dramatic a lift as the anchor technique. It's important to have a detailed discussion with your plastic surgeon about your goals and what each type of lift can realistically achieve. Keep in mind that larger implants can sometimes lead to more sagging over time, so your surgeon's expertise in balancing implant size with the lift technique will be crucial."

Gerald Minniti, MD, FACS · Answer

Any surgeon who would offer you a crescent or donut lift you should run from. What you don't know is that what makes a breast look attractive is its shape, and those periareolar lifts will not work for you due to your breast shape. The anchor scar will leave you with a beautiful breast shape and your scars will become imperceptible over time, especially when done by an expert surgeon willing to invest in taping you after surgery to get the finest scars.

Gary M. Horndeski, MD · Answer

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.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

The crescent or doughnut lift will not work for you, but a vertical lift could work nicely if your surgeon does this type of lift. Otherwise, you will need the anchor lift.

Mats Hagstrom, MD (license on probation) · Answer

There are three basic skin incision patterns for mastopexy surgery. The extent of skin excision, and therefore the length of the scar depends on the amount of skin, laxity or ptosis of the breast patients who have mild a ptosis can have a minimal mastopexy procedure such as a donut, mastopexy, a.k.a. Bonelli mastopexy. Individuals With moderate ptosis may need more skin excision, and this may require a lollipop or adding a vertical scar to the donut mastopexy. For patients with significant ptosis, an anchor or wife’s pattern, incision is indicated.
Applying a lesser form of mastopexy may cause significantly compromise in the aesthetic, outcome. attempting a donut mastopexy, on someone who needs a more aggressive procedure will create flattening of the breast with potential significant widening of the scars and widening of the areola.
Plastic surgeons I’m thrilled with leaving patients with excessive scars. Just like patients aren’t thrilled with getting them. Applying the wrong procedure will simply create a compromised outcome that is undesirable.
Defined the right provider and choose the right procedure. I suggest having multiple inperson consultations with plastic surgeons in your community. Ask each provider to open up their portfolio and show you their entire collection of before and after pictures of previous patient who had similar breast characteristics to your own. Bring a picture of your own breast to use as a reference when reviewing before and after pictures.
You can then see firsthand what the results of each provider looks like using various techniques.
An experienced plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients. Highly experienced surgeons should have access to hundreds or preferably thousands of before and after pictures to choose from.
Trying to attempt a major breast lift with a minimal scar is a big mistake and leads to revision surgery and disappointment.
Best,
Mats Hagstrom, MD

Diego Ampudia, MD - Account Suspended · Answer

Hello, my professional advise for achieving a satisfactory outcome is an anchor lift.Any other sort of lift would only provide a partial solution.

Emmanuel Perez, MD - Account Suspended · Answer

Hello, studying your case, we could evaluate, after a personalized evaluation, performing the procedure through the areola as long as you maintain that knowledge that they may be a little sagging but without scars, we could achieve a good result with your case.

Female, 28, 145lbs, 5’4, can I avoid anchor scars when getting a breast lift with implants? (Photos)

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