Women whose breasts have drooped – after breast-feeding, weight loss or through the normal ageing process – usually need a breast lift to eliminate excess skin, plus an implant to provide volume.

However, when there is sufficient tissue, Dr. Viral Desai combines the internationally-renowned procedures of Botti and Graf with some of his own techniques, to create a natural augmentation.


He uses the concept of keeping the lower part of the breast as an “auto implant” and combines a lollipop closure with a natural-looking “purse-string” gathering of the skin around the areola.


To provide fullness where it is needed – above the nipple – he moves the gland from the lower part of the breast to the upper area. The gland is kept attached at its lower end to preserve the blood supply. Once the skin is tightened, the finished contours look exactly like a breast with an implant. Auto augmentation can also be done by using the patient’s own fat from thighs, buttocks, arms, stomach, etc. – an additional benefit in this case is that fat is removed from also the other area. In this case, no foreign body is implanted and the fat if, it survives well, will last for 6-8 years.

Botti’s technique uses the lower part of the breast as an “auto implant”, combining it with a tightening of the skin that results in a scar around the areola and a vertical scar in a lollipop configuration. Graf’s procedure is similar, but involves an s-shaped scar with the lower part of the “s” in the outer half of the crease beneath the breast.


Write to us

Book an Appointment
close slider