Thank you for your question, which is one frequently heard in consultations about breast lift surgery. The vertical scar is necessary as the lower part of the breast needs to be tightened from side to side. This can only be done by tightening not only the breast tissue of the lower part of the breast, but also tightening the skin of the lower part of the breast. This tightening involves removing extra skin - and hence the vertical scar.
Hello,  thank you for your question regarding breast left, breast augmentation and trying to avoid a vertical breast scar.  Based on only a single picture, a measurement of “29”,  and not a physical examination I would suggest the following options.   For the best results, I would suggest a breast implant and a breast lift.  Based on your picture, the bigger implant you  select, the less breast lift you will need —  up to a point.  If you choose an 800cc implant, this is not gonna work. 

Finally, there’s the so-called scarless lift. Women who are seeking a mild lift but are dead set against leaving scars anywhere on their breasts may opt for a technique that uses a network of dissolving surgical threads inserted through tiny incisions along the collar bone, guided under the breast tissue, and then anchored to the collar bone, to create an internal bra of sorts. Scar tissue forms around the threads, theoretically providing support to lift the nipple.

The average cost of liposuction is about $6,000. Your cost will vary based on factors like your surgeon’s level of experience and office location, the amount of fat being removed, and if you’ve had liposuction before. “Most people price liposuction based on the number of areas being treated—and in general, the per-area cost will come down with additional areas,” says Toronto plastic surgeon Dr. Mathew A. Plant, in a RealSelf Q&A. “Usually, the first area is more expensive, because this price includes the costs of the operating room, equipment, and anesthetic. Once you’re into additional areas, those costs have mostly been covered, and you’re simply adding time, which allows for a price drop.” Liposuction is considered a cosmetic procedure, which means your health insurance will likely not cover it.
Ultrasonic Liposuction : This popular form of liposuction uses a specialized cannula that emits ultrasonic sound waves into the fat deposits to liquefy fat cells and make them easier to remove. By utilizing ultrasound technology, the doctor can remove larger and denser fat deposits, and he or she can tighten the surrounding skin. However, there is a greater risk of burns and scarring due to the heat from the ultrasound waves.
Next, your surgeon will insert a thin vacuum tube, called a cannula, through the incision and into the deep fat layer. Your surgeon will move the cannula back and forth to break up the fat cells, and, with the help of an attached syringe or vacuum pump, suction them out. Because a significant amount of blood and other bodily fluids are removed along with the fat, you will receive replacement fluids intravenously during and after the liposuction procedure. Of course, this part of the procedure can vary somewhat, depending on the type of liposuction you select.
I would definitely not recommend placing an implant only without a lift in your case.  The implant will just increase the volume of your breasts without substantially changing the shape or nipple areola complex position.  The implant can also end up positioned high on your chest with descent of the soft tissue resulting in a snoopy/waterfall deformity.  Adding an implant to take up excess skin is not a good strategy to achieve the natural look your desire.
We urge you to partner with a top breast surgeon, and one with whom you can communicate well, to get the outcome you desire from your breast lift. When you’re ready to learn more about your breast lift options, contact Cohen/Winters Aesthetic & Reconstructive Surgery. We offer a personalized consultation to answer your questions about breast lift scars and determine if you are a good candidate. Please contact our Bergen County office for an appointment.
In addition to a breast lift, many women also consider having other procedures performed at the same time to enhance the overall result. For example, a “mommy makeover” is a combination of different surgical procedures reserved for women who have been pregnant and want to look like they did before the pregnancy. This may include a tummy tuck, liposuction surgery and breast enlargement or breast reduction. There is also a cost savings of having multiple procedures done at the same time.
It is normal to have a specific set of wants and desires when considering plastic surgery. Not being able to find a surgeon to meet those goals can be frustrating. It’s your body; you want it to look perfect. Dr. Kao had one such patient named Alexandra who was fed up with surgeons telling her that it was impossible to achieve the breast lift she wanted without extensive scarring. Instead of doing a traditional anchor breast lift and approaching her breast lift from the typical angle, she pushed Dr. Kao to think outside of the box and develop a unique breast lift technique that he named after her—the Alexandra Breast Lift—(mentioned in a previous blog) to provide this patient and others like her with the beautiful breast appearance they want.

Right now, surgeons follow guidelines that set a maximum extraction limit of 5,000 milliliters of fat (11 pounds) for all patients, regardless of variations in weight or body fat status. But the new study suggests surgeons could use a patient's body mass index (BMI) to determine how much fat extraction is safe. BMI is a rough estimate of a person's body fat based on height and weight measurements.
To answer this question, you have to consider how breasts change over time. Weight gain adds a lot of excess tissue to the breasts; and if this weight is lost, it’s possible that there will be sagging – whether or not there already has been a breast lift surgical procedure done. Thus, to predict how long-lasting your results will be, you have to predict whether you will have additional weight gain – and weight loss in the future.
×