Is there a reason why 95% of doctors perform anchor breast lift instead of bellesoma breast lift?

The
Bellesoma Method was developed by Gary Horndeski, M.D. in Sugar Land,
Texas.  Currently there are four other
doctors trained in the technique: Shim Ching, M.D. (Honolulu, HI), Kaye Riolo,
M.D. (Fresno, CA), Daniel Brown, M.D. (La Jolla, CA) and Mahmood Kara, M.D.
(Toronto, ON).  Currently there are no
doctors in Chicago trained in the technique. 
This technique has evolved out of necessity.  Women refuse to have vertical scars on their
breasts, they do not want implants and they want to maintain nipple sensitivity
and the ability to breast feed.  Women
want to keep their breasts proportionate to their body and do not want excessive
reduction to eliminate breast associated pain. 

The
Bellesoma Method has continuously evolved over the last seventeen years to meet
women’s desires.  Each woman is unique
and The Bellesoma Method uses computer analysis of breast images.  These are combined with her desires to
determine the optimal surgical solution. 
This technology is proprietary and currently limited to the five doctors
mentioned.  I consider the anchor lift obsolete
and have not used it in over twenty years and would not recommend it to
anyone.  The Bellesoma Method was
presented at the Aesthetic Meeting in Las Vegas, Nevada on April 2, 2016.  I am in the process of submitting a paper for
publication. Best Wishes,Gary Horndeski, M.D.

The scar pattern from breast lifting depends to a large degree on reducing the skin envelope to match the shape of the lifted breast. Often the vertical limb helps to add projection. Both the vertical pattern and the anchor pattern have this. There are a range of choices, not just anchor pattern vs "bellesoma."

There are different ways to perform breast lifts and plastic surgeons should be versed in more than one technique as no operation works well on all women. 
If the bellasoma technique is so great why are only 5 plastic surgeons performing breasts lifts using this technique?  Obviously a doctor has patented this technique and is charging other doctors money to learn how to perform the operation. This runs counter to the universally accepted unrestricted dissemination of knowledge that has led to the medical advances in the past 150 years. 
If the technique is that great teach other doctors how to perform it without charging a fee.
Judging by the one patient's before and after photos in another doctor's answer to your question, the bellasoma technique produces a breast shape not seen in nature.  The scar from a vertical breast lift is barely visible in most women who don't have a tendency to produce increased pigment in their scars. The vertical technique produces a rounded, narrower, more projecting breast and uses the patient's saggy lower pole tissue to auto augment the upper pole.  There are published papers showing persistence of the lift for at least 10 years.  Where are the long term follow ups for the bellasoma technique?