Conspicuous scarring after breast lift surgery (mastopexy) is a common concern for many patients considering this procedure. Unfortunately, some scarring is an inevitable part of mastopexy, as incisions are necessary to remove extra skin and reposition breast tissue to a more elevated, youthful position. That said, most plastic surgeons do everything in their power to limit the postoperative visibility of potential scarring based on the unique needs of the individual.
One technique – known as the periareolar breast lift – involves a single, circular incision concealed in the pigment of the areola. Although this incision pattern generally produces the least visible scar, not everyone is a good candidate for this approach. Another popular option is the lollipop incision made around the areola and straight down the breast. In my opinion, however, optimal mastopexy results can not always be achieved with this incision.
For most patients, I employ an inverted “T” incision pattern that encircles the areola, extends vertically down the breast, and continues along the inframammary crease. While this approach may yield a longer scar, I have discovered that an inverted “T” incision generally produces the best breast lift results, often outweighing any reservations patients have about scarring in the end.
Ultimately, a board certified plastic surgeon will be able to recommend the most appropriate mastopexy incision pattern for your goals, as well as discuss with you the pros and cons of each approach in thorough detail at the time of your consultation.
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If you have any more questions about breast lift surgery, or if you would like to schedule a consultation with Dr. Silberblatt, please contact us today.