Pleating After Vertical Lift, What Laser Treatment Can Address This?

Had vertical lift a month ago very disappointed of the scar going all the way to my rib and still have lots of pleating. I had a horrible benelli and thought that this was going to resolve the pleating. What lasers if any can help this I have waited too long to see results. Second surgery.....Also what laser for scar below the breast visible with a bra.HELP.

Doctor Answers 5

Pleating after vertical lift

Without seeing photos it is hard to say, but the pleating in general in a vertical lift wil loften settle down in a few months.  It is definiely a bit of a trade-off in some cases as opposed to a full "T" closure.It also can always be revised when things settle down.

New York Plastic Surgeon
4.1 out of 5 stars 28 reviews

Scarring after vertical lift

The issue after a vertical lift is that large amounts of skin are gathered into a small line.  Inevitably, gathering results.  The best way to resolve this issue is to convert the old Benelli style or aggressive vertical lifts to a Wise (anchor) pattern lift. 

Patients are generally much happier at the appearancve of their breasts and nipples afterward.

While each lift technique has its pros and cons, it is generally best to use powerful lifts for cases that need it, and not use weak lifts for cases where lots of lifting or shaping needs to be done.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 177 reviews

Breast lift with vertical scar pleating

With a vertical scar breast lift there is always pleading but one month, This is not nearly enough time for this scar to heal as well as it can. In my patients at one month they all still have some pleating but by 3 months 95% of this is gone. By year the scars look entirely different.

Don't panic you a long way to go before these scars look their best.

Wendell Perry, MD
Miami Plastic Surgeon
4.8 out of 5 stars 229 reviews

Pleating after a vertical lift

You can't cheat mother nature and in a Benelli and a vertical lift the excess skin is purse stringed in to try to minimize the scars.  But in my opinion, while shorter than ones in a central pedicle lift which uses a T, the scars are worse and pleated because they are not tailored as well in 3 dimensions.  Just my opinion though.  

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

Breast Lifting Scar?

Thank you for the question.

It is difficult to give you good advice without direct examination.  This is best done by your plastic surgeon who knows your situation best.

Generally, I would not suggest any type of laser or surgical intervention one month after surgery. Much if not all of the “pleating” that you are experiencing generally resolves with time.

Again,  I would suggest that you follow-up with your plastic surgeon and avoid additional modalities of treatment unless okayed by him/her.

Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,486 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.