Short YouTube clip by Robert Whitfield MD addressing whether patients will have scars after breast explant surgery. He outlines three incision approaches (inframammary/fold, vertical/lollipop, periareolar) and explains that the vertical (lollipop) technique is used to narrow and lift wide breasts by advancing tissue below the nipple to elevate the nipple position; periareolar revision and inframammary access are also mentioned.
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In those instances where we want to narrow and lift the breast, we're going to use a vertical technique, often referred to when you look at the scar pattern as a lollipop. Today we're going to discuss the question, will I have scars after breast explant surgery? So explant surgery for me is done through either the fold, through a vertical, or through a periareolar approach. And so let me delve into what that means relative to the breast size and shape. So allow me to, you know, be a little liberal with how I I think about this and try to explain my thoughts. If you have a wide breast that extends into your armpits, you're going to want that narrowed. Otherwise, when you remove the device itself, it may be more flattened and boxy at the bottom. So in those instances where we want to narrow and lift the breast, we're going to use a vertical technique, often referred to when you look at the scar pattern as a lollipop. So that allows us to take tissue from below the nipple complex and advance and lift the tissue as we close it. That's how you get an increased or elevated nipple position. You do not take the nipple off. Many times people have had lifts. I'm just revising that incision by carefully tangentially excising skin around the areola to make it fit a smaller breast.
