Breast Lift with Auto Augmentation

Hey there I’m dr. Amy alderman at North Atlanta plastic surgery I wanna talk to you about a breast lift that I call an auto augmentation not everybody wants an implant when they have a lift and so we have an option to actually use your tissue and rearrange and almost make it like any sort of an implant the nice thing about that is your one and done it’s your own tissue and there’s no maintenance with it when I talk to you a little bit about breast lifts and why do we need it as we age or if we’ve had children sometimes the skin of our brackets I’m stretched out and we become too relaxed our goal is for our nipple to be centered on a breast mound and all of the breast skin to be above the level of our fold here and as our breasts become more relaxed we have different grades of what we call ptosis but it’s just I call it relaxation that sounds better than sagginess but as you can see as this progresses the nipple and the breast assemble below that fold you know and I great so you heard it called the pencil test so definitely if you can hold a pencil or two underneath your breasts we need to be talking about a breast lift breast lifts can be formed in a couple of different ways what I think is more of an old-fashioned technique that I don’t use is called an anchor a really use a technique and that’s where there’s an incision under the fold the way I like to do it is a short scar technique I call it like a lollipop so there’s an incision around the nipple and then one that goes straight down I don’t use really use that cut underneath I like the shape of this better and I love the fact that it’s less scarring what is the auto augmentation Dee well this tissue right down here in the middle I need to do something with it it’s kind of in the way we don’t want that tissue hanging below or fold if I can either remove it or remove it you’re going to have a longer-lasting lift and a better shape for my patients that feel like they’re too big this tissue here I’m going to get rid of it and that allows me to advance that tissue that’s a shoe together so we have a more narrow lifted rounder perkier breast for my patients that we need to maintain every bit of tissue and we need to try to maximize fullness and they don’t want an implant that’s when I do the auto augmentation this bit of tissue here I turn it into a flap I tuck it under and I tack it to the chest wall underneath the nipple and it allows us to get more projection behind that nipple and more fullness above the nipple not as much on this as an implant would give but definitely more fullness than they’d have if I didn’t do it this technique is fairly specific and you need to make sure that you go to somebody that’s trained the the procedure involves fairly delicate work where we need to maintain the blood supply to this flap it’s not a traditional flap and so you need to go to somebody that’s been experienced with this that can do it safely so that we keep the blood supply of the flap and your breast stays healthy I feel really lucky I was able to train by dr. Betsy haul Finlay who’s really one of the founders of this procedure and I’ve learned a lot from her over the years and I love this technique I love the flexibility of allowing you to rejuvenate your price without the use of an implant but again it’s a fairly specific and specialized procedure and you want to make sure you go to somebody that specialized training in it so it’s a great option now if you want a breast lift want to rejuvenate your breasts and you don’t want an implant I’ve got the perfect solution for you thanks