Wanting Breast Lift with Implants - Least Amount of Scarring Possible

I am wanting a lift with the least amount of scaring ( possibly peri -aeriola?) and a breast augmentation at the same time, I want to go somewhat on the larger size (400-500cc) I want to end up about a size DD, I am 5'6 and 130 lbs. I am willing to trade some lift for less scarring. I am wanting to know if this is advisable/possible for me, and if so what the approx cost would be. I am able to travel for the right doc but many won't offer est. w/o in person consult which is not always possible.

Doctor Answers 26

Breast lift with implants

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While your breasts are moderately sagging you may be able to get away with implants alone. The best breast implants to use should have a more cohesive texture, such as the Allergan Inspira Truform 2. These implants are slightly firmer but still feel natural. Also, choose something with a more narrow base width to increase projection.

Managing Scars Following a Breast Lift with Augmentation

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I prefer to use a #shortscar technique, #LollipopScar or #DonutLift” rather than a majority of surgeons in the United States who use an anchor pattern lift; which involve more significant #scarring.
Additionally, scar therapy with #scar maturation products (e.g. BioCorneum or Embrace) is recommended for the best scar and can be started a few weeks following your surgery.
Concerns pertaining to your personal #healing should always be discussed with your surgeon.
Your Plastic Surgeon will measure you to determine the best shape and size of the implants to be used.

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

Breast lift with implants

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It is difficult to say, but may be able to get a reasonable breast shape with large implants alone and avoid scars from a lift for awhile if you are willing to have substantially larger breasts (2-3 cup sizes larger).  Even with this approach, you are probably going to eventually need a mastopexy someday.  However, my best recommendation for a single stage durable procedure would be augmentation mastopexy with an appropriate mastopexy, which depends on the size of the implant you choose.  Be advised this is a more complex procedure that requires experience and an in-person consultation with a knowledgeable and skilled plastic surgeon.

Jeffrey D. Wagner, MD
Indianapolis Plastic Surgeon
4.9 out of 5 stars 30 reviews

Breast lift with minimal scars

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An implant will not lift the breast  so you will need some form of a breast lift. As surgeons, we always try to minimize scarring. The scars range from around the areola to a vertical mastopexy (lollipop) to an anchor incision for the maximal lift. Your surgeon will help choose the best lift for you.

In person consultation is essential

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Many surgeons can give you their opinion, but without an in-person consultation nobody can promise you an ideal result.  In our clinic although we often have patients travel to see us, we make it clear that no exact surgical plan/recommendation can be made until the patient is seen in person.  
Looking at your pictures, I think you need to understand that an implant adds volume, it does not lift.  A breast lift lifts.  Going with an implant will fill out the breast envelope and add more volume on top, creating an illusion of a lift, which may be enough to match your expectations.  This is where a proper consultation comes into place.

Martin Jugenburg, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 517 reviews

Periareolar Mastopexy Augmentation

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This is a good question that is very common in my practice. The periareolar mastopexy augmentation appears that it would be a good option for you from the one picture that I see.

This will limit the scar to just around the areola, which tends to hide very well as it is at the natural transition of your areola and breast skin. The combination of the periarealar mastopexy and implant will give patients like yourself a very good result. The combination of the larger implant and periareolar lift will give you a nice round appearance. One of the most common surgeries I do is the periareolar mastopexy with an implant between 400 and 500cc as this combination typically gives patients like you a very good result.

You do want to make sure that if you decide to go with a periareolar mastopexy or Benelli lift that you do the procedure with someone that has a lot of experience in this procedure as there are subtle technical details that make a big difference in the outcome of your surgery.

Consult with your board certified plastic surgeon to discuss the surgery.

I hope this helps, you look like a great candidate for a breast lift with implant and will likely have a great result!

Implants with or without lift?

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Because you would like large implants, your nipple position is borderline and you are will to accept some droopiness, you might consider having augmentation only at this point.  Reassess your result after six months to decide if you would like to proceed with a lift as well.

David Stoker, MD
Los Angeles Plastic Surgeon
4.8 out of 5 stars 62 reviews

Incision Placement for Breast Lift with Implants

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It’s virtually impossible to make recommendations regarding breast lift surgery without being able to perform a physical exam. Your pictures suggest that a peri-areolar lift is definitely a possibility for treating your breast sag, but its use might require aesthetic compromises.

                  These compromises might involve the shape of the breasts and the quality of scars. Smaller incisions may require more gathering of the skin and more tension on the closure, which can often result in unattractive scars. Failure to remove excess skin can often result in distortion of the breast shape and residual breast sag.

                  In addition, the use of larger breast implants is problematic. Larger implants can cause pressure on the overlying muscle and skin flaps. This in turn has the potential to damage blood supply to the nipple areola complex and cause skin necrosis. In addition, larger implants can cause tension on the wound closure, which might cause wound breakdown and spread of the scar. For these reasons, most plastic surgeons don’t perform breast lifts when larger implants are utilized.

                  Under these circumstances, great care needs to be taken when choosing the best treatment option for any particular patient. In your case, it may depend on your aesthetic goals and willingness to make compromises. It’s important to consult a board certified plastic surgeon with experience in this area. This surgeon should be able to make an appropriate recommendation for your condition. 

Breast implant with lift with minimal scar

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We hear this request all the time.  Volume and fullness, (from the implant), and lift.  It is difficult to say without a true exam.  Their may be trade-offs, size, shape, scar.   Best to speak with a board certified plastic surgeon and address your concerns.  Together you will come up with a plan that is right for you.  

Jeffrey J. Roth, MD, FACS
Las Vegas Plastic Surgeon
4.6 out of 5 stars 17 reviews

Periareolar breast lift plus implants for least scarring breast lift

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Thank you for your question.  I agree with others that a periareolar breast lift may be possible for you which is the least scarring that is possible with a breast lift.

You already have a significant amount of breast tissue and should follow the advice of your plastic surgeon regarding the size of breast implants that will be best for you.  Next

In my experience implants and the 500 cc range are quite large and when combined with a breast lift can cause healing problems and scarring issues and spreading of the scar around the areola.  In my practice I rarely put larger than 350 cc implants during a breast lift.

Please consult a plastic surgeon who is certified by the American Board of Plastic Surgery, very experienced in breast lift surgery, and who has an excellent reputation in your community.  Please read the link below.

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.