The anchor breast lift procedure is reserved for patients whose bottom of the breast falls more than 5-6 cm from the inframammary fold and/or wear a large cup size, i.e., over 1,500 gram per side.
The procedure is sometimes referred to as an inverted T lift due to the resulting scars around the nipple-areolar complex, vertically within the lower breast pole, and inside the inframammary fold.
Meanwhile, some modified forms of breast lift eliminate the inframammary fold (lollipop lift) or even the vertical scar (donut lift), leading to shorter, less visible scars and possibly quicker recovery. However, these techniques are not suitable for women with overlarge and/or extremely saggy breasts.
Regardless of the incision pattern used at the time of surgery, leading Upland plastic surgery expert Dr. Tarick Smaili says that internal sutures are always crucial to maintain a good shape long term. He warns that any technique that relies heavily on shaping the skin will lead to short-lived results because of its tendency to stretch and “settle.”
While the anchor breast lift procedure results in an inverted T scar, a patient with realistic goals and expectations will understand that any surgery comes with a tradeoff, which should be “acceptable” for the most part.
Proper wound closure plays a crucial role to achieve “favorable” scars. The idea is to redistribute the tension on the skin to prevent wound breakdown and scar migration and keloids.
With the anchor technique, the scars are supposed to lie at the junction of two differently colored skin and within the natural breast fold for optimal concealment. However, the vertical scar between the bottom of the nipple and the inframammary crease is positioned in a more visible manner, although over time it is expected to fade and blend in with the skin.
While breast lift does not remove any breast tissue, it is not uncommon for patients to notice that their new “size” no longer “fills” their preoperative bras, i.e., it appears that they lost about a half-cup size. With perkier and more “compact” breast tissue after surgery, this should be anticipated.
For some patients, their anchor breast lift is combined with reduction, a fitting complementary procedure if there is a desire to have a smaller cup size.
Breast reduction not only improves body proportions but also alleviates physical symptoms such as rounded shoulders, postural problems, and painful bra strap grooves caused by overlarge breasts.