Minimising Incision Scars By Norman Waterhouse

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Minimising your incisions and scars

For any woman considering breast enlargement, the obvious attraction is achieving a beautiful natural shape and a feeling of confidence in her body. As well as looking great in lingerie, a cocktail dress and a bikini, it is also important to be confident naked! This means that any scar resulting from surgery should be small, discrete and as “invisible” as possible.

No matter what technique is used, some form of scar is inevitable. The size, position and quality of the scar are determined by many different factors. There are a number of options available for placing the incision, including:

The infra-mammary scar – The commonest technique, involving an incision at the base of the breast. The horizontal incision is usually about 5cm in length.
The peri-areolar scar – This incision has become much more popular in recent years. It is contained within the lower half of the darker skin of the areola (the pink or brown circular area around the nipple)
The axillary (armpit) scar – This approach places a scar in a natural crease in the skin within the armpit area. In most cases, the scar heals very well and has the obvious advantage of avoiding any scar on the breast.
The peri-umbilical (belly button) incision – A scar around the belly button for breast enlargement has mostly been used in the United States. It has the advantages of avoiding any scar on the breast but has some significant “downsides”.

What’s your best option?

Each of the above has advantages and disadvantages. Which one is best for you? Tell Mybreast expert Norman Waterhouse about your size, skin type and the size of implants that you want, so he can help you decide. Would you like to share your concerns about scarring? Norman can tell you what to expect, and reassure you. He will post his response to your comment/question within 48 hours.

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Your comments

June 1st 2009 at 22:02:55

Eilidh said ...

Hi, I'm 25 and lost about 2 stone when I was 18. I am looking into having a breast augmentation as I feel like I have lost a lot of volume from my breasts. I was wondering if there is an alternative to a full breast lift with augmentation as i've read about donut lifts and feel that the full lift would be extreme given my age and degree of lift needed.

June 16th 2009 at 17:37:22

Caroline said ...

Hi, I need some advice and hope you can help. I had breast cancer two years ago and following radiotherapy devloped lyphoedema. I have very large breasts 30/32 G cup. I have received treatment for my lymphoedema and am told by my therapist that things are as good as they will get. I am also considering a breast reduction, but have been told by the surgeon that because of my lympoedema that he would only be able to offer me the "Robertson Technique". This method involves horizontal scars and the limited information I have been able to find suggests that it is not the best method for breast reduction. Having my breasts reduced is very important to me as I am very out of proportion being a size 8 at 5ft 6. I would apprecaite advice on where I can find out more about the Robertson technique and if there are any before and after images. Also if you think this method of breast reduction is the only option for me given my circumstances. I really apprecaite any advice you can offer. Many thanks

June 22nd 2009 at 00:05:06

nadine said ...

how much is a breast lift

June 24th 2009 at 22:14:47

Kathy said ...

hello, I am 19 years old (almost 20) and am thinking about having breast augmentation. I'm 5ft 8" and around 12 stone, I am very uncomfortable with the shape of my breasts and feel surgery is my best option for the result I am after. I'm looking for larger breasts - from 38B to 38C and would like a lift aswell, as I feel my nipples are far to low. I'm probably not going to go through with it for a few years yet, as I feel I am still a little to young, but I am starting my research now and you guys seem great! Is there any way you could give me a rough price so I know how much to put by? Thank you for your time :)

June 25th 2009 at 07:15:08

saraya said ...

Hello,I am a 29 year old woman and mother of two, I have never had good breasts. I lost alot of weight throughout the years, from a size 16-18 aged 13 to a 8-10 now.5'6. my breast are wide set apart,saggy from breast feeding and very thin.the nipple is quite low also. I am a 32a.my nipples sit about an inch 1/2,from the base of my breast.would I need an uplift aswell as an enlargement?

June 26th 2009 at 14:35:55

Zara said ...

Hi, i've been looking 2 have my breast enlarged 4 some time as i've always felt a bit behind in this department!! i'm a small 32B sometimes a A, my skin tone is white british but i tan well so have more of an olive skin type, i've had a small fatty lump removed from my right boob but and they cut around the bottom of the nipple and the scar is very faint, i'm slender build dress size about a 8/10 and my weight is about 9st. please advise me on what size you think is best as i'd like 2 be a full C/D but DON'T want 2 look fake, and whats the best look under or over the muscle?? look forward to reading your reply!! many thanks, Zara.

July 7th 2009 at 23:28:29

Jenny Graham said ...

I am considering breast augmentation (as natural a look as possible) having spent my entire adult life saying "absolutely not EVER!" ... so I am thinking about a total U-turn....and I'm going to be blunt... my main concern is this ... no matter how natural the 'look' might be ... how natural would the 'feel' of the end result be to the touch of a man's hand? I don't mind what the answer is - I just want to know. Thanks (p.s. your practice has been personally recommended - very strong recommendation too) Jenny

July 12th 2009 at 19:04:26

kirsty Harrison said ...

I have wanted Breast implants for around 5 years now and I now believe its time. is they any way i could be turned down from the op ? i'm currently a 28 /30 E but are still very unhappy could i be turned down because of this?? thank you x

July 13th 2009 at 12:09:32

kayan said ...

is a breast reduction like having a breast lift or will i have to have them lift .

July 24th 2009 at 20:47:21

charlee said ...

I had implants 12 years ago and have never been completely happy with the size, appearance and how visible the scarring is. I'm thinking about getting them done again and would like a rough idea of how much it would cost for replacements. I have a really wide gap between each breast which I would expect my next surgery to correct. Are my expectations unreasonable?

July 25th 2009 at 20:47:22

vanessa said ...

Hi, I had an uplift and implants 2 years ago. When i came round from my surgery the surgeon had put the implants under my muscle but i had clearly asked for them to go over as i wanted that look. I then had 3 children and had saved to have my dream boobs, but they have been a nightmare. One is larger than the other, one of my nipples has a square edge where they were not shaped properly and the skin is really thin on my right breast on the underneath. To top this all off my scarring looks as though i have been butchered. I get tremendous pain in my right breast, i am now looking to have another uplift and smaller implants to make my breasts look normal. I just really want a little advice. thanks

July 28th 2009 at 09:16:37

Zara said ...

I am 5.1 and have two children which I have breastfed. Before pregnancy I was a 30E. However my breasts are now 32GG and they are so saggy and heavy and the nipple has drooped too. I am very conscious of my body now as they are just too big for my frame and look hideous. I do not even like my partner to see me naked any more, and I can no longer see my waist or my stomach. This is causing me great distress. I would love a reduction and an uplift and not sure whether to go for a B or C cup. Could you please advise what kind of procedure I would need please and also the success rate of these please.

July 30th 2009 at 19:09:04

Beverley Lucas said ...

I am 5.4, weigh just under 9 stone and am 53. Have breastfed 5 children. Breasts are now about 34B, always been small, except for breastfeeding and pregnancy. I am seeking an enlargement that will give me very full breasts, at the same time looking natural and inkeeping with my frame. I have great nipples. I wondered whether because my breasts filled out well during breastfeeding, does that mean I have the capacity to take an implant to create the shape I have always dreamt about?

August 2nd 2009 at 20:25:46

tracey said ...

hi, im 27yrs old i have 2 children i breast fed my 1st i have been unhappy with my breast for about 10yrs i would like to be a D cup im an A/B at moment, how much will it cost as approx im saving now & would like a goal to aim for... thank you in advance

August 6th 2009 at 23:38:01

tasha said ...

i had a breast augmentation twice through the NHS about 4yrs ago taking me to a C/D, the 2nd time was due to the implant in my right breast not looking the same size as the left after op, also the right breast scar looks more noticable than the left. since then i have had a baby, so as usual this has affected my shape and size. i am looking to go private and get them done again to EE and hopefully get a surgeon who would minmise the scars aswell. do you have a rough idea of this costing and the type of procedure. many thanks Tasha

August 7th 2009 at 17:25:49

ann said ...

hi i am hoping to get my surgery done in around 2wks time, i am of west indian desendent, i am hoping to get just implants, but have been told by a few surgeons that i need a uplift, but the crazy thing about it is they only have to move my nipple up a fraction, bascailly the move is the size a your little finger nail, which i stated that its not worth paying unecessary money to move my nipple up, because my nipple has never been right in the middle, im hoping for a more natural look so im opting for under the breast but some say no it has to be ontop of breast and some are saying underneath,im not sure what size to go as i am a size 36b/c i have tried my sisters bra and she is a 38e/dd depending on make, will that be too big, my breast is very nice but lacks a little volume and when i lay down it wrinkles so there is enough room to go to maybe 2 sizes what do you think,i have to decide as i need to get them done, soon as ive already book my holiday of work.

August 8th 2009 at 13:29:46

rene said ...

My question is essentially a follow-on from the blog and it's about your Heal cream. I am assuming the reason that it is not available in the US/Canada is because it hasn't undergone stringent FDA testing. So, how can we be sure, here in the UK, that the product is safe? Also does the product come with a list of ingredients (a must for those of us prone to skin eruptions)? Thank you in advance

August 18th 2009 at 11:20:39

carol waterson said ...

You mention in your interview with regards eyelid surgery that someone with an underactive thryroid has to have special procedure. Can you tell me what these are.

August 25th 2009 at 01:37:30

katie bowden said ...

hi im 5 foot 4 and a 32b i would really like to go to a d or maybe dd i weight about 9stone. will i still be able to breast feed.and i would prefer minimal scaring what would you recommend thanks

August 27th 2009 at 15:23:20

Sharon Gilchrist said ...

Hi i had breast implants just over 5years ago. Everything seemed fine for the first few months, but then noticed that the right breast was considerably harder than the right. I phoned the hospital to arrange to see my surgeon, but could not get an appointment for 2 months. During this time i found out that i had started my menopause, which got me thinking that, that could be the cause due to the changes my body was going through. I eventually saw my surgeon, who assured me it was'nt the menopause, and that i had developed thick scaring around the implant. I needed it done again. Which was going to cost me. I do not wish to go back to the same surgeon. Can you help me?

September 8th 2009 at 13:40:27

shirley said ...

I have been thinking for a while of having a breast lift ,but have been told there is a high risk of lossing feelings in the nipples.Is this true.I also need upper and lower eye surgery. Both of these are for me to make me feel better on how i look.

September 9th 2009 at 15:44:59

Deborah sharpe said ...

Hi I have been wanting a breast enlargement for about 2years looked into macrolane. But going towards implants I am 39years old, 36a and wanted to go to a c cup. Also I am a very busy lady and cannot afford a lot of time off work. Which would be my best option I also am prone to adhesions which worry me. Thanks

September 19th 2009 at 18:47:46

JANE said ...

following a op for capsular contracture the surgeon put in smaller implants causing severe rippling ect, I have been told i will need ryans advancement as my scar is too weak to hold my implants following 5 ops. please can you help my scar is at critical and is going to burst i need to find a good surgeon who has the skills to fix me! ?

September 28th 2009 at 22:26:47

mel said ...

Hi I recently had a consultation with Mr Liew and he suggested I have over the muscle. I am currently a 34B. I do need do loose a bit of weight and my boobs are smaller when I loose weight so concerned they will look unnatural if I loose weight. Should I just have under the muscle? He said they can look far apart if under the muscle but I have seen lots of photo's and they look really natural on sme people and not far apart therefore are some surgeons just better at it than others? Surely this is the best way if less chance of capsular contraction. I also asked about any other incision other than under the breast but he just sort of dismissed the idea. Once again I have seen photo's of nipple and armpit incision and they look great. Do any of your surgeons offer this or are there disadvantages to these incisions. Surely if the surgeon is good how can an armpit incision have disadvantages - maybe there is, but I don't know what they are. It seems we are a bit behind (in the uk) when it comes to doing these types of incisions as all the photo's of breast implants in America seem to be umbilical, armpit or nipple and they are not all saline implants. Sorry for the long email but been researching this for so long now and want to make the right decisions, look forward to your reply regards Mel

September 29th 2009 at 23:33:05

Sue said ...

Hi I have grade 3 capsular contractuar in my left breast it began 2yrs ago 6months after having silicone implants which were placed under the muscle. My surgery was done in the US fear has stopped me doing anything about this however my breast is solid and mis-shapen. Do you do corrective surgery and what would it involve? After so long would it mean having to remove damaged breast tissue? Would both breast implants have to be removed? I would greatly appreciate it if you could answer my questions to help me take a step to correcting this as it affects me in so many ways. Many Thanks Sue

October 26th 2009 at 10:46:28

Bonnie Summers said ...

Four weeks I had a breast reduction. Is there something you can suggest I do to minimize scarring? |I am noticing a "dog ear" and "pleating" in a couple of spots.

May 6th 2009 at 14:56:44

Kat Vambe said ...

Hi, Im am pretty small, weigh 7stone size 4 waist, 30AA bra size, very normal skin, want to be a 30DD, What size silicone is that? 350cc? I dont no weather i can actually go to that size because in so small? maybe... maybe not? Thanks

May 6th 2009 at 15:53:13

Liz said ...

Hello, I am about 5 foot 8, weight about 11.5 stone. At the moment I am size 36b would ideally like to go up to a large C/Small D. I mixed race (white and black) complexion is darker mixed race (think Mel B's complexion or Halle Berry's complexion unfortunately I look like neither!) therefore scars appear more noticable. What would be the best procedure for me? Thanks, L

May 8th 2009 at 17:44:46

Debbie lord said ...

I want my nose smaller and a bump removed.will it cost much? How long will I bruise for?

May 11th 2009 at 19:44:45

nicole said ...

im a size 8 and a 32a and am going up to a C but im confussed if i should have it under the muscle or not im having the round implants, will they look to fake cause im so small? is the recovery longer and will the pain after be a lot worse if u do go under the muscle?

May 17th 2009 at 15:08:06

Laura said ...

Having had a baby and breastfed I went from a 30D cup to a F cup, and back again, leaving the breasts droopy and emptier looking, lacking their former pert appearance. They look just fine in a good bra, but as you said, it is important to look good naked! I am not sure if 'filling them out' with an enlargement would be sufficient, thus returning them to a fuller shape? Or would I need the uplift to get the right result? I feel less sure about the uplift as it appears to be a lot more involved, and ofcourse the scarring is an issue. How ever I do have a surgical scar from my c.section that is almost invisible, thus I suppose I could have the potential to scar well with breast surgery also? I Would really appreciate your advice, many thanks, Laura.

May 22nd 2009 at 22:30:28

gail said ...

Hi, i am 5ft 2 about 8st and have a 32b cup, i have had 2 children and feed both of them i have been advised to have an uplift and implants, i was a 32 d before having my children and would like to be around a large c or small d what size cc should i aim for i still want them to look as natural as possible plase can you give me advice and how it will be performed ie scaring and where they willl be, my skin tone is average many thanks

May 23rd 2009 at 13:26:20

saira said ...

hi, i am 30 years and 5' 3'' i got a very big breasr which are cuasing me a neck ,shoulder pain and i feel stress all the time so i decided to go for surgery or leposuction so can u tell me which option will be the best and do u have a lady surgens for this kind of surgerey. thanks.

November 7th 2009 at 12:30:14

ALICE MILLER said ...

Hi am 18 stones,and am black going to the gym trying to loss weight but would like to have an arm lift,where will d scars be and being black world d scars look worse and how much would it cost

November 8th 2009 at 17:24:31

Becky said ...

Hi, im 27, 5"2 and around 9 stone and currently a 34B. I am really interested in having my breasts enlarged as they seem to have lost volume since losing weight but not sure what size and shape to go for? I dont want to look to "fake" but im not too keen on the tear drop ones as its the upper part of my breast that has lost the volume. I also dont want scars underneath the breast so wondered if the insision around the nipple is best? Alot of friends are also advising me not to go ahead with surgery until i have had children as pregnancy will ruin the look of the implants....is this true or should i just avoid breast feeding when i do have children? Many thanks

November 14th 2009 at 20:16:17

Aurora Davis said ...

Hi, I am 27, 5'7, black and weigh around 12.5st. I have lost around 5st in the last 4 years. As recently as 2/3 years ago I was a 38HH but now I am 'only' a 34F. However, this is only when I wear a really good bras; when I take them off my boobs disappear and my nipples are virtually pointing to the floor. I think I need an uplift and implants but I'm worried about what size I'd be afterwards. Having researched this, I think round implants would be better as I have lost all the volume from the top, but I also don't want them to look fake, just full and shapely. I haven't had children and although I think I will eventually get round to it (I am still single, mind!) I am so unhappy with how my breasts look, I can't wait until I've finished having children before I have this surgery. On top of this I also have a little more weight to lose, so is it best to get down to my ideal weight before having surgery?

November 23rd 2009 at 13:39:06

Jo Baldwin said ...

Hi - I had breast implants about 5 years ago and had the nipples re-positioned and the implants put in through those incisions. However my suurgeon put in much bigger implants than I wanted so i have never been happy with my breasts which have now slipped off the implant so I am looking into having them removed but will need a mastoplexy - is there a way of doing this without the large 't'shaped scar. I also want the nipples made smaller as the area is so big following the original surgery. I don't have sufficient breast tissue to simply have the implants removed I would need a lift and the excess skin removed. What do you suggest and are there surgeons who specialise in this proceedure? If not how do I find one who will do a really brilliant job for me?

November 26th 2009 at 18:15:07

JULIE said ...

How long after breast enlargement surgery can you wear normal underwired bras ?

January 5th 2010 at 10:46:19

Alyssa said ...

Hi. I am 23 years old and have just had my 2nd child. I am feeling really depressed and hate my breasts. I was a 34E before my 2nd child. Now I have gone down to a 36D/DD, but most of the breast is just excess skin, and are they are very saggy. I would ideally like to go back to an E cup but with an uplift. If I just had an uplift, would my cup size be reduced? I would really like some advice on this and roughly how much this procedure would cost. Thanks

January 17th 2010 at 21:04:30

rachael said ...

hi. Im 20 and hoping to have breast enlargment for my 21st birthday, do you think this is to young? also is it better to have the implant over or under the muscle tissue? what is the best procedure for minimal scaring, does having the implant under the muscle tissue take longer to heal? thanks

February 21st 2010 at 13:59:16

Jane said ...

hello, i am about 1.68cm and weight is about 12st, am size 12 waist and wears 14 top due to my big breast 34e some 34f fit me as well, the problem is they are saggy after breast feeding has a bite is tissue i will not be need an implant but am scared of scar because am dark skin (Africa) i had done operation before gall storn removal the scars are a little bite raised so i will diffinatelly not want that on my breast but am so unhappy with my breast i really need a breast lift to give me confidence, what do i do?

April 19th 2010 at 10:35:41

jay said ...

Hi im 25 and considering a breast enlargement; what are the best options for minimal scarring on afro caribbean skin after a breast enlargement? i have heard about placing the implant through the areola, but i'm looking to go from an A to a D, so would it fit? also my areola is 'puffy' (doesnt lie flat) so will that work? couls i get laser treatment to correct any scars i may have, areola or anywhere else? i want round implants, but i dont want them to look fake, is that possible with round ones? i like kym marsh's look, as opposed to jordan or chantelle houghton. also, how much are breast enlargements, and is the price all inclusive (lifetime aftercare, warranty and all) or is that extra? and are there finance options? (spreading the cost) sorry for all the questions, but i'm really worried! thanks!!

April 27th 2010 at 02:33:52

Sue said ...

Hi, This is terribly vain of me :-( but I've never been able to get over having tubular boobs (always had 'em). absolutley hate it. Problem is conventional surgery is not an option for me. I develope keloid scarring post surgery. Is there an alternative?

April 27th 2010 at 12:11:51

lucy said ...

Hello, I am 5ft 7 and 58kg. I want to go from A cup to a Large C/Small D. Please coud you give me your advise on the best area for incision and the best way to acieve a natural look? I would like a tear drop implant and it to be placed behind the muscle,I am looking for the most natural result possible! I have been told that certain areas of incisions can mean a less natural look, is this true? Thank you

May 9th 2010 at 20:16:15

lorna said ...

i have small b-cup breasts that have no volume. my chest is flat then i have wot can only b described as de-flated balloons. i want a full but natural look as i dnt like the fake look. i am looking at going upto a C/D cup. as i have no fat or breast tissue wud i have to have implants placed under the muscle?

May 25th 2010 at 14:30:39

Kerry-Ann said ...

I have been recommended here by a friend whom got there breasts enlarged last week, I am looking at gettig my breasts done as i have wanted to since i was a kid, I feel unhappy with my body and feel i need to have this done as i will never be happy otherwise, i would like to know which was is best for less scares ? I do not want it through my belly button but would like to be adviced on the other options, I have also thought of throught the nipple area ? Reagrds

June 24th 2010 at 22:42:40

Rebecca said ...

Hello, I'm going to be having mastopexy Agumentation as I have size B breast that have become very flat and saggy due to weight loss, I am hoping to Increase to at least a D cup. My surgon said he could do this without the lollipop or anchor like scaring as I have hypertrophic scaring, I am aware that there still will be scaring involved and you talk above about scare reduction treatment, are there any you can make me aware of? Also is the lack of the anchor incision common place for lifting smaller breasts? Look forward to hearing from you. Rebecca

June 28th 2010 at 20:34:13

Michelle Wells said ...

I am 45 and have 34G boobs - these have got larger and more saggy with age and after breast feeding. Is surgery for reduction & uplift successful for mature women ?

August 10th 2010 at 16:33:42

leigh said ...

Hello am 19 and i am 5ft 7 and i am very slim am 8 stone, i have a natural big bust of DD-E but i have lost weight in the past 2 years, i still have a large bust but they are saggy and are not of a nice pert shape. Its really depressing me and getting me down and its affecting my life alot as i am a model and it affects which jobs i take and i feel horrible naked. I would love to have a breast uplift and was woundering how much it would be? Thank You.

August 20th 2010 at 20:27:58

Grace said ...

Dear Norman, I have 2 child just over two years old and whilst I was pregnant I put around 2 1/2 stone on. Since having my son I have lost 3 1/2 stone, weighing in at just over 9 stone. I'm happy to have shifted the baby punds but my breast have shrunk to a 34A and don't seem to feel "meaty" anymore. I would like to increase the size of my bust, but only by 1 or 2 cup sizes. However I am concerned that if I have another child I may not be able to breast feed orthey may lose shape again. Many Thanks

May 7th 2009 at 12:48:39

Norman Waterhouse replied @ Kat Vambe...

Yes , you are a very petite build and this may have a bearing on the appropriate size for you. The most important thing is the dimension of your existing breast and in particular, how wide it is at the base. This will determine the size of an implant which will fit you to give a full breasted but natural look. If you go bigger than the size of your body shape, the implants will be very obvious and over round. At any consultation, your breast measurements will be taken and you will have the opportunity to try out the size in a bra. For small girls who wish to have fuller breasts, there is also the option of choosing a 'high profile' implant which gives more projection.

May 7th 2009 at 12:49:46

Norman Waterhouse replied @ Liz...

Being black or mixed race does not automatically mean you will get thicker scars but you are right that there is a slightly higher risk. If you have made good scars from previous surgery such as an appendix removal, it is likely you will make good scars from a breast augmentation. It is also worth knowing if you or your family have made bad scars as the risk may run in families. The decision as to where to place the scar has to be made after a clinical examination. If you have a reasonably sized nipple and areola ( the darker skin around the nipple), it may be an option to place the scar in this area. For all patients undergoing breast augmentation, there are a number of things that can be done to soften and mprove the scars after surgery. These include the use of a silicone remodelling cream ( see www.healgel.com ). You will be advised in all apects of scar management after your surgery.

May 27th 2009 at 13:16:34

Norman Waterhouse replied @ Laura...

Dear Laura, It sounds as though your breasts have drooped as well as reduced in size after breastfeeding. If the nipples are now quite low on the breast , it is often not a good idea to just have a breast augmentation. Although it will restore the size, the nipples will not be in the right place and the shape is not attractive. You are right that an uplift does involve more scars. Essentially it is a trade off between SCARS but with a better firmer more attractive breast shape. Although it is encouraging that you have produced a good scar from your Caesarian Section, it doesn't always mean that the breast scars will be as good. However, for most women, the scars fade a lot after a year.

May 27th 2009 at 11:40:15

Norman Waterhouse replied @ gail...

Dear Gail, It sounds as though your breasts have dropped as well as become smaller after having your children. This means you probably will need a lift as well as implants to restore your size and a better shape to the breasts. This is called a mastopexy augmentation. It does mean that you will have more scars than with just an augmentation. The scars usually go around the areola ( the darker skin around the nipple) and another scar leading from the middle of the breast under the nipple down to the base of the breast. There may also be a scar transversely in the breast crease where the breast meets the chest wall. You can get some information and pictures from the website. As always, the exact nature of what can be done can only be precisely determined at a consultation with a MyBreast surgeon. This would give you a very clear idea of the procedure and the scars.

May 27th 2009 at 11:41:34

Norman Waterhouse replied @ saira...

Dear Saira, From the sound of your symptoms, it is likely that you need a breast reduction rather than liposuction to the breasts. Your problems of sore shoulders and neck and back pain are very common for girls with very heavy breasts and is a frequent reason for seeking breast reduction. We do have female consultants at MyBreast although I do not know what area of the country you are from. It may be that we don't have any in your region. The staff at MyBreast would be able to advise you if you give them a call.

October 28th 2009 at 10:53:13

Norman Waterhouse replied @ Bonnie Summers...

'As you are only four weeks after your surgery, don't worry about minor dog ears at this stage. Sometimes, they persist and may require a small revision procedure under local anaesthetic after six month's or so. As far as managing the scars is concerned, once the wound is healed, you should be advised on a program of moisturising and massaging the scars. After six weeks, it can be very useful to apply a silicone gel to the scars which may speed up the maturation process and stop the scars becoming lumpy.'

January 20th 2010 at 17:47:11

Norman Waterhouse replied @ ALICE MILLER...

Dear Alice, Arm lift is an operation that does leave scars, which can be difficult to hide. The scar extends from the inner elbow up to the axilla ( armpit). The risk of hypertrophic or keloid scarring is increased for black patients although it is not inevitable. It is helpful to know if you have other scars and whether they healed well. Ideally, you should try to lose some weight before considering surgery.

January 20th 2010 at 17:47:37

Norman Waterhouse replied @ Becky...

Dear Becky, You have raised a number of issues. Firstly the size of any breast implants is determined by the shape and size of your breasts, in particular , the width of the breast. In this way, an experienced surgeon will be able to advise you on choosing an appropriate size that will fit your body for the most natural result. There are many views on whether to choose round or tear drop breasts and both have advantages and disadvantages. It is possible to place the implants through an incision around the nipple as long as the areolar is large enough. Again, there are often individual issues which determine the best approach. It is possible to breast feed after breast enlargement. Many women have implants and further children afterwards. You wil get a clearer idea of what options may suit you at a consultation with an experienced surgeon.

January 20th 2010 at 17:47:55

Norman Waterhouse replied @ Aurora Davis...

Dear Aurora, It sounds as though you would definitely need a mastopexy ( uplift). It may be that you dont need implants but this depends on how much breast tissue you have.If you are currently an F cup, I suspect you wont need implants. A lift would reshape your breasts and restore fullness to the upper part. It is definitely worth losing weight before surgery. If you have surgery and lose a lot of weight, it can affect the appearance of the breasts.

January 20th 2010 at 17:48:13

Norman Waterhouse replied @ Jo Baldwin...

Dear Jo, Downsizing your implants sounds like a very good idea.given your description of what has happened since the original procedure. It does mean that the skin envelope will need to be tightened and almost certainly a vertical scar or an inverted T scar will be needed. It is normal to reduce the size of the areolar at the same time. All mybreast surgeons will be familiar with the problem you describe.

January 20th 2010 at 17:48:52

Norman Waterhouse replied @ Jo Baldwin...

January 20th 2010 at 17:49:08

Norman Waterhouse replied @ JULIE...

Dear Julie, Underwired bras only have to be avoided for about six weeks after surgery.

January 20th 2010 at 17:49:26

Norman Waterhouse replied @ Alyssa...

Dear Alyssa, If you have an uplift , you will have a smaller cup size, but it should be around the same volume as you are now( DD). This is because the tissue is reshaped into a more youthful position by an uplift but no tissue is removed. You can see some examples of this procedure and photographs on the website.

June 10th 2010 at 14:44:40

Norman Waterhouse replied @ rachael...

Dear Rachel, Having a breast enlargement is a serious decision and you need to be sure that this is right for you. Without an examination, it is not possible to say whether the implant should be placed above or below the muscle. if the implant does go behind the muscle, the recovery period is slightly longer. The position and size of the scars depends on a number of factors and again this is best discussed at consultation with a surgeon.

June 10th 2010 at 14:45:55

Norman Waterhouse replied @ Jane...

Dear Jane, A breast reduction or uplift does involve scars and as you already know from your gall bladder operation, you have a tendency to form hypertrophic ( thick) scars. There are some treatments to minimise or reduce scars, but if you really don't want any scars on the breasts, I am afraid you probably shouldn't have surgery. The only option possible would be to increase the breast size using fat transfer but this is a difficult procedure and is not suitable for everyone. indeed, from your description of having heavy droopy breasts, it really wouldn't work in your case.

June 10th 2010 at 14:46:27

Norman Waterhouse replied @ jay...

Dear Jay, You have asked a lot of questions !! The answers to many of your queries can be found on the website, but to answer all of the issues as they relate to you, you would obviously need to have a consultation with a surgeon. One thing I should say is that it is absolutely possible to have natural looking breasts with round implants. The important thing is to choose the right size of implant to fit your own breasts.

June 10th 2010 at 14:47:16

Norman Waterhouse replied @ Sue...

Dear Sue, I am afraid my advice is the same I gave to Jane. Correction of tuberose breasts does involve scars, usually around the nipple. if you produce keloid scars, surgery may not be for you. There is the possibility of augmenting the breast using fat transfer but this won't usually work well for tuberose breasts.

June 10th 2010 at 14:47:38

Norman Waterhouse replied @ lucy...

Dear Lucy, The decision as to size and shape of the implants can only really be determined after your breasts have been examined and measured. Implant size and position depends on the width of your breasts, how much tissue you already have and the position of the nipple. All of these issues would be thoroughly discussed at a consultaton to determine the best option for each individual.

June 10th 2010 at 14:47:57

Norman Waterhouse replied @ lorna...

Dear Lorna, Although it is impossible to generalise, for girls with very little breast tissue and little body fat, implants are often placed under the muscle to give a more natural appearance.

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