Three new cosmetic procedures have recently appeared on the market. First, so-called “awake” breast augmentation, which is a heavily marketed procedure, mainly due to the interest of the media. During this procedure, patients undergo breast enlargement while under sedation rather than a general anesthetic. Some patients feel more comfortable knowing what the surgeon is doing, some surgeons feel that they need patient’s cooperation during the surgery. We feel that neither is necessary and both may lead to complications.
Second, a “Botox breast lift,” another-flash-in-the-pan of a Hollywood OR man: Botox is injected into the chest muscle wall with the intention of lifting the breasts. However, what current results show is that the only lasting effect this potentially expensive alternative to a traditional breast lift has is the lasting effect on your wallet.
Finally, some plastic surgeons have begun using the injectable filler known as Sculptra to provide patients with “cleavage rejuvenation.” Side effects of Sculptra may include injection site discomfort, redness, bruising, bleeding, itching, and swelling. Other side effects may include small lumps under the skin that are sometimes noticeable when pressing on the treated area. Larger lumps, some with delayed onset with or without inflammation or skin discoloration, have also been reported. In a key clinical study the numbers of small and larger lumps were low and most resolved without treatment. Sculptra is used as a modern anti-aging treatment, but is also applied to correct the signs of facial fat loss in patients with HIV-associated facial lipoatrophy.