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What Do You Know About The Semielastic Scarless Serdev Suture Breast Lift?

In our East Bay practice we frequently perform traditional and short scar / vertical scar mastopexy (breast lift). The challenge with this procedure for many patients is the scar and plastic surgeons have been working for decades to find ways to minimize the scar while kee ping the powerful and long-lasting results of traditional lift techniques. Unfortunately, no one has nailed a scar free technique. Suture techniques have been tried in other areas (facelift, buttock lift, etc.) Most of these techniques have been abandoned as reliable alternatives to traditional surgical techniques. I would doubt that a suture technique would produce a long-lasting change. In addition, the concept of suture techniques in breast lifts makes even LESS sense than these same techniques in facelifts because with many breast lift candidates you really have an excess of skin that won't change.

Clinical Context

Suture-based lifts like the Serdev technique aim to reposition breast tissue without removing skin, using internal stitches instead of incisions. Because they don't remove excess skin, results can be limited in patients with significant sagging or stretched skin, and how long the lift holds up over years is not well established. Traditional mastopexy involves surgically removing excess skin and repositioning tissue, which is why it remains the standard for durable results.

Answered by Dr. Steven Williams, President Emeritus of ASPS

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