Breast Augmentation and Reduction (BAR)
This procedure uses a breast implant and a tissue reduction to achieve the goal of a “higher, tighter, and perkier” breast. It is similar, in some ways, to an augmentation/mastopexy, in terms of the scar appearance and the use of an implant; but, it is the most powerful procedure to actually lift the breasts to a new, elevated position on the chest wall. This procedure is one of my areas of surgical expertise (so much, in fact, that I anticipate publishing the procedure description and my clinical experience in a respected journal of Plastic Surgery).
Dr. Caridi's Take
There is no breast lifting procedure that is more powerful than the BAR procedure in elevating breasts that have fallen over time and after kids. Patient satisfaction is very high with this procedure. I recommend that you visit and consider only the most experienced surgeons if you are considering this or a similar procedure. You sell yourself short if you have overblown concerns about the associated scarring.
General anesthesia is recommended for a BAR procedure.
Risks and Benefits:
A BAR procedure is a complex undertaking, only to be performed by experienced surgeons. The complication and revision rate is significantly higher than a breast augmentation, mastopexy, or breast reduction procedure. However, in my hands, the complications have been relatively minor. Proper patient selection is important to obtain successful outcomes. The benefit of a BAR procedure is to experience the most powerful technique to shape and elevate the breast. Patients who choose this procedure typically have low-lying, saggy, and poorly shaped breasts.
This is usually close to the same recovery as a breast augmentation, alone. Two or three days of time off is sufficient for most patients. No major exercise or use of the chest muscles is recommended for about two weeks after the procedure. It takes several weeks for the breasts to “settle” and assume their best shape.