Dr. Alexander Aslani is director and head of the department of Plastic, Aesthetic and Reconstructive surgery of Hospital Quiron Malaga, Spain.
The department is the only one of its kind offering reconstructive microsurgery within the private healthcare sector in Andalucia, and apart from its offices in Hospital Quiron, also offers consultations in private practice in Cirumed Clinic Marbella.
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Scar sparing breast uplifts ?
Posted on June 24th, 2009 6 comments
Scar sparing breast uplifts are currently receiving a lot of attention in scientific Plastic surgical literature.Generally, uplift procedures are advised once a certain degree of btreast ptosis (sagginess) has developed. Once the level of the nipple is located below the level of the submammary crease , literature reviews generally recommend some kind of uplifting procedure, with or without use of breast implants. Whether a breast augmentation is to be advised together with the breast uplift, will depend on the amount of available breast tissue and patient desires.
Whether or not to stage breast augmentation and breast uplift into two proedures remains a matter of controversial topic, and surgeons opinions about this vary.
Whilst it is true that rates of revisional surgery for breast uplifts is significantly higher than for both procedures individually, it is also true that a staged procedure naturally bears a 100%revision rate.
Case 1
Patient with significant volume loss following multiple pregnancies
Progressive ptosis(sagginess) with nipples below the inframammary fold
Patient asked for uplift and volume fill
Operation performed was subglandular liftCombination with vertical scar mastopexy
Result 10 months post op
Good projection
Sufficient size
In spite of the undoubtedly significant percentage of revisional surgeries for breast augmentation with uplift, patient satisfaction is still very high. Most touch up surgeries will aim to correct nipple position and/or scars.
Opinions among surgeons regarding which technique to use generally vary considerably, but the technique with the least scarring is not necessarily the one that makes the patients most happy.
Especially among Caucasian patients much is to be said for rather considering more scarring to trade in for a favourable shape, since fair skinned patients tend to scar favourably and the scars tend to fade over time to a degree that they are of much less concern to patients.
Bear in mind that this is a long term observatzion, scars after breast uplift may be quite red initially before gradually fading. The process of scar fading after breast uplift is not entirely in the surgeons hands, lots wil depend on personal factors also.
Within reason, one can also explain if the patient is willing to accept more scarring there is less chance of recurrence of ptosis (sagginess). Nevertheless, very shortly after a breast uplift, and regardless of the technique used, it is not unusual for the scars to be quite red and swollen, especially when absorbable suture material, which I personally recommend, is being used. Given time, these scars, nearly without exception, tend to fade significantly and do not normally concern patients then.
To promote softening and fading of these scars after breast uplift (mastomexy) we tend to use silicone stripes, which promote softening of the scars more rapidly. But as alway, time is the best healer.
Read more about breast uplifts here
Dr.Alexander Amir Aslani, MD, EBOPRAS
Aesthetic Surgery, Breast Uplift breast augmentation Marbella, breast augmentation Spain, breast uplift Malaga, Breast Uplift Marbella, breast uplift Spain6 responses to “Scar sparing breast uplifts ?”
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Maryanne July 2nd, 2009 at 13:54
I have been recommended either a donut uplift or a lolipop scar together with an uplift.
naturally I want as little scarring as possible.
What do you recommend ? -
admin July 2nd, 2009 at 19:47
Much will depend on your current breast size and the ptosis (sagginess).
Many patients are scarred of the scarring after an uplift operation, but from a surgeons point of view they tend to be of less concern to patients once they have faded.
I have letaly spoken to a collegue of mine who said that he would not perform any “donut”lifts any more because so many patients had allegedly complained about recurrent sagginess and distorted nipples, so sparing the I-or T-scar was not a good deal for them. I do not entirely share this view, but as a general rule of thumb I observe that it is not a good plan to try to spare scars at the cost of shape. -
Beautyclub July 2nd, 2009 at 23:54
Dear Dr.
how long do you expect augementation with uplift to last ?
Once done when will I have to repeat the procedure ? -
joanne burgess July 6th, 2009 at 22:25
I am interested in a breast uplift procedure and I was wondering if it would be possible to give me some idea of an approximate cost. I appreciate that I would need a consultation before a fee is agreed but a guideline would be appreciated.
I am at the moment a size 32E and would consider a reduction also if needed.
Please feel free to contact me regarding any further information.
Regards
Joanne Burgess -
Inquiries August 1st, 2009 at 19:28
Why do some surgeons do I scars and some T-scars ?
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Mostly because different incision types result in different breast shapes, In a rather saggy breast, accepting a T-scar may well result in a longer lasting result and favourable shape. Since the scar tends to fade significantly, my experience is that in the long term these patient are more happy with that.
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