Buford's Blog

BREASTOX? The Botox Breast Lift…

November 17th, 2009

Just when you think you’ve heard it all…along comes BREASTOX.  For as little as 1000 pounds, your English physician will attempt to lift your breasts using BOTOX Cosmetic.  Results are touted as effective within two weeks and are reported to last for as long as three months.  And so for those of you who are scalpel-shy, is this the cure for sagging breasts?  Probably not.

The use of BOTOX Cosmetic to lift breasts has been suggested for a number of years but there has never been a good study documenting its ability to actually do so.  If you consider the factors that actually lead to ptosis (or drooping) of breasts, it makes sense that simply weakening muscle pull would provide little to no benefit.  As you age or following pregnancy and/weight gain or loss, ligaments within your breasts can tend to lengthen and lose support.  These Cooper’s ligaments are a chief contributor to loss of perkiness over time and, unfortunately, are completely unaffected by the administration of BOTOX. Even with a conventional breast lift, these ligaments are really not addressed; with surgery, the surrounding skin envelope is simply reshaped and tightened with or without addition of breast volume viz a viz placement of a breast implant.

And so given these changes, it is not conceivable that injection of BOTOX Cosmetic alone would have any significant effect on breast lifting.  And even if it did, would the slight lifting effect warrant the upfront and maintenance costs associated?

I encourage you to submit your comments and questions to drbuford@beautybybuford.com .

I look forward to hearing from you.

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“I completely disagree…”

November 4th, 2009

In a recent article from online American Health and Beauty, the topic was reshaping of your breasts following pregnancy and breast feeding. And in this article, Plastic Surgeon Dr. Drew Ordon commented that “Many women have a good amount of breast tissue and they’re really not looking to go bigger” and that he effectively can perform a breast lift alone to restore optimal breast shape and volume. He goes on to suggest that the breast lift by itself moves the patient’s own breast tissue onto the “upper area of the breast”.

I respectfully disagree.

Most plastic surgeons, such as myself, recognize that a breast lift primarily addresses reshaping of the lower pole of the breast and achieves very little with respect to restoration of fullness to the upper pole. Because of this, a small implant to restore this lost volume is often added when performing a breast lift procedure in order to achieve a more uniform and more optimal reshaping of the breast as a whole. I personally feel that unless a woman has very glandular breasts (which many do not have) or has a cup size larger than a small C, that she will benefit from the addition of a small breast implant beneath the muscle to help restore upper pole fullness in conjunction with a breast lift. Without it, while the nipple position and lower pole may be optimal, the upper pole is left with the tell-tale involutional concavity reminiscent of the post-pregnancy breast.

I look forward to your comments. Please send them to us at lauren@beautybybuford.com

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