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Following surgery, Breast Lift scars are red and normally slightly raised, but over 3 – 6 months after surgery they usually fade and flatten out, becoming thin, barely visible lines. For incisions along the areolar border, the scars are usually partially disguised by the skin color contrast (between the dark areola and lighter breast skin) and the uneven surface of the areola.
Good skin tone is essential to a good outcome, since the skin needs to snap back into the body’s new contours once the fat is removed. “If a patient has good skin elasticity, they’re going to have a really good result,” says New York plastic surgeon Dr. John Mesa. “But if the patient has bad elasticity, like a woman who’s had multiple pregnancies and the skin on her belly is too stretched, the skin isn’t going to shrink—and you’ll be left with sagging” (unless lipo is paired with a tummy tuck).
Gaining in popularity is something called the vertical lift, which involves a scar around the areola and then straight down the breast, eliminating the underneath scar. Proponents think that the shape is good, that the breast maintains a lot of projection over time without bottoming out, and that the underneath scar is avoided. I believe that many of these breasts look overly projecting to my taste, and that bottoming out can be minimized with the inverted T style pattern. I also feel that the underneath scar is rarely seen, and that the scars that are seen - around the areola and going straight down, seem relatively more visible with this technique since it requires some bunching up of the skin during closure. Understand that some of the best surgeons in the world argue with one another about this issue at meetings all the time!
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