For the past few days I have researched different bl techniques. My favorite is a technique where an incision is made around the areola, the extra skin is removed, a mesh is placed under/over (unsure where) the breast, and the pt is closed up. This procedure leaves less scaring and the breast lift is aided by the mesh. Why don't more MDs perform this? opinions/feed back please. Do you feel the mesh is safe? Would the mesh eventually cause pain/irritation like it does in hernia repair?
December 9, 2018
Answer: Mastopexies with an Internal Brassiere In my experience, I started performing circumareolar lifts in 1998. At first I tried the Benelli mastopexy and the results were just OK. The marking techniques and the suturing of the areola are still techniques that I use today but the lift was unsatisfactory because it did not adress upper pole hollow, it did not add projection to the breast mound and importantly recurrence was high.I subsequently started using the Goes Mastopexy with and without the internal mesh. Dr. Goes is a brazilian plastic surgeon who lifts the breasts from above. The breast tissue is pulled upwards and is anchored higher on the chest. This part of the procedure gave great upper pole fullness that was natural and durable. The second part of the procedure was designed to add projection and improve the shape by vertically imbricating the lower half of the breast. Although there was an improvement, I found that without the internal mesh, this aspect of the procedure was not as effective as other procedures I have tried. However, when adding the mesh brassiere, I saw a great improvement in the shape. The mesh is more expensive but worth it. I add the cost of the cost of mesh $1500 to the procedure.If you would like more information on Goes mastopexies with an internal brassiere, please read my book "Cosmetic Breast Surgery - a complete guide from A to double D".
Helpful 5 people found this helpful
December 9, 2018
Answer: Mastopexies with an Internal Brassiere In my experience, I started performing circumareolar lifts in 1998. At first I tried the Benelli mastopexy and the results were just OK. The marking techniques and the suturing of the areola are still techniques that I use today but the lift was unsatisfactory because it did not adress upper pole hollow, it did not add projection to the breast mound and importantly recurrence was high.I subsequently started using the Goes Mastopexy with and without the internal mesh. Dr. Goes is a brazilian plastic surgeon who lifts the breasts from above. The breast tissue is pulled upwards and is anchored higher on the chest. This part of the procedure gave great upper pole fullness that was natural and durable. The second part of the procedure was designed to add projection and improve the shape by vertically imbricating the lower half of the breast. Although there was an improvement, I found that without the internal mesh, this aspect of the procedure was not as effective as other procedures I have tried. However, when adding the mesh brassiere, I saw a great improvement in the shape. The mesh is more expensive but worth it. I add the cost of the cost of mesh $1500 to the procedure.If you would like more information on Goes mastopexies with an internal brassiere, please read my book "Cosmetic Breast Surgery - a complete guide from A to double D".
Helpful 5 people found this helpful
February 3, 2021
Answer: Breast Lifts with Mesh Since the use of a synthetic mesh is not an absolute necessity to performed a successful breast lift, the question has to be raised as to what benefits the mesh brings versus what problems can it cause. It is important to remember that it is a foreign-body for a long time before it resorbs. Cost is a major issue with the use of mesh in breast lifts, often adding as much as $4000 to the cost of surgery. There is also a higher risk of infection and potential wound healing problems. Lastly there is the issue of whether it really offers better support and less bottoming out of the breast tissue 1 or 2 years from surgery. I am bullish on the use of mesh in breast lifts in particular since loss of lower pole support is a chronic problem. But it is very understandable why many plastic surgeons have taken a wait and see attitude towards it...since the long-term data in a large number of patients has not yet been forthcoming. Do not confuse an unwillingness to jump on a hot new fad or device as being out of touch...it is a matter of being cautious and looking out for patient's best interests.
Helpful 4 people found this helpful
February 3, 2021
Answer: Breast Lifts with Mesh Since the use of a synthetic mesh is not an absolute necessity to performed a successful breast lift, the question has to be raised as to what benefits the mesh brings versus what problems can it cause. It is important to remember that it is a foreign-body for a long time before it resorbs. Cost is a major issue with the use of mesh in breast lifts, often adding as much as $4000 to the cost of surgery. There is also a higher risk of infection and potential wound healing problems. Lastly there is the issue of whether it really offers better support and less bottoming out of the breast tissue 1 or 2 years from surgery. I am bullish on the use of mesh in breast lifts in particular since loss of lower pole support is a chronic problem. But it is very understandable why many plastic surgeons have taken a wait and see attitude towards it...since the long-term data in a large number of patients has not yet been forthcoming. Do not confuse an unwillingness to jump on a hot new fad or device as being out of touch...it is a matter of being cautious and looking out for patient's best interests.
Helpful 4 people found this helpful
