Dr. Elizabeth Hall-Findlay, the talented plastic surgeon from Canada and author of a textbook on surgery of the breast, did her own experiment on this problem. She tried virtually every sensible method during breast lift surgery to try to solve the mystery of how to get persistent upper pole fullness without an implant. She presented her results at a recent plastic surgery conference. She found that, although the results looked promising initially, by 6-12 months after surgery, the shape of the breast returned to what it was pre-operatively, and that the fullness was lost. Nothing really worked; all of the methods she tried failed to give lasting upper pole fullness.
This month, in PRS, comes a new study reviewing 82 major previous publications in breast lift surgery. Careful photometric analysis was done of the techniques. Once again, it’s a disappoinitment. With the possible exception of fat-grafting to the breast, the author found that upper pole fullness “was not increased by any of the mastopexy / reduction techniques, or by the use of fascial sutures or autoaugmentation techniques”.
In other words, all the methods touted for upper pole fullness failed to work. So put internal lifting sutures, auto-augmentation, and the “internal bra” on the scrap-heap of discredited methods.
What does this mean for patients? Simple: if you want the “implant look”, you have to have an implant. Fat grafting might be an option, too – but we’re still waiting for the studies on that one.