Longevity of the Bellesoma/Horndeski method for breast lift?

Question

Could I expect to see weird sagging in the long run using the Bellesoma breast lift? I notice some ladies do not have their incisions at the bottom in the traditional anchor location is this due to their nipple not being far enough below the fold? The Bellesoma method seems so "common sense" to me, I wonder if I am missing something significant that would make it not the first go to for professionals.

Gary M. Horndeski, MD · Answer

Thank you for your question. It seems there is still quite a bit of confusion among my colleagues about my technique. I have written and submitted an article that explains in detail how it was designed and how it provides better support for the breast mound. Most surgeons are quick to dismiss it as an old technique not knowing anything about it. Please visit my gallery on this site to see long term results. The reason why the infra-mammary incision does not fall directly under the breast (like the anchor) is because a NEW higher one is made. The entire breast mound is lifted to a higher position on the chest. The anchor technique uses the old infra-mammary crease to design your new breast. So, it stays the same. This is why vertical/Wise patterned breast lifts are not any higher than before. The nipple is higher, but not much else. Take a close look at the before and after pictures of the vertical and Wise patterned lifts. You will notice that the infra-mammary crease never changes position on the chest. The Bellesoma Method requires that you have enough excess skin above the areola to ensure that the NEW infra-mammary crease is directly at the base of the new breast mound. I hope this makes sense to you. If not, I'll be happy to explain in more detail.Best wishes and kind regards,

Daniel Barrett, MD · Answer

Dear Nonsensical,
it is really hard to tell without any photos or in-person examination. Only after detailed examination you will know if you are a candidate for this procedure. 
I would advise you to visit a board-certified plastic surgeon for a consultation.
Daniel Barrett, MD, MHA, MS

Certified, American Board of Plastic Surgery 
  
Member, Am. Society of Plastic Surgery

Curtis Wong, MD · Answer

have been touted by Dr. Horndeski as the best thing for lifts... but why isn't it accepted widely by plastic surgeons?   The vertical scar is not the ugly part of a lift scar... rather the horizontal scar is the one that scarred the most.  The vertical scar allows for superior shaping and when using the auto-augmentation technique, the tissue that is hanging is tucked under the upper breast to provide more fullness and projection and also diminishes the risks for bottoming out down the road.  If they can give you a written guaranty for durability and maintenance of shape, can't lose by going to them... but I doubt they will provide a written warranty of their special technique.

Donald W. Hause, MD · Answer

That is a very good question. The Horndeski / Bellasoma method is a technique of avoiding the vertical scar in the standard breast lift. In a similar way as the Binelli Doughnut mastopexy has specific patients that it works well on, the Horndeski method appears very limited in that  very few patients present with anatomy that is applicable to this technique (My opinion). The vertical incision is critical to sculpting the breast in most patients with severe ptosis. By not making that scar, you potentially lose the ability to optimally shape the breast (Similar to a Doughnut Mastopexy, you sacrifice shape for avoiding the additional scar). By relying heavily on the scar in the breast crease to generate the result puts more stress on that scar, which may make it heal in a less desirable way. A few patients may have the right situation to make a good result possible . The method is seeing a lot of well- crafted traffic on the internet which has generated a lot of web interest. The concept is novel and well within the abilities of most Board Certified Plastic Surgeons.  I would recommend that you seek the advice of an experienced Board Certified Plastic Surgeon who is well versed in all the techniques of breast surgery so you can make the best decision.

Longevity of the Bellesoma/Horndeski method for breast lift?

Answers (4)

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