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Articles

The no scar technique for combination Breast Augmentation and Lift

Ivan Thomas, M.D., F.A.C.S.

Breast enlargement in women, who suffer from sagging breasts, can now be performed without scars. Ideally, the best candidate for breast augmentation surgery is one who has firm and perky breast without any sagging. Therefore, most candidates who fit in this category are young women who have never been pregnant. Such candidates, when augmented, will obtain the best possible results with breast implants.

Pregnancy, breast-feeding, weight loss, and the aging process are the most common causes of the breast volume loss leading to deflation and sagging. Women with sagging breasts often feel a loss of feminine appeal. Many believe that inserting breast implants is all that is needed to improve their problem. Unfortunately, the worst possible candidate for augmentation is one who is suffering from severe breast deflation and sagging. Such a candidate, if augmented with implants, will obtain very poor results. The breasts will look longer and saggier, with implants in the bottom and nipples facing downward. The procedure of choice for such a deformity is mastopexy or breast lift, also known as mastopexy, followed by breast augmentation. As regular mastopexy is a trimming and tailoring type of surgery, patients who undergo conventional mastopexy will have to accept scars of various quality and visibility depending on the skin type.

The patient who will benefit most from my new no scar technique of lifting and augmentation, called internal mastopexy, is one who has moderate sagging and wishes to have her breasts enlarged. This procedure requires no additional incisions because it is done through the same small incision made to insert the breast implants. In this technique, the breast tissue is anchored to a higher level on the chest wall, resulting in uplifting of the breast and the nipples without the need to excise skin and leave scars.

In conclusion, if there is severe sagging, conventional mastopexy is the procedure of choice and if sagging is minimal, simple augmentation is all that is required. However, when sagging is moderate, instead of a conventional mastopexy which may reveal undesirable scars, an internal mastopexy or internal lift can be performed with no additional scars. During your consultation, I will be able to determine the best possible procedure for your condition.


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