I have been researching breast lifts as I am scheduled for one in March. A typical lollipop style with scaring. I just saw a doc online that does scarless (only around nipple) and his results look great. I cannot find a PS that does this near me though. My question is why aren't all PS using this technique? Is it just that its harder to learn? Or is it that there are risks or complications I am not aware of? Why do the one with major scaring if you don't have to?
Answer: The technique used to perform a breast lift should be determined by the amount of repositioning required. The technique used to perform a breast lift should be determined by the amount of repositioning required. Yes there are some techniques that utilize fewer or less scars, but in so doing sacrifice something else -- usually the shape of the breast.I do not like placing scars on a woman's breast unless it is absolutely necessary to achieve the optimum shape. Use caution as you select your plastic surgeon. It is very difficult to repair a bad breast lift, or augmentation. Use caution when looking at results as well; it is nice to see what the breasts look like 6-12 weeks after surgery, but what do they look like 2-3 years after surgery. I have seen some of the worst results imaginable from a particular physician who only uses the scar around the areola regardless of how much they need to be lifted. The patients are typically happy with the results for a year or two, but later as the areola begins to spread out they often become mortified at the appearance. I have seen areolas as large as a salad plate on women after "forcing" the lift with only the scar around the areola.
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Answer: The technique used to perform a breast lift should be determined by the amount of repositioning required. The technique used to perform a breast lift should be determined by the amount of repositioning required. Yes there are some techniques that utilize fewer or less scars, but in so doing sacrifice something else -- usually the shape of the breast.I do not like placing scars on a woman's breast unless it is absolutely necessary to achieve the optimum shape. Use caution as you select your plastic surgeon. It is very difficult to repair a bad breast lift, or augmentation. Use caution when looking at results as well; it is nice to see what the breasts look like 6-12 weeks after surgery, but what do they look like 2-3 years after surgery. I have seen some of the worst results imaginable from a particular physician who only uses the scar around the areola regardless of how much they need to be lifted. The patients are typically happy with the results for a year or two, but later as the areola begins to spread out they often become mortified at the appearance. I have seen areolas as large as a salad plate on women after "forcing" the lift with only the scar around the areola.
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January 2, 2025
Answer: Why aren't all plastic surgeons using the Goes mastopexy with internal brassiere for breast lift? The Goes mastopexy is based on removal of excess skin around the areola, and leaves a scar around that structure. This operation is easy to sell to patients, who can be persuaded that they will get a nice lift with a barely visible scar. In fact these so-called circumareolar lifts provide poor lift, flatten the breast, and, most importantly, very often leave stretched-out, deformed areolas. The operation has very high revision rates to deal with these areolar deformities. Also known as a donut mastopexy, a clever patient of mine once observed that it should be called the DO NOT mastopexy. In general, when an operation is not done by many surgeons, it is because the procedure is new and untested, or has been around long enough for most of us to know to avoid it. All the best.
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January 2, 2025
Answer: Why aren't all plastic surgeons using the Goes mastopexy with internal brassiere for breast lift? The Goes mastopexy is based on removal of excess skin around the areola, and leaves a scar around that structure. This operation is easy to sell to patients, who can be persuaded that they will get a nice lift with a barely visible scar. In fact these so-called circumareolar lifts provide poor lift, flatten the breast, and, most importantly, very often leave stretched-out, deformed areolas. The operation has very high revision rates to deal with these areolar deformities. Also known as a donut mastopexy, a clever patient of mine once observed that it should be called the DO NOT mastopexy. In general, when an operation is not done by many surgeons, it is because the procedure is new and untested, or has been around long enough for most of us to know to avoid it. All the best.
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February 21, 2018
Answer: The Bellesoma Method Thank you for your question, The Bellesoma Method is a current technique to lift and/or reduce breasts without using implants or the ugly vertical scars. The incisions are hidden around the areola and in the inframammary crease. The vertical incision has been completely eliminated. The areola incision heals almost invisibly due to the fact that there is hardly any tension on the closure. With this particular technique, ducts are preserved along with nerve supply maintaining nipple sensation and the ability to breast feed. Because the breast is reshaped internally and is secured to your chest muscles, upper pole fullness is possible without an implant. Attached is a patient who underwent The Bellesoma Method. Please note that her tissue was used to create upper pole fullness and cleavage without any foreign materials (mesh, implants, etc). It is a proprietary technique that only surgeons that have been trained by me can perform. I hope this helps. Best wishes and kind regards, Dr. Gary Horndeski
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February 21, 2018
Answer: The Bellesoma Method Thank you for your question, The Bellesoma Method is a current technique to lift and/or reduce breasts without using implants or the ugly vertical scars. The incisions are hidden around the areola and in the inframammary crease. The vertical incision has been completely eliminated. The areola incision heals almost invisibly due to the fact that there is hardly any tension on the closure. With this particular technique, ducts are preserved along with nerve supply maintaining nipple sensation and the ability to breast feed. Because the breast is reshaped internally and is secured to your chest muscles, upper pole fullness is possible without an implant. Attached is a patient who underwent The Bellesoma Method. Please note that her tissue was used to create upper pole fullness and cleavage without any foreign materials (mesh, implants, etc). It is a proprietary technique that only surgeons that have been trained by me can perform. I hope this helps. Best wishes and kind regards, Dr. Gary Horndeski
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January 12, 2018
Answer: Periareolar mastopexy and why you should avoid it Periareolar techniques are nothing new. They came and go with different names all the time. They are variations of the Bennelli technique and they always expand stretch and develop unsightly scarring with time. A lollipop type lift gives the surgeon the opportunity to allow structural support of the new nipple areolar complex that prevents the expansion and can yield very stable results. techniques that attempt lifting with only a periareolar technique simple do not look good long term. lots of surgeons have tried to reinforce this with different kinds of meshes with additional complexity and complications. I recommend staying away from additional foreign bodies and periareolar techniques! I hope this helps!All the best,Rian A. Maercks M.D.
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January 12, 2018
Answer: Periareolar mastopexy and why you should avoid it Periareolar techniques are nothing new. They came and go with different names all the time. They are variations of the Bennelli technique and they always expand stretch and develop unsightly scarring with time. A lollipop type lift gives the surgeon the opportunity to allow structural support of the new nipple areolar complex that prevents the expansion and can yield very stable results. techniques that attempt lifting with only a periareolar technique simple do not look good long term. lots of surgeons have tried to reinforce this with different kinds of meshes with additional complexity and complications. I recommend staying away from additional foreign bodies and periareolar techniques! I hope this helps!All the best,Rian A. Maercks M.D.
Helpful
January 12, 2018
Answer: Breast lift Dear Jennifer6645,My preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. Daniel Barrett, MD, MHA, MS Certified, American Board of Plastic Surgery Member, Am. Society of Plastic Surgery
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January 12, 2018
Answer: Breast lift Dear Jennifer6645,My preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. Daniel Barrett, MD, MHA, MS Certified, American Board of Plastic Surgery Member, Am. Society of Plastic Surgery
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