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.
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. Dr. Desai’s development reduces the scarring. 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.
Dr. Viral Desai calls his surgery “Auto-Augmentation”. 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 one 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.
Dr. Viral Desai believes that this new procedure will benefit at least 25% of the women he sees annually at his consulting rooms, and perhaps as many as 30% of all women in the India who are contemplating breast surgery.
As with most breast surgery, recovery from Auto-Augmentation necessitates undertaking only light chores in the first week and limited activities for another two weeks, with a return to normal lifestyle after 1-2 weeks.