"Laser bra" breast lift versus traditional type breast lift?

Question

I am wondering if a "Laser bra" technique will look too "done" on a 60 y/o woman who is looking to have a breast lift with implant. Will a "Laser bra" technique lift me so high that I will look too artificial? Also in a traditional breast lift is there any king of foreign material added like a mesh or other to facilitate the breast lift? I am opposed to having foreign materials added to my body which is why I was considering the Laser Bra lift procedure. Please advise and thanks bunches!

Gary M. Horndeski, MD · Answer

The laser bra technique uses a laser to de-epithelize the skin and there is nothing unique about that.  Most physicians use a dermabrader or scalpel and scissors to de-epithelize.  The technique I recommend is The Bellesoma Method.  This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided and nipple sensation is maintained.  At the same time or later, fat transfers can be performed if additional volume is desired.Best Wishes,Gary Horndeski, M.D.

Robert Cohen, MD · Answer

You need a formal evaluation by a licensed plastic surgeon and expert in breast lifts, revisions and augmentations to determine what is best for you and your goals.Breast lift surgery can improve a woman's breast shape by repositioning the breast mound at a higher position on the chest and then centering the nipple and areola on the breast itself. If there is enough breast tissue, I can perform a highly aesthetic mastopexy without the addition of further volume by internally rearranging the breast tissue and removing excess skin. If more volume is needed, especially in the upper portion of the breasts, we will discuss the possibility of fat grafting or silicone gel implant placement. The type of incision required for this surgery (circumareolar, “lollipop” or “anchor”) and the lifespan of the lift depends on each patient’s condition, breast tissue, genetics, weight and hormonal fluctuations, and desired results. 
Augmentation with mastopexy is a challenging surgery that requires significant experience to create a shape that is youthful, natural, and proportionate to the body, while managing the native tissue as well as fat grafts or implants. When performed properly, it can result in a dramatic improvement to a woman’s breast appearance.
I suggest consulting with a board-certified plastic surgeon and expert in Breast Lifts. - Dr. Cohen

James H. Rogers, MD · Answer

The laser bra lift is marketed as a nonsurgical way to correct breast drooping. Unfortunately the procedure has not been shown to achieve significant results. If the breasts have a significant amount of skin laxity present, some type of traditional mastopexy, or lift may be necessary. This can be performed alone, or in conjunction with implants if greater fullness in the top of the breasts. A traditional lift does not require the use of foreign material such as mesh or skin substitutes, however many surgeons wiil use these materials to achieve a more effective and longerlasting result.

Daniel Barrett, MD · Answer

Dear jltk,
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. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Mathew A. Plant, MD, FRCSC · Answer

Without examining you or seeing photos its difficult to give specific advice but "laser breast lift" is not a described breast lift technique that I am aware of and if it doesn't use any mesh or other internal support devices then it is probably not really any different than a typical lift and is just a marketing gimmick. I would caution away from using surgeons that have to resort to marketing gimmicks to bring patients in. The work should speak for itself and great surgeons generally spend more time thinking about their technique rather than fancy names for the procedures. I'd suggest having a few consultations with other local plastic surgeons before deciding on something that sounds so gimmicky. Hope that helps!

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. It would be helpful to view pictures of your breasts. The best advice you can receive is from an in-person consultation. A "laser breast lift" sounds like a marketing gimmick to me and I would strongly recommend staying away from that. Depending on your breast anatomy you may benefit from a breast lift or a breast lift with implants. This decision should be based on a detailed discussion with equal input from both you and your surgeon. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.  FACS

Harvard-trained plastic surgeon

Connie Hiers, MD, FACS · Answer

You did not post photos, but for someone in your 60's, like I am, the laser will not be able to achieve enough lifting and reshaping of the breast as the traditional lift.  Your skin does not hold as tightly as it used to, so you need the regular lift.

Leo McCafferty, MD · Answer

Thank you for your question.  There are certain unique considerations for a breast lift (mastopexy) in a 60 year old woman.  I would be careful being wooed by any one technique.  I suggest you see a board-certified plastic surgeon experienced in breast surgery to go over multiple options.  A mastopexy can be highly gratifying if you are the proper candidate and that can only be determined with a physical examination.

"Laser bra" breast lift versus traditional type breast lift?

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