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There are several types of incisions for a breast lift or mastopexy, each adapted to different needs and degrees of elevation. The most common options include the incision around the areola, the vertical incision and the anchor, each with different results in scarring and final appearance. Choosing the right type depends on the size, shape and amount of skin that needs to be adjusted.
The type of incision influences the surgical technique, the recovery time and the scars that will remain visible. That's why it's important to understand the differences in order to make an informed decision together with the surgeon. Knowing these options well allows you to plan for a more natural and lasting result.
There are several types of incisions used for breast lifts, each adapted to the degree of sagging and the desired result. The right choice helps ensure a better shape and a scar that can be easily hidden.
The periareolar incision surrounds the edge of the areola in a circle. This technique is also known as “donut” or “concentric”. It is suitable for women with mild sagging and who only need a small lift.
This incision removes excess skin around the areola and can sometimes reduce the size of the areola. The scar is usually barely visible because it is hidden in the joint between the skin and the areola.
The vertical incision, also called a “lollipop” or “keyhole”, combines a circular cut around the areola with another that descends vertically into the breast crease. It is the most common for mild to moderate flaccidity.
This pattern allows for better remodeling of the breast tissue and removes more skin than the periareolar skin. The vertical scar is visible, but it is placed in an area that usually heals well and can be hidden with clothing.
The vertical incision offers a good balance between aesthetic results and minimal scarring, making it ideal for women looking for a moderate lift without a T-shaped scar.
The anchor incision, also called an “anchor” or “Wise pattern”, has three cuts: one around the areola, another vertical to the crease, and a third horizontal cut in the crease under the breast.
It is used in cases with significant sagging or when additional volume reduction is required. Although it leaves more scars, it removes a lot of excess skin and is effective for remodeling very saggy or large breasts.
A crescent incision is a less common technique for lifting breasts with very mild sagging. It consists of a small incision in the upper part of the areola, shaped like a crescent.
This method removes a minimum amount of skin and gives a slight lift. It's a quick option with almost invisible scars, but it's only suitable for very specific cases.
The choice of the type of incision in a breast lift depends on several specific details of the body and the goals of the surgery. Not all methods work the same for everyone, so it's important to consider physical and clinical factors to achieve the best outcome.
The size and shape of the breast influence which type of incision is most appropriate. If the fall is mild, the periareolar incision is usually used, which surrounds the areola and leaves small scars. For moderate or severe falls, anchor-shaped or inverted T-shaped incisions are preferred, as they allow for more correction and lifting.
Breast tissue and skin elasticity are also valued. Patients with firmer skin may need smaller incisions. In addition, the location of the nipple and the amount of skin to be removed dictate the surgical design.
Some patients combine lifting with implants or breast reduction. If used breast implants, the surgeon may choose an incision that facilitates the placement of the implant, such as an incision in the inframammary groove. On the other hand, when a reduction is performed together with the lift, techniques are used to remove more tissue and skin to reshape the breast.
These combinations modify the choice to achieve balance between volume, shape and scars. The need to use implants or reduce tissue is evaluated before the incision is planned.
Scars after mastopexy vary depending on the type of incision and post-operative care. These marks change over time and require care to ensure good healing and an appearance that is as inconspicuous as possible.
Initial scars are usually red or pink and are more noticeable during the first month. This is common after any type of incision.
By six months, most of the scars will have cleared and will be better integrated with the skin tone. However, they may still be detectable at a close review.
Common mastopexy scars include Inverted T, Around the areola and forms of L or J. The extent and pattern depend on the surgical technique used.
To promote good healing, it is essential to avoid direct sun exposure in the area for at least six months.
It is recommended to keep wounds clean and well hydrated with creams or ointments indicated by the surgeon.
The use of special bras helps reduce tension on scars, improving recovery.
Avoiding intense physical exertion during the first few weeks is essential so as not to compromise healing.
Following regular medical monitoring makes it possible to detect and treat any abnormality in time.
It is important for the patient to understand that scarring is inevitable, although with expert care it can be minimized.
Marks tend to soften and become less visible over time, but they will never completely disappear.
The final result depends on the type of incision and how each person's body heals.
With modern techniques and proper follow-up, scars can be discreet and aesthetically acceptable, helping to achieve a natural result.
There are mainly four types of incisions: crescent, periareolar, lollipop, and anchor. Each one is used depending on the amount of skin to be removed and the desired shape of the breast.
The anchor incision combines three cuts: around the areola, vertical from the areola to the breast crease, and horizontal in the crease. It is recommended in cases where significant elevation or reduction is required, especially when there is more loose skin.
Yes. Larger incisions, such as an anchor incision, often leave more visible scars. Smaller incisions, such as periareolar incisions, tend to heal better and are less obvious, although this also depends on skin and post-operative care.
The periareolar incision results in scarring around the areola, which is usually less visible due to the change in skin color. It provides a mild to moderate lift and is suitable for cases with less excess skin.
Anchor incision is the most common option for combining reduction and lifting. It allows better control of size and shape, in addition to removing a larger amount of skin and tissue.
Patients should understand that there will always be scars. These improve with time and care, but visibility will depend on the type of incision and each person's skin. The surgeon can help choose the best method for minimizing marks.
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