How to avoid the vertical scar after a breast lift

How to avoid the vertical scar after a breast lift

14th Mar 2018


A breast lift is an effective plastic surgery procedure to treat saggy breasts; however, the scars the procedure leaves on the breasts turn off many women. Like all other plastic surgery procedures, scarring is unavoidable. Breast lift scars are clearly visible during the initial months following the procedure. They often appear red, pink and lumpy during this period. Over time, the scars will gradually fade; however, they will not fully disappear.

The vertical scar is one of the scars many patients are afraid of. There is no doubt that vertical scars can negatively affect the results achieved via breast lift. Even though many women consider it a tradeoff for lifted breasts, others consider it undesirable and unwelcoming. In this article, we’ll discuss how you can avoid the vertical scar after a breast lift. 

Scar shape and surgical technique

The breast lift surgery, like all other plastic surgeries, necessitates the placement of incisions on the skin. These incisions are used to lift and contour the breasts. In other words, the breast lift is not possible without incisions.

There are three types of incisions to perform the breast lift procedure. Depending on the nature of aesthetic flaws in your breasts and your goals, your plastic surgeon will determine the incision best for you. These approaches are: Vertical scar, Inverted T, and Benelli scar. Each of these methods will leave behind different scar types.

When it comes to the Benelli scar, it involves the least removal of skin from your breasts and the incision is placed around the areola. In other words, it creates a perimeter around the areola. On the other hand, the Inverted T excises the most skin from your breasts. The vertical incision technique results in lesser scarring as compared to the Inverted T (which involves two scars); however, the scar is prominent and clearly visible in the central base of the breasts.

Vertical scar for breast lift

The vertical incision technique (and thus the scarring) is not very common. The technique leaves behind lesser scarring than the Inverted T incision technique; however, when this technique is used, the resulting scar will appear in the central underside of your breasts. Even though the vertical scar has the potential to provide your breasts an enhanced lift and shape, the scarring makes this technique less attractive.

The vertical scar technique is considered to be effective for the treatment of mild to moderate ptosis. It involves the creation of a vertical keyhole incision on the breast. In most cases, the surgeons suture together the breast tissue layer to achieve better breast shape. Ultimately, the areola is elevated to a higher place and the skin around the areola and below the middle point of the breast is closed.

The vertical incision technique makes the scar look like a lollipop, with a visible scar that starts around the areola and ends down the middle of the breast crease. In some cases, a horizontal scar placement may also be required in the inframammary crease to make the suture smoother.

How to avoid vertical scars after breast lift

There are many surgeons who use the vertical incision technique for the breast lift. If you are undergoing a breast lift with implants, the implants themselves will provide better results. In such a case, you should clearly communicate to your plastic surgeon that you want him/her to use the Benelli incision technique, instead of the vertical incision or Inverted T.

You should prefer the Benelli instead of vertical incision because it is the perfect choice when performing breast lift together with breast implant surgery. It leaves behind the least scarring that goes around the areola. There are also many patients who are considering a breast lift without implants but want to avoid the vertical scar. The bad news is that in most cases, there are limits to the periareolar lift. The vertical technique introduces a vertical scar to the periareolar lift that can exhibit a visibly stronger effect on your beast’s shape.

While a periareolar purse-string suture can be employed, suturing of the vertical incision will decrease the size of the bigger, external ring and shrink the assembly effects. There is no agreement between plastic surgeons about how better this incision technique is when it comes to treating excessively saggy breasts.

When it comes to the anchor breast lift, it comprises of a vertical scar and a scar around the areola. It will also result in a scar below the breast so the breast can be properly lifted. The skin excision will elevate the nipple to a higher place and decrease the areola magnitude; however, it does not need a purse-string gathering suture. In its place, the doctor will excise the skin in the shape of a keyhole and close it around the areola. This means this technique is better in terms of control over the areola’s shape and size. The periareolar scar is a reliable and effective option that results in better scar quality.


Sagginess of the breasts is a common aesthetic condition in women. The breasts can become saggy as a result of aging, gravity, weight fluctuations, medications, illnesses, and a variety of other factors. The breast lift surgery is very effective when it comes to treating saggy breasts. The procedure involves the removal of excess skin and raising the nipples and areolas to a higher position so the breasts can become perkier, lifted, and tighter.

In order to perform the surgery, your plastic surgeon will place incisions on your breasts. There are basically three incision options to perform a breast lift. Each incision leaves behind different scarring. Which incision is best for you depends on your aesthetic goals, the extent of scarring, and your surgeon’s preference. Many patients want to avoid the vertical scar because it is clearly visible at the center of the breasts.

You should clearly discuss your aesthetic goals and communicate your reservations about the incision and scar types with your surgeon during the initial consultation. If you don’t like the vertical scar, make it clear to your surgeon. However, in some cases, the vertical scar may be inevitable to delivering you better aesthetic results.



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