Breast Lift-Scarless

The Scarless breast lift is a term our patients taught us. It is because a lift is obtained without the extra incisions around the areola or on the breast skin. It became clear to Dr. Romano and his patients early on that what appeared to be drooping and sagging breasts were really deflated breasts, or breast involution. This is where the nipple is at or near the breast fold level. Adding an implant in this condition allows for perking up the breast, filling in the deflated upper pole, rounding and perking up the bottom, showing more skin between the nipple and the fold, and giving a lifted, natural, and beautiful appearance.

THE PREOPERATIVE FEATURES

• Very mild to moderate deflated, drooping, sagging breasts and the desire for breast implants and a larger size is the only situation where a Scarless breast lift will work.
• Nipples are usually at or just below the breast crease.
• Most of the breast volume is in the sagging lower portion of the breast.
• Nipples and areola may be normal or enlarged.
• The desire for a more youthful, rounded, perky look and an enlarged and lifted breast.

THE PROCEDURE

• General anesthesia can be used and it takes about two hours.
• Incisions are very inconspicuous and hidden usually around the areola, or in the breast crease for the best results.
• Internal incisions to unfold the breast tissue and to lower the breast fold may be necessary.
• A breast implant is always needed and the larger the size, the more the lift.
• The nipples and areola will appear elevated to a slightly higher position and can be reduced in diameter if desired.
• The only dressing is a surgical bra.
• This can be combined with other surgeries.

THE RECOVERY

• You can go home after several hours or stay overnight and shower on the next day.
• Mild pain for the first two days that is mostly gone by the third day and easily controlled by medications.
• You will feel slightly groggy for the first two days and this rapidly improves.
• Swelling is mild to moderate for the first week after which it rapidly disappears.
• Usually only very mild or no bruising.
• Breasts are loose at the bottom with upper pole fullness for several weeks until the implants fall into place then this improves and more lifted appearance develops.
• Resume many activities within the first week, and most by at least three weeks.
• No stitches to remove. They are all dissolvable.
• Off of work for five to seven days or less.

THE RESULT

• Elevated, full, and beautiful size and shape to the breasts.
• Very natural result that just gets better in time. Normal sensation and able to breast feed.
• Softness and natural bounce that persists.
• Ability to resume exercise and engage in strenuous activities without restrictions.
• Natural and presentable appearance right away that just gets better over the next three to six months.

For before and after images of this procedure click here

Please call or contact the office for any further information or to schedule an appointment.