Why Hasn't the No-vertical-scar Breast Reduction and Lift Technique Gained Wide Acceptance?

Thank you for your question.

I invite you to research the Ultimate Breast Lift/Reduction technique. This technique does not require a vertical incision nor does it require an implant to achieve upper pole fullness. It has been designed to give women projection and lift longevity by securing the breast mound permanently to the muscles below. This means that the skin envelope is not the only structure holding the breasts in place. Breast size is no longer a limiting factor with this technique. The UBL/R technique can be performed on patients with size M cups with no problem. The nipple/areola complex is never separated from the breast so women never loose nipple sensation and they have the ability to breast feed. The problem I've found with the vertical lifts is that the vertical incision weakens the skin envelope right at the point of maximum tension causing 'bottoming-out' or revisionary surgery sooner than expected. Look into it.

Hope this helps.

Kind regards,

Dr. H

Hi there-

It's best to first understand why a breast needs lifting in the first place- pregnancy, breast feeding, the aging process, gravity, and weight loss/gain cycles all contribute to the stretching of the breast skin and tissues that results in a sagging breast appearance.

Because these stretching forces occur in 3 dimensions, any technique that does not address all 3 dimensions in a well-balanced fashion will result in a funny looking breast...

So, as I sometimes ask my patients, if I asked you how you would feel about your surgery is you got the scar (technique) you wanted, but your breasts were funny looking? Probably not very good...

Furthermore, while most patient's scar concerns are greatest for the vertical portion of the scar (hence the desire to avoid the vertical scar), most experienced plastic surgeons would tell you that the vertical limb of the scar is usually the part that heals the best- with the least visibility.

Take a look:

The around the areola breast lift is a nice lift, just weak.  It is best for small cases.  The physics of joining a large circle to a small circle creates a large amount of gathering when large lifts are performed with this technique and the nipple ends up looking bad.

Also, the effect of a purely around the areola lift causes a flattening effect of the breast. 

If the patient has circulation issues (i.e. prior subglandular surgery), the around the areola lift can kill the nipple.

The no-vertical scar breast reduction is just one of many tools available in the breast reduction toolkit.  Unfortunately, it is not for everyone, and the patient must have the appropriate type of breast to undergo the procedure.  When done correctly, the results can be very good.  However, if done on the incorrect patient, the breasts can look boxy and distorted.

The no vertical incision breast reduction can be useful but only in a few percentage of patients who are seeking breast reduction surgery. The majority of patients seeking breast reduction surgery benefit from excision of skin and tissue in the vertical and horizontal dimensions.

Fortunately, the majority of breast reduction patients are pleased with the results of surgery (despite scars).

Best wishes.