Lisa Cassileth, a board-certified plastic surgeon in Beverly Hills, California. “I personally scoff at long scars that show near the sternum, as they are almost never necessary,” says Dr. It’s not unheard of though for the horizontal incision to extend too far in one direction or the other. Still, he says, “given a year or two, scars typically really do heal nicely-especially the vertical scars-and tend to fade almost to the point that you don’t see them anymore.” Surgeons are not the sole architects of scars, however: our bodies play an equal part in how well we scar, with “darker skin types tending not to heal quite as well as lighter skin,” notes Dr. So when they make and close incisions during a breast lift, they’re aiming for short, thin, perfectly placed lines. Scars that are short and well-hiddenįine scars are a point of pride for most plastic surgeons. Ahead, plastic surgeons share what makes them swoon (and cringe) when they’re scrolling through breast lift B&A galleries. While scars tend to jump out at us first when we’re perusing plastic surgery before and after photos, their size and placement are not the only indicators of a masterful-versus-mediocre breast lift. Mahmood, surgeons may perform a wise pattern, or “anchor,” lift, making cuts around the areola, vertically down to the breast fold, and horizontally along the breast crease. When a patient has more significant sagging or is seeking a simultaneous reduction, adds Dr. For women with moderate to severe sagging, there’s the vertical lift, often called the “lollipop” lift since the requisite incisions-around the areola and straight down the center of the breast-take the shape of the namesake treat. Umbareen Mahmood, a board-certified plastic surgeon in New York City. “A periareolar, or ‘donut,’ mastopexy involves an incision around the areola and is for patients who have minor sagging and/or want to reduce their areolar size,” explains Dr. Interested in breast lift? Find Doctors Near You The extent of your procedure (and scarring) will depend primarily on your degree of breast ptosis (droopiness) and skin elasticity, so it’s important to set realistic expectations during the consultation. Each incision achieves a specific objective-and leaves an unavoidable mark. In good candidates, reclaiming what was lost requires a series of strategic cuts-to reposition and possibly resize the nipple-areolar complex to remove excess skin and tissue and to raise, redistribute, and reshape the breasts (this can be done with breast implants too). So “when a patient comes in for a mastopexy,” he adds, “the goal is usually to restore her breasts to their former shape and to make her look like she did before”-before her chest was remodeled by babies, gravity, hormones, and the like. Pregnancy and breastfeeding, weight loss and fluctuations, and aging can all cause our breast skin and ligaments to stretch and sag, elongating and sometimes flattening the breast and sending nipples floorward. Ran Stark, a board-certified plastic surgeon in Bryn Mawr, Pennsylvania. “If we’re lifting a breast, it’s typically because the tissues went through some type of change,” says Dr. In a mind-bending bit of irony, when women get a breast lift surgery, they’re often hoping that their after will, in a way, resemble their before-an earlier version of themselves, the chest they had before their pictorial before.
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