Is ThermiBreast a good alternative to breast lift/ augmentation?

Question

I had a breast reduction 11 years ago. I have gained and lost some weight leaving me with a bit of sag, and loss of volume, as well as stretch marks. I am currently undergoing fraxel repair and restore on my scars. I want to address the volume loss. Aside from the fact that my surgeon went too small, my breasts have changed. (Minor bottoming out, and loss of firmness/ volume). I am very turned off by the idea of implants. Thank you!

Kenneth Bermudez, MD, FACS · Answer

It sounds like you need breast augmentation (either with implants or fat) with or without some type of skin tightening.Thermi will not give you breast volume. Augmentation can give you fullness and a small amount of lift, which is all you may need.The early results from Thermi are for patients with minor sagging. In early studies it can lift the nipple anywhere from 1-5 cm, but results vary.Make sure you seek the advice of a board certified plastic surgeon when considering breast aesthetic surgery.Good luck.

Stanley Okoro, MD · Answer

ThermiTight has been shown to tighten skin all over the body. Recently we have started using ThermiBreast it for breast skin tighten (Liffting of breast skin). ThermiBreast will not replace surgical breast lift techniques. However it is an exciting option for those with small to medium sized breast and have some sagging and they don't want surgery.   As a Thermi Center of Excellence in the US, we have been very successful in lifting the breast with ThermiBreast. It is not for everyone and you need consultation with an experienced Thermi Plastic Surgeon. Note, not every Thermi doctor is a plastic surgeon, so do your homework well. ThermiBreast is usually performed as a same day procedure using local anesthesia.  There is no need for general anesthesia unless requested. There is no downtime, and you can resume your regular activities the following day. Again, do your homework well.

Ron Shelton, MD · Answer

Although there has been discussion about using ThermiTight to help lift breasts but in no way can it be expected to be a substitute for a surgical breast lift. It is not considered an appropriate treatment for breast reshaping although in some circumstances a physician can elect to perform Thermi if skin tightening can help improve contour in different body sites, and this can only be judged on a case by case basis.The information provided in Dr. Shelton's
answer is for educational purposes only and is not intended
to constitute medical advice.  The information provided should
not be relied upon as a substitute for consultations with a qualified
health professional who may be familiar with your individual medical needs

Thomas Fiala, MD, FACS, FRCSC · Answer

No - this is not recommended currently.If your skin has loosened up, you might benefit from a surgical revision of your breast reduction, where some of the loose skin is removed, using the incisions you already have.

Ryan Neinstein, MD, FRCSC · Answer

Thanks for the question, it happens from time to time that patients who have had reductions would like more volume unfortunately your only options are implants or fat transfer (using the fat from lipo to inject)

Edward E. Dickerson, IV, MD · Answer

Dr. Edward Dickerson discusses lack of effect for lifting with ThermiTight for breast augmentation alternative.

William B. Rosenblatt, MD · Answer

I don't believe so. I do Thermi treatments - I use it mostly for early facial changes -- slight droopy neck and early jowls. Although it is promoted to tighten skin, I really doubt that after seeing you I would recommend it. Usually it is simple to correct the bottoming out, and if more volume is needed, one can use a small implant. Some might suggest fat grafting, but even that is still not as good as an implant and often needs to be repeated multiple times to get enough volume.

Is ThermiBreast a good alternative to breast lift/ augmentation?

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