ObjectivesOur anatomical and artistic objectives with this composite method are to achieve a
three-dinentional (proportional heigth, width & projection) new breast using a silicone implant and at the same time creating
adequate tissue coverage of the totality of the foreign body by the thoracic muscle and autotransplanted adipous lipograft and rendering
unobstructed natural animation of the consolidated result (implant+lipograft+gland).
Method
This technique is a
personal new type of approach based on previous knowledge on
two plane
(dual) and
three plane (triple) approaches and on our personal experience on the issue of
breast sculpturing aesthetic plastic surgery. It is also based on the
Greek-Brazilian philosophy, actually mixing and combining all the existing
techniques mentioned in bibliography (
Composite). And it is painless, because
it significantly reduces postoperative tension exercised by the foreign body on
the pectorals muscle making both the immediate and late outcome very
comfortable for the patient (
no pain)
Simultaneously, if desired these beautiful women can actually have their
entire
body sculptured, by allowing us to remove by aspiration all or part of their
locally accumulated fat from deposits like the gluteal, belly, waist, knee or
other otherwise difficult to slim areas. This fatty tissue will subsequently
used to transform their bonny and very thin thorax into a naturally smooth base
for the new breast created by the modern silicone implants specially designed
for them only..
This technique was
designed for women who basically have small but already
beautiful natural breasts and eventually would like to make them more beautiful
and natural, or for beautiful females who have no breast at all. Of course this
personal approach can be used for breast reconstruction with spectacular and
safe results.
A surgical-artistic ideaBasically this gentle surgical approach consists of placing enhanced profile
medical breast
IMPLANTS in a position under BOTH of the two well known
anatomical areas, namely subglandular (under the mammary gland) and submuscular
(under the pectoralis major thoracic muscle) AND
simultaneously injecting
own
ADIPOCYTES and STEM CELLS into the lateral, medial and inferior POLES of the
new breast where there is absolutely no mammary gland whatsoever...These
"selfie" own cells can eventually be PRP enriched if so
desired. This is achieved by extracting
PLATELET RICH PLASMA from the patient's
own
blood.
WHICH ARE THE THREE PLANES ? >1st plane (superior pole) >> In the upper
pole placing a latest technology safe implant in a submuscular position (under
the pectoral muscle). Thus in this area the implant is well covered by the
thoracic muscle avoiding the "stair step" deformity of the upper pole
(eliminating the possibility of a neckline "ball shape" unpleasant deformity)
2nd plane (central pole) >> In the middle pole the good implant occupies
a subglandular position (i.e. below the mammary gland). Thus in this area
the implant is well covered by the existing mammary gland, promoting the
natural projection of the nipple areopla-complex and producing a pleasant sexy
shaped new breast. No problem with lactation and nipple sensation of course !!
Quite the opposite we can
assure our lovely patients. .
3rd plane (inferior, medial and lateral poles) >> Ladies who come
for a breast augmentation usually have insufficient or nonexistent inferior
medial and lateral poles because the breast were very small.
This is a very common situation specially in
slim and skinny females. Just inserting an implant is not enough for correcting this. In
order to improve the natural appearance of the new breast and a more attractive
shape we can simply use fat from other areas of the body and inject it rightaway into the existing small breast.. Local adipose tissue
accumulation is useful for the new formation of the medial, lateral and lower hemispheres of the breast
(inferior pole, low neck cleavage neckline and lateral filling). Scientifically this is performed by reconstructing the vertical medial line (VML) the vertical lateral line (VLL} and the new inframammary fold (IMF) or crease or line (IML) with aspirated fatty tissue. This new reductional silhouette component is supplementary added simultaneously with
the basic incremental breast augmentation surgery, while many times the lucky lady is additionally benefited by having localized fat permanently removed from ''difficult'' areas of the body (such as
the buttocs), thus achieving an
overall bonus harmony of the whole body in a single operation ..
!!
BRAZILIAN LIPOPLASTYThe idea of using aspirated fat from certain areas of the body as a filler for injection into other atrophic areas like the hands, the buttocs or the thorax for treatment of situations like Romberg facial hemiatrophy or Poland thoracic and pectoral hemiatrophy, or simply for a buttoc lift is not new.
We had been using this technique (fatty tissue auto-transplantation) in Brazil as early as in 1988. This is why it has been named as
brazilian lipoplasty or liposculpture. Now,
time has come for using the fat in excess, around the breast in
selected cases of carefully evaluated candidates ready for breast augmentation and reconstruction. The fat may be used alone or in combination with good silicone implants.
GatewaysOf course, the choice of
incision of access lies in the discretion of the
lady herself depending on specific characteristics of the existing breast. They
can opt for a small and discreet incision placed either by the lower border of
the areola or the crease below the breast.
The fat is aspirated and re injected through
secret tinny holes hidden into natural folds and the umbilicus.
NO INJURY- NO PAIN / NON TOUCH - NO PAIN POSTOPERATIVE PERIOD
Years ago, we started advising our patients to travel the same day (by air or
car) to their hometowns since no pain or nausea or vomiting was observed with
our technique and the anesthesia was only local plus sedation (we generally
avoid general narcosis for this particular surgical operation).
Once
upon a time breast construction or reconstruction was associated by
post-surgical pain, inability to move arms and hands, extreme bruising,
swelling and long postoperative downtime periods. Of course not a chance for
exercise, even mild one such as yoga.
Now this whole situation has changed dramatically. Within our 5 years of
experience with this approach our patients have traveled the same or the
following day after breast augmentation. As a routine we encourage our operated
patients to go ahead with their normal lives as early as the third
postoperative day and lightly exercise after one week. Nevertheless, sports are
only recommended after 6 weeks. The Non touch-no pain technique has also been
routinely applied to abdominoplasty (tummy tuck)..
The easiness of our whole
"three pronged strategy" makes it very practical. Nowadays is constantly
applied
in our clinic (except if otherwise desired and requested) but there is
a complex science behind it. You see we always operate on wet tissue. This
eliminates bruising and pain. We perform the wet tumescent technique with a
cocktail of modern formulas used for a perfectly working and long-lasting local
anesthesia for all areas to be touched. This is done under continuous
monitoring and controlling using perfectly serviced and run electronic and
digitally computed ISO & TEMOS
CERTIFIED machinery and
equipment.
Our anesthesiologist is highly skilled and specialized in
modern plastic surgery anesthetics for healthy people who just want a safe,
quick procedure with fast recovery and no complications. This is a guarantee.
He applies a perfect sedation technique leveled accordingly to the needs of the
patient in order to bring her happiness and to eliminate fear throughout the
whole event (and after that). Also there is constant special anti-vomiting and pain-avoidance protection during and
after the operation, while the room's temperature is such (22 C) that the woman does not
feel chilly or cold when the surgery is over and sedation is over.
A couple of
hours later she will be ready to go home carrying her bonus presents with her
for ever. Isn't this great news?.
What is TRIPLANE - TRIPLE PLANE ?? This novelty of our approach comes as a result
of the process known as "non touch-no pain" and also of
complete
coverage of the implant by self tissue... During the act the doctor's hands do
not come into contact with the area of the mammary gland, eliminating
complications and lesions in the breast tissue or the nipple.. Nevertheless due
to the fact that with the biplane double plane method, the pectoral muscle is
released, there is no muscular tension although the muscle can move freely and still
do what it is supposed to be doing, there is no possibility of witnessing the
infamous cramp which caused all the pain during the routine submuscular method
still used by some in the world today witnessed by most of our operated
patients using this technique.
The newest application is fat transplantation from the bottom-full body fat into
certain parts of the breast in order to a a top-full body. Aspirated
and immediately reinjected adipose tissue full of fat cells, stem cells and
plasma platelets will complete the entire coverage of the breast
implant making it invisible and untouchable, thus untraceable for anyone. A
well kept secret for many-many years to come.
We remind you that the TRIPLANE- TRIPLE PLANE
TECHNIQUE is performed under local anesthesia and sedation while the entire
body is artistically sculpted in an ethnically sensitive way.
We therefore consider
that our technique holistically designed and brings harmony to the body as a
whole.
ATTRACTIVE & UNOBTRUCTED ANIMATION
Using this technique we achieve naturality. The new breast will be
well animated ! Not stiff or free floating. With the TRIPLANE technique,
animation of the breast is more natural than with
any other existing technique. The two breasts will behave as if the person was born with them and always
there, following the personal needs of sports, affection, fashion, work and
sleep...
SCIENTIFIC CONSIDERATIONS &
Plastic surgery clinic announcements in Monte Carlo-Monaco.This useful technique has already been
presented into national and international conferences and forums, where we have
been invited to present. Very famous Professors and Authors (like late
dr Y. G.
Iloouz-the French surgeon who first idealized the techniques of lipoaspiration
and fat grafting), have approved our TRIPLE PLANE BREAST AUGMENTATION TECHNIQUE
for its many advantages in relation to all other breast augmentation techniques.
Dr Y. G Illouz also believed according of his personal 35 year experience and
observations, that the transplanted rich tissue from other areas of unpleasant
fat deposits and accumulations definitely PREVENTS cancer of the breast and
capsular contracture in these patients. Dr. Y. G. Illouz officially made this
statement answering our respective question at
the 3rd World Congress of Plastic surgery in Monte Carlo, Monaco, on November 30th and December 1st, 2014. (This congress took place under the honoured Presidency of Brazilian Professor Ivo Pitanguy and in the presence of experienced national and international scientists representatives of the medical profession)..
In this important congress we (dr Lyras) participated as member of the scientific
commitee and
the commitee of the "golden bisturi" awards. We also presented two new
techniques (surgical and nonsurgical rhinoplasty & triple plane
composite technique for breast augmentation and reconstruction). The technique was also previously presented and approved at the 2014 European Congress of the International College of Surgeons.
RESULTSThe technique is practically harmless and very safe and does not
interfere any breast examination or breast feeding and sensation which
continues fully operative.
The results of using this composite method are the most natural that one
can imagine. A happy woman operated using this technique is practically
impossible to be "betrayed " by her new breasts appearance, shape and
intimate behavior while being touched.
These new teardrop shaped soft but at
the same time tight breasts move naturally gently following every movement of
the body . They feel amazing, they look fascinating, they are absolutely
flattering.
CONCLUSION
Unforgettable Olympic world class breasts yours now...
We highly recommend our TRIPLE PLANE (TRIPLANE) COMPOSITE BREAST AUGMENTATION
NEW TECHNIQUE to Greek. Mediterranean and
Latin ladies and their fan clubs !!
The very same night of the operation they
will be at home in the company of their loved ones carrying their new teardrop
firm breast while during next summer....With
THE WONDERFUL NATURAL BREASTS
(SIZE OF THEIR PERSONAL CHOICE) their new outfit is going to look
spectacular dressed in the swimsuit ...everything will be more revealing than
ever !!