Passot or No Vertical Scar Breast Reduction. What is your opinion? (photo)

The best technique is The Ultimate Breast LiftTM. This technique reshapes your breast tissue
creating upper pole fullness, elevates them higher on the chest wall and more
medial to increase your cleavage. The
Ultimate Breast LiftTM maintains nipple sensation and the ability to
breast feed. No vertical scars are used
and the weight of the breast is transferred to the underlying muscle resulting
in immediate relief of pain. You do not
have to undergo excessive reduction to eliminate pain and keep your breasts
proportionate to your body size. Best Wishes,Gary Horndeski, M.D.

Hello,In general, vertical scars are less conspicuous than the inframammary scars. Most surgeons therefore have been leaning toward limiting the inframammary incisions; these procedures are known as vertical mammoplasty, with a single vertical or 'j' shaped scar. However, many surgeons feel that the best was to shape a large, sagging breast is by a true inverted T, or anchor scar. Look at sample patients' photographs with various reduction techniques that had similar breast aesthetics as yours. Choose a surgeon with a great reputation for cosmetic breast surgery. Certification by the ABPS and membership with ASAPS are baseline but necessary requirements.Best of luck!

Better to seek at least 3 IN PERSON examinations to determine if the vertical scar is needed. In my hands I would ONLY use the inverted scar technique..

You are very astute and have done your homework. As you have surmised, different techniques do different things. While there is always a desire for "no scar" meaning no visible scar, any breast reduction or breast lift will leave scars. The finesse is to reshape, reduce and control tension so scars can heal optimally. I think of these techniques in a simple way: vertical and or horizontal ellipse. The vertical ellipse (vertical technique) makes the breast base narrower ( good for wide, flat breasts) and creates projection. Remember, the breast is a sphere (really an ellipsoid sphere). That is why a vertical technique would help you have a narrower base, less flatness and more round shape and projection.An anchor is a combined vertical and horizontal ellipse. If you draw these two shapes on paper ( 2 dimensional) it seems very logical. Problem is that the breast is not two dimensions, it is three dimensions! so a transverse or horizontal ellipse will flatten the breast projection and widen the breast base; the opposite of the vertical. Why both? When the anchor was popularized, surgeons were afraid that the lower pole of the breast would be too long and so a "shortening" was used; thus the combined ellipses and the anchor scar. It is a very popular technique and excellent for smaller, less projecting breasts. The Passot, no vertical scar, has only a scar in the crease and one around the areola. It does create a wider breast base, and does not increase projection.As you are very aware, not every woman's breasts are the same and so different techniques are at the surgeon's disposal to address different reducing and shaping challenges.I have attached a blog about the vertical technique. I would suggest you talk to your plastic surgeon and have an open discussion about different techniques and what is best for you.

It can be an excellent result but has a very limited number of patients that are appropriate candidates. I am always surprised at the number of patients worried about the vertical scar. In my experience it is almost invisible by the end of 6-12 months.

Breast shaping is an artform, results are more dependent on your quality of tissue and the talent of the surgeon than on technique. I think the no vertical is 2 dimensional and flat, but look at your surgeons photos to assess their artistry.