Look, no one wants unwanted scars. But there’s a difference between unnecessary scars and needed. My experience over 20 years has been that the saggy flat breast which has an implant placed within it is generally looked upon as ugly and matronly and rejected by the patient as not ideal. Fixing this issue entails not only doing a lift usually, but also reconfiguring the implant space internally higher since it was likely originally placed too low in an effort to better match the existing breast. This requires another type of capsulectomy and capsuloplasty– read the previous recent blogs to get up to speed on these fancy terms–
After the lift and implant repositioning, even though there are scars now , and initially more visible, the patients universally accept this new breast as being far more aesthetic, and more attractive. They gladly trade the old aged look for a fresh young look. Instead of being a detractor to their appearance, their new breast helps to convey a youthful interpretation of body image and gives these women a new sense of confidence.
When I do this procedure the objective is to correct or eliminate the disconnect between natural breast gland, fat and skin and underlying implant. So, I carefully sculpt overlying breast tissue, preserving an envelope of volume to help hide the implant while tangentially eliminating the most sagging breast. Under the muscle, I raise, recreate, or create the implant space to coincide. The result is a high centrally positioned implant joined with overlying breast tissue in unison. Everything form fits. There are no loosely disconnected parts. Just an ideal feeling new breast !