Breast lift with augmentation scars will depend on the extent of ptosis (sagging appearance). Nonetheless, a good plastic surgeon will make every effort to place the incisions in the most inconspicuous areas such as the areola’s border and within the breast crease/submammary fold.
The standard or full breast lift requires a scar around the areola and from the nipple area down to the breast crease; another incision is created parallel to the submammary fold. Simply put, the scar pattern resembles an inverted T.
However, incorporating breast implants could mean additional internal lifting effect and so the patient may avoid the submammary fold incision, which is quite prone to small wound separations. This breast lift technique is referred to as lollipop lift due to the final shape of the scars.
The lollipop lift is also called vertical lift because only the vertical scar is visible from the anterior view. Over time, it is expected to fade into color that resembles the patient’s skin.
It is important to note that every time the skin is cut or injured, scar will inevitably form and so it is critical to place it in the most concealed areas. Furthermore, the quality of wound closure can have a large effect on the final results.
While breast lift with augmentation scars generally fade significantly over time, no surgeon can 100 percent guarantee favorable scarring since one’s predisposition to aggressive scars is largely determined by genetics. Studies have suggested that ethnic patients (dark skin) are more susceptible to keloids compared to Caucasians.
Despite the genetic factors, leading Beverly Hills plastic surgeon Dr. Tarick Smiley suggests that wound closure will still play a critical role in the final scar appearance. In his recent educational video posted on his Snapchat account, he is seen closing the incisions in which there was no tension on the skin surface.
“We just suture the dermis beneath the skin, while the actual skin edges are just allowed to kiss each other. This ensures favorable scarring,” says Dr. Smiley.
To further minimize superficial tension, the celebrity plastic surgeon places tapes or steri-strips to hold the skin edges together, and requires a proactive scar treatment approach once the wound is clinically healed—i.e., the scabs have fallen off by themselves.
Dr. Tarick Smiley often instructs his patients to use silicone sheets for several weeks postop to reduce the risk of aggressive scarring (keloids and hypertrophic scars).