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november 3, 2009I have seen advertisements about new laser breast surgery techniques. Do you perform laser breast lifts or laser breast reductions? For the most part, the heavily advertised laser breast lifts and laser breast reductions are simply marketing techniques. They often carry with them, trademarked names and slick marketing materials. In these surgeries, a laser is used to tighten (actually shave off) some of the skin on the breasts. The laser does not create an internal bra; it just removes some of the skin on the top of the breasts. Sutures are then used to hold the heavy lower breast tissue to the chest muscle (which does not work well long-term). Many women are attracted to these advertisements because they think that these surgeries are less expensive, less invasive, and quicker than the traditional surgical methods. What they are are less effective. In order for the breasts to truly be lifted and to have the best long term results, tissue should be removed from the bottom of the breasts; the tissue on the top of the breasts should be left behind. This will give the breasts the best overall shape. Patients are often concerned about the scars left behind after breast lifts and breast reductions and I certainly understand their concerns. However, in my experience, most patients who are bothered by overly large or sagging breasts, will gladly trade these problems for a few well-hidden scars and many years of nicely shaped and lifted breasts. Rather than choosing a brand of surgery, I, along with many trusted colleagues, encourage patients to choose an American Board of Plastic Surgery (ABPS) surgeon with whom you trust and feel comfortable. Then, have a discussion with that surgeon about the changes that you would like to see in your breasts. He/ she should be able to recommend surgical options that will meet your needs and give you the best long-term results. In plastic surgery, just like in life, if it seems too good to be true, it probably is. Don’t be fooled by gimmicks. Choosing a quicker, less expensive surgery may mean that you’ll be less than happy with the results and will require additional surgery.
-Dr. Houser
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