I am just discovering the 'new' option for enhancing the appearance of sagging breasts. A breast lift combined with an 'auto augmentation' sounds like a fantastic option for women who don't want breast implants. I had never heard of this procedure until a recent consultation with a plastic surgeon who said I had adequate breast volume that could be lifted and repositioned without the use of implants. I haven't found too much literature about this procedure and would appreciate some feedback. What do you think about this procedure? Thanks.
Breast Lift with Auto Augmentation?
Doctor Answers (15)
Not for the normal patient
As Dr. Wallace has said, the autoaugmentation concept applies to those patients with extra skin and tissue that can be recruited into augmenting their own breasts without an implant. Usually these are massive weight loss patients. Patients of normal physiques still need an implant for augmentation. Remmeber that an implant will not lift the sagging breast, it just adds volume. A lift is what elevates the nipple and areola and reshapes the breast.
Breast Lift with Auto-augmentation
The main downside of this procedure is a visible scar on the breast. The benefit of this procedure is a lifted breast with fullness on top without a breast implant.
Autoaugmentation Breast Lift
Provided there is adequate tissue to give you the cup size you desire, this procedure works and helps you avoid implants that were tradiationally used to "fill out" the upper poles of the breast. If you wish to have more a natural appearance over the "implanted look", this will suffice. There is a risk the tissue moved upwards can lose its blood supply which will then lead to the development of a firm mass that should slowly diminish in size over time. It is a great procedure and one which I use frequently.
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'Auto' Breast Augmentation
Dear Newtatas, There are several techniques for preserving the breast tissue so that the relative volume of the breast remains the sam with a Breast Lift. This can involve the manipulation of the breast tissue to give more projection of the breast- using the inferior pedicle of tissue which is sometimes discarded and combining with a superior pedicle for the nipple.
You can also add micro fat grafting to the breast to add volume and shape the breast.
Generally with a lift of the breast - the breasts do appear to be smaller- even if the breast tisssue is preserved.
With Warm Reagrds,
Trevor M Born MD
Great Procedure in selected patients
Autoaugmentation when performed with a breast lift takes the excess breast tissue in the lateral chest area and sometimes in the lateral upper abdominal area and uses that as a filler. It works very nicely when there is excess skin and fat in those areas to use.
Another way to perform autoaugmnetation is by fat injections. This uses fat that has been liposuctioned and then injecteed into the breasts. This is generally done with primary breast augmentation or with reconstruction. I have never seen it done with a lift.
Auto augmentation Mastopexy - creating Upper Pole Fullness using your own breast tissue
This need for increasing upper pole fullness can be accomplished in one of two ways: by using the patient’s own lower pole breast tissue (‘auto-augmentation mastopexy’), or by placing a breast implant. Auto-augmentation mastopexy is a surgery in which some of the patient’s own lower pole breast tissue (from the area of the breast below the nipple/areola complex) is moved into the upper pole of the breast. A pocket is created behind the upper pole of the breast and the lower pole tissue is advanced, with its blood supply intact, into the upper pole pocket. This truly remarkable procedure can create a mastopexy appearance that previously has only been possible by means of breast implant placement. Not all patients are good candidates for this procedure, as there must be an adequate volume of lower pole tissue available to produce significant upper pole (cleavage area) breast fullness. Most patients undergoing auto-augmentation mastopexy in this practice have a full B cup to D cup breast volume preoperatively.
For patients who do not have enough lower pole tissue available to allow an aesthetically ideal auto-augmentation mastopexy, or for patients who desire a larger breast volume than can be achieved by use of their own tissues, I recommend that they undergo augmentation mastopexy. This surgery combines a breast lift with the subpectoral placement of a breast implant usually of a moderate size, which produces lasting upper pole fullness. This procedure is often the ideal choice for patients with an A cup or small B cup breast volume preoperatively, who are interested in having a C to D cup breast profile postoperatively.
Breast lift with auto augmentation
The procedure basically involves taking tissue that hangs down at the bottom of the breast and moving it up to the upper portion of the breast. This eliminates sagging to achieve a perkier bustline while at the same time enhancing the size of your breasts. It is performed in conjunction with typical full breast lift techniques, involving an incision beginning around the areola and continuing downward to the crease under the breast (the "lollipop incision"). For more significant droopiness, an incision under the breast is usually also required (the "anchor incision"). Tissue taken from the area opened by the incision will be moved upward and attached to the chest wall and to the tissue in the upper region of the breast. The nipple is moved upwards in order to give the breast an aesthetically pleasing appearance. Problems associated with the implantation of saline or silicone implants are avoided, including the possibility of capsular contracture. Additionally, breasts that have been augmented in this manner will increase and decrease in size more naturally when other physical changes occur in the body.
You may opt for breast lift and auto-augmentation if you don't want an implant. However, please note that implants usually impart a better shape to the breast than this technique. Please see an experienced board certified plastic surgeon to determine if this technique is suitable for you.
Breast lift with auto augmentation
This is a technique and breast lift surgery where a small portion of the lower part of the breast is brought into the upper portion of the breast to re-create fullness in this area. This is a technically demanding procedure and so is very important to perform your research before embarking on this technique. Be sure that your board-certified plastic surgeon has great deal of experience with this specific procedure. The success of this procedure depends entirely on the technique that is used and the care that is given to avoid compromising the blood flow to the area that will be transposed into the upper portion of the breast
Vertical breast lift can create upper breast fullness.
This is the internal breast lift without breast implants. The breast tissue is repositioned upward (Lejour or Hall-Findlay techniques). You are left with a lollipop scar.
Tissue is rearranged
A breast lift serves to tighten the envelope of skin around the breast and moves the nipple to a higher position on the breast. Auto-augmentation simply means the breast tissue is sewn together to lend to a perkier breast sometimes even placing a small amount of breast tissue under a sling of chest muscle. Many times a breast lift alone does not yield a lot of upper breast fullness in and of itself.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.