I've had 3 breast lift consultations. One surgeon recommended an "internal bra," or deep sutures that reinforce the crease so we're not just relying on skin to hold up the breasts. When are deep sutures helpful in a lift? I'll pay the difference if results will be better or last longer. I know any lift will shrink and raise my areola, so more wondering whether those sutures will help keep tissue elevated. I'm 43, done having kids, stable/healthy weight, and 36c/34d
Answer: Internal bra sutures worth it in a lift The debate rages on as to whether dermal bra or other autoaugmentation techniques are worth performing. To be clear, I am on the "it is worth it"side of things. But I do not think it works for all people. When one lifts the internal issue, the surgeon requires an anchor point higher on the chest and also something strong to put sutures into on the tissue lower in order to elevate the internal tissue of the breast rather than just rely on the skin alone. Breasts are mostly fibrous tissue and fat tissue underneath the skin. The ratio varies significantly from one woman to another. The milk ducts and other ligaments within the breasts are strong but fat is not very strong and sutures can pull through. Also, the higher anchor point to put internal stitches relies on the covering of the pectoralis muscle which can vary in strength. Your surgeon will evaluate and try to determine although it is not always possible how much fibrous tissue is under the skin of your breast. In the dermal bra technique, skin with the epidermis removed is used to create a hammock to elevate the breast tissue. This is relatively strong. With proper postoperative care, patienst with strong tissue seems to show long-lasting results. I have a number of patients that are five or 10 years out from surgery who are still maintaining a much better shape than what I would have obtained without the dermal bra technique. This week I performed two of these procedures. One woman had very good fibrous tissue in her breasts and the other had a breast that was mostly fatty tissue. I have high hopes for the first patient. Not all surgeons agree and some feel it is a waste of time to perform this sub technique. I disagree with that and believe it helps approximately two thirds of women that I see in my practice.
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Answer: Internal bra sutures worth it in a lift The debate rages on as to whether dermal bra or other autoaugmentation techniques are worth performing. To be clear, I am on the "it is worth it"side of things. But I do not think it works for all people. When one lifts the internal issue, the surgeon requires an anchor point higher on the chest and also something strong to put sutures into on the tissue lower in order to elevate the internal tissue of the breast rather than just rely on the skin alone. Breasts are mostly fibrous tissue and fat tissue underneath the skin. The ratio varies significantly from one woman to another. The milk ducts and other ligaments within the breasts are strong but fat is not very strong and sutures can pull through. Also, the higher anchor point to put internal stitches relies on the covering of the pectoralis muscle which can vary in strength. Your surgeon will evaluate and try to determine although it is not always possible how much fibrous tissue is under the skin of your breast. In the dermal bra technique, skin with the epidermis removed is used to create a hammock to elevate the breast tissue. This is relatively strong. With proper postoperative care, patienst with strong tissue seems to show long-lasting results. I have a number of patients that are five or 10 years out from surgery who are still maintaining a much better shape than what I would have obtained without the dermal bra technique. This week I performed two of these procedures. One woman had very good fibrous tissue in her breasts and the other had a breast that was mostly fatty tissue. I have high hopes for the first patient. Not all surgeons agree and some feel it is a waste of time to perform this sub technique. I disagree with that and believe it helps approximately two thirds of women that I see in my practice.
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Answer: Lift All breast lifts use internal sutures to help hold and shape the breasts. A skin only lift does not hold well. Sometimes, mesh is added for more inferior support until the tissues heal well.
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Answer: Lift All breast lifts use internal sutures to help hold and shape the breasts. A skin only lift does not hold well. Sometimes, mesh is added for more inferior support until the tissues heal well.
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March 3, 2023
Answer: Breast lift Dear JeninATL,
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March 3, 2023
Answer: Breast lift Dear JeninATL,
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February 10, 2023
Answer: Bellesoma Method The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.
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February 10, 2023
Answer: Bellesoma Method The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.
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February 11, 2023
Answer: When are internal bra sutures worth it in a lift? Will they make results look better or last longer? Hello @JeninATL, thank you for your question. The use of internal bra sutures depends on the surgical technique of the surgeon that performs the procedure. It is important to remember that in your surgical plan there are a variety of possibilities that take into account your expectations and what is possible to achieve. For more information and recommendations, it is prudent to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP)
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February 11, 2023
Answer: When are internal bra sutures worth it in a lift? Will they make results look better or last longer? Hello @JeninATL, thank you for your question. The use of internal bra sutures depends on the surgical technique of the surgeon that performs the procedure. It is important to remember that in your surgical plan there are a variety of possibilities that take into account your expectations and what is possible to achieve. For more information and recommendations, it is prudent to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP)
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