Scars After Mastopexy Introduction Women often wonder about the facets that comprise appealing breasts. And though the concept of beauty is entirely subjective, there are certain factors that usually define beautiful breasts such as the dimensions, shape, and contour of the breasts as well as the condition of the skin. If you are confronted with sagging breasts, a well-experienced plastic surgeon will certainly be able to help you improve their appearance by making them perkier and firmer through a plastic surgery intervention called the mastopexy. The mastopexy procedure is more commonly known as the breast lift surgery. While it can undoubtedly help enhance the appearance of your breasts, it also comes at a cost: scars will surely develop after the surgery. The Scars after Breast Mastopexy The breast lifting intervention can help restore the patient’s self-esteem by providing firmer, perkier and more elevated breasts. A mastopexy can make a woman look youthful again and enhance her feminine features. The intervention involves performing incisions and eliminating excess skin around the breasts. Because of its invasive nature, going through a mastopexy will definitely leave you with scars on your skin. The scars resulting from the breast lift surgery will be noticeable during the months following the intervention and they might also look red and lumpy. With time, the scarring diminishes and becomes less visible, but keep in mind that the scars will always be present. The plastic surgeon can prescribe cortisone creams and silicone sheeting to ease the appearance of the scars. Most patients will agree that the scars are a small price to pay for having amazing, youthful looking breasts, but there are several individuals who are turned off by the prospect of post-surgery scarring. In addition, there are also patients who might experience abnormal scarring that can lead to less than satisfactory results. The factors that contribute to the development of abnormal scars include the patient’s skin condition and genetic predisposition. Pregnancy and Scarring If you are considering having another child in the future, it is recommended that you postpone the breast lifting surgery. Pregnancy and breastfeeding can alter the shape of your newly contoured breasts and undergoing a mastopexy may give rise to difficulties in breastfeeding. Pregnancy can have a negative impact on your breasts by making them sag once again. If a pregnancy is unavoidable, keep in mind that you might need additional surgery to restore the firmness of your breasts. Surgical Techniques and Incisions The length and appearance of the scars after the breast lifting procedure depends on the incisions performed by your surgeon. The most frequently used incisions for this procedure are: Benelli Inverted T Vertical Different types of incisions will leave behind different types of scars. The Benelli incision is performed when only a small amount of tissue is to be removed, while the inverted T incision is necessary when a lot of skin has to be eliminated during the surgery. The Benelli incision starts around the areola edge whereas the inverted T incision will create two scars. Finally, the vertical incision will only result in one scar in the middle of the inferior part of the breasts. The appearance of the scars is dependent on the surgical techniques as well as the incision used during the procedure. The plastic surgeon should talk to you about the type of scarring that develops after each method is used to give you an idea of what to expect after the surgery. Crescent Lift The crescent lift method is for women who present the least amount of sagging. This method requires incisions on the upper half of the areola border. The method is not often used when performing a mastopexy alone, but it is preferred when breast lifting is performed in conjunction with breast augmentation. The “Donut” Lift This method is performed on patients with mild breast ptosis and involves the making of a spherical incision around the edge of the areolas. It is also frequently used when mastopexy is combined with breast augmentation. The Donut Lift delivers the most amazing results when it comes to reducing the dimensions of the areola. “Lollipop” lift The lollipop lift is a frequently used breast lifting technique as it allows the plastic surgeon to remove excess skin and sculpt the breasts while leaving behind perfectly masked scars. It is also known as the vertical lift and it requires two incisions. Inverted T This type of incision addresses more severe cases of breasts ptosis. The inverted T incision gives the plastic surgeon the liberty to remove a considerable amount of excess skin and tissue to be able to create perky, elevated, and beautiful breasts. An incision will be performed around the areola edge and the secondary incision will begin from the bottom of the areola extending to the inframammary fold. A third one will be placed along the inframammary crease. This technique offers splendid results in terms of the tightness and perkiness of your breasts but you should also expect a substantial degree of scarring. The Best Looking Scar If you intend to go through the procedure with the least amount of scarring, the Benelli lift is recommended for you. It will create a scar that is camouflaged well, and over time, it will hardly be visible. However, you will have to seek the advice of your surgeon regarding the incision that will be used during the surgery to achieve the best results. Conversely, there are plenty of patients who opt for the vertical incision as it is positioned on the lower part of the breasts and provides a concealed scar. The inverted T can also deliver perfectly satisfactory results in terms of elevation and appearance, but the scarring is usually more difficult to hide. It is important to mention that the inverted T is the most frequently performed incision technique in the U.S. and women tend to choose it exactly for this reason. Scars and Complications There are cases when the surgical wound that remains after a mastopexy triggers further complications. A common issue that can accompany the inverted T technique is delayed wound healing. It appears that the inverted T method has a wound complication rate of no less than 10%, according to a study published in the “Wounds” journal. Conclusion If you are considering going under the knife for a mastopexy to restore the youthful aspect of your breasts, make it a priority to talk to your doctor about your aesthetic objectives, especially the scarring that develops after the surgery. After a thorough physical examination, the plastic surgeon will be able to suggest the best operative plan for your circumstances and tell you exactly where and how long the scars will be. It might also be useful to ask the surgeon to show you pictures of the post-operative scars after breast lifting surgery. To reduce the risk of bad scarring and complications from scarring, it is vital to choose a board-certified surgeon with plenty of experience in performing this type of surgery.