How does the Bellesoma method even works

hello thank you for your question and provided information as well.. based in your question its difficultd evaluated you if the case dont have a picture , its recommended get a consultation with a plastic surgeon to evaluate you.

Hi AnastasiaBaby,

Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just breast augmentation depending on the size of the implant the patient wants. I often use an implant when I perform a breast lift because it provides more upper breast fullness after the lift.

Breast lift surgery aims to re-volumize the breast with either and natural implant or fat grafting followed by nipple repositioning using the lift. I prefer to use a vertical incision (lollipop pattern) breast reduction technique instead of the anchor scar pattern for more significant lifts. This reduces more noticeable scarring than usual. Mastopexy that requires less than 2cm of lift only needs a donut incision. Every incision is also closed in five precise layers without using reactive sutures that can cause inflammation and eventual scarring.

If you are considering a breast lift, you should consult with a board certified plastic surgeon to discuss your options and make sure your surgeon understands your goals. Only after a thorough examination you will get more information and recommendations.

Daniel Barrett, MD, MHA, MS

Certified, American Board of Plastic Surgery

Member, American Society of Plastic Surgery

Member, American Society of Aesthetic Plastic Surgery

There is a periareolar scar and an inframammary scar.  This can be done if you are willing to accept a flatter, less projected breast with a boxier appearance.

The Bellesoma Method
was developed by Gary Horndeski, M.D. and uses a 3 dimensional scanner to
determine the volumes and other critical problems of your breast.  These measurements are combined with the
patient’s desires to compute a solution for each patient individually and
results in the generation of a blue print. 
The blue print is used at surgery to disassemble the breast and
reassemble it to the specifications that the patient desired.  This technique uses the excess skin from the
top of the areola down to the inframammary fold to make an internal cone.  The internal cone is attached to the
pectoralis major muscle relieving pain in the neck, back, shoulder and provides
long term stability.  The wounds are then
closed without vertical scars.  This
technique has been published in PRS Global Open in December of 2017, presented
in an international meeting in 2018 and presented in the US at the esthetic meeting
in 2016.  I currently do this procedure
in a hospital, which verifies the validity of this technique.  You and anyone else are welcome to come watch
me do this procedure if that will alleviate your concerns.  In terms of dents, I really do not know what
you are speaking of.  There can be
contour deformities with any procedure and these usually round out in
time.  In terms of boxy shape, this technique
creates rounder breasts than the Wise pattern. 
  Best Wishes,Gary Horndeski, M.D.

Thank you for your questions. This method essentially works by bringing the breast mound up higher in the chest with the nipple still attached to the breast tissue and then "tucking it" under the upper breast skin and then making a new hole to expose the underlying nipple. It can be a good method for the right patient. It does avoid the vertical scar but like with most things in life, there is a trade-off. When you gain something, you lose something. This method can tend to leave an overly boxy shape and limits the ability to cone and shape the breast. Make sure you are seeing a board certified plastic surgeon to discuss your options.Best of luck!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

The "Bellosoma" method is a variation on the "No-vertical scar mastopexy" method published years ago by a Canadian surgeon named Lalonde.  It works for women who have severe ptosis - with the level of the nipple below the inframammary fold.  However, by not making the vertical scar, there is a trade-off:  a tendency towards a boxy shape, and a higher risk of "dog ears" - which require a longer crease incision.

A no-vertical scar or horizontal technique (no one really uses the term "Bellesoma") is a very old way to do breast reduction on breast lift surgery that kind of disappeared for decades in our literature. It shares a lot of similarity to a traditional 'inferior pedicle' surgery on the inside, but how the skin is worked out is different and a little finicky to learn. Even a lot of plastic surgeons don't understand the geometry here I think. The lift effect on these comes from greatly exaggerating the coning internally so that the horizontal laxity of the breast that a vertical scar would remove is pushed out anteriorly and can then be worked out a little by a slight "u" shape of the incision under the breast. On bariatric patients, the scar can be extended into the axilla to remove the lateral chest excess common in those patients as well.When done on good candidates, it is BY FAR, the closest you can get to an implant roundness without an implant being used.  There really is no other mastopexy technique that produces that to me. A good candidate is usually a longer, and narrow breast as it tends to widen the breast to some degree with the horizontal closure. The most common patient I do these on is post weight loss surgery, who tend to have long, deflated shapes. When you do it on larger breasts, it is more prone to being boxy in a lot of people's hands, and not the best technique for those patients. 

Dear AnastasiaBaby,Hello and thank you for your excellent question. I agree with Dr. Horndeski on this - The Bellesoma breast technique uses a unique, proprietary technique which involves a 3D scan of your breast to make a surgical blueprint for you, and you alone, that produces 1) upper pole fullness; 2) no vertical scar; 3) limits medial and lateral scars to non-visible portions of the breast; and 4) transfers the weight of the breast to your pectoralis major muscle. This is what I tell my patients: Breast lift surgery has not changed (with the exception of implants and mesh) for 60 years. Finally, someone made a breakthrough, using engineering and computer design, and the results are, literally, a quantum leap forward. There is nothing like it that I have ever seen before (and  I have a long history in academic medicine and medical research). The technique is so unique, that I have personally trained under Dr. Horndeski to learn it.  If you have doubts, I suggest that you simply ask surgeons for copies of their before and after photos, as they will speak for themselves. I would say that of all patients who come to my practice requesting the Bellesoma technique, about only a third are good candidates. As an informed consumer, I recommend that you 1) do your research (as you have done), and 2) consult with a surgeon that offers a traditional lift, and a surgeon who offers Bellesoma.  It is possible that you are not a candidate for the technique, or that you feel the right "fit" with one surgeon versus another.  If you have any questions, call our office for assistance. Good luck!

Best,

Jon Ver Halen, MD FACS

Harvard educated plastic surgeon

Texas “Top Doc” 2017, 2018

RealSelf100

America’s Top Plastic Surgeons, Consumer’s Research Council, 2010 – 2018

BeautyAdvisor Top Contributor

While it is not possible to go in to depth on surgical techniques here, it is possible to do the lift without vertical scars. The technique has been around for a very long time and more recently given the name of an individual. Because all surgeons are aware of the technique and the huge majority choose not to use it, and because of the observations you have made, you can probably understand why there are alternatives. BTW, the vertical scar becomes close to invisible in a couple of years.