I wrote some blogs on breast surgery a few weeks ago and then took a break to focus on summer sun precautions.   Now I want to finish the breast series with this blog on scarring and incisions.  Scarring is always a concern when choosing a cosmetic surgery. We want to be able to focus on the beautiful results of the surgery, not the incision scars it may leave behind. Fortunately, with a Breast Lift, there are a variety of incisions, some more inconspicuous than others. However, different techniques may be required based on how much sagging you want corrected. The incision I recommend will be based on your personal goals, existing breast tissue, and the amount of excess skin to be removed. Here is an explanation of each of the possibilities.

Minimal Sagging: Crescent Incision
This incision is very small and traces around the upper half edge of the areola. While this is minimal scarring sounds ideal, it can take away only a minimum amount of skin. This makes it only an option for patients who have very little sagging to correct. For this reason, it is the least frequent incision technique and is usually only done in combination with a breast augmentation.
Mild Sagging: Peri Areolar or “Donut” Incision
The Peri Areolar incision is a circular incision tracing around the outer edge of the areola. This technique can also be used to reduce the size of the areola if that is desired. Like the Crescent incision, this “Donut” incision is commonly performed along with a Breast Augmentation and can address mild sagging.

Moderate Sagging: Vertical or “Lollipop” Incision
Two incisions are required for this technique, as it can accomplish more extensive reshaping of sagging breasts. They form the pattern of a lollipop, hence the nickname. The first incision is around the outer edge of the areola and the second runs down vertically from the bottom center of the areola to the underlying crease where the breast meets the torso, called the inframammary fold. This is a very common incision technique since it allows for the removal of a moderate amount of excess skin and reshaping of the entire breast. Fortunately, these scars are easily hidden in bras and bikini tops.

Extensive Sagging: Inverted T or “Anchor” Incision
Dramatic results for reshaping the breasts are available with the Inverted T incision. Getting its nickname as the “Anchor” lift because of the incision pattern, this technique involves 3 scars. One is around the outer edge of the areola, then another is down vertically from the bottom outer edge of the areola to the breast crease, and the last one is hidden in the horizontal crease of the inframammary fold. This technique allows for the removal of a significant amount of excess skin and sagging tissue. It is also used when the Breast Lift is combined with a Breast Reduction. This gives beautiful correction for reshaping pendulous breasts, which is when the nipple is below the edge of the crease of the inframammary fold and it is pointing downward.

In my expert hands, these incisions will be as minimal as possible, and over time, with your proper care these scars will fade. Regardless of which incision technique is required, your scars will be concealed and far from your mind when you see how lovely your lifted breasts look in your clothes and bathing suit. Contact me for a consultation at www.davinciplastic.com.

Steven Davison M.D.
Board Certified Plastic/Reconstructive Surgeon

After you’ve invested in a Breast Lift or Breast Augmentation, you will want to keep those results that you love… for as long as possible.

While these procedures can drastically turn back the clock to completely rejuvenate your breasts and your overall aesthetic appearance, age and gravity will want to rear their ugly heads again. You cannot defy them over a lifetime since your breasts will still go through natural changes, but you can have long lasting results to keep your ladies perky as long as possible. Here are some tips to help you do just that:

The Season for Pregnancy and Breastfeeding Has Ended
The changes that happen to a women’s body during pregnancy and breastfeeding are drastic. Changes are due to weight gain, hormonal fluctuations, and the completely sacrificial nature of caring for little human beings. These factors can alter the size, shape and position of breasts and areola, so it is best to complete these life milestones before any breast surgeries.

Care for Your Skin
Most women are conscious of taking care of the skin on their face, but you can help the elasticity of your skin everywhere. While genetics play a factor, you can do your best effort to help them by moisturizing, taking supplements such as vitamins E and C, and limiting sun exposure. Eating healthy fats, such as in avocados and salmon, help the whole body, including the skin.

Support Your Ladies
For some women, not wearing a bra is just not an option since they just don’t like the feeling of their breasts resting on their torso. Regardless, the support provided by a bra helps the skin not to stretch and sag, especially important when exercising.

Maintain Your Healthy Weight
Try to be at your ideal weight when you choose to improve the aesthetic of your breasts. Weight loss or gain will alter your results. A healthy diet helps maintain weight, but also supports healthy skin.

Surgery Technique Matters
A Breast Lift that reconstructs the skin as well as breast tissue within is more likely to have longer lasting results. This way support will be provided inside and out.

The technical and artistic knowledge of the surgeon really contributes to the satisfaction with your breast surgery results now and over time. This is why it’s important to choose someone like myself who is triple board certified and has an outstanding reputation in my field and among my patients. To discuss how a Breast Augmentation or Lift can give you breasts you desire now and for the future, set up a consultation at www.davinciplastic.com.

Steven Davison M.D.
Board Certified Plastic/Reconstructive Surgeon