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Spiral Flap Surgery vs. Breast Implants

New Technique Offers Alternative Treatment for Sagging Breasts After Weight Loss

Results From Spiral Flap Technique continued...

One of the three who had tissue death needed more surgery to correct the problem. One patient did not like the back scar resulting from the tissue transfer, and two disliked the shape of the breast but did not come back for revisions.

The spiral flap technique of improving breasts is more time-consuming, complicated, and expensive than traditional breast implants, Hurwitz says.

The doctor's fees are about $16,000, he says, but include the breast reshaping along with body contouring. Hospital costs for two days are additional.

The average doctor's fee for breast implants is about $4,000, according to the American Society of Plastic Surgeons.

Alternative to Breast Implants: Who's a Candidate?

A typical patient who does well with the spiral flap procedure is a woman who has lost about 100 pounds, Hurwitz says, either by diet and exercise, bariatric surgery, or a combination.

Those who seek the flap surgery for breasts misshapen by aging or pregnancy can't be too thin, he says, because they don't have enough "donor" tissue and fat. Typically, Hurwitz says, women who get the best results have a body mass index (BMI) of 28 or higher. Under 25 is termed a healthy BMI.

"If the BMI is under 26, a woman probably doesn't have enough fatty tissue to do this," Hurwitz tells WebMD.

Deciding who might be a candidate for the spiral flap technique must be done on a case-by-case basis, says Scott Spear, MD, chief of plastic surgery at Georgetown University Hospital in Washington, D.C., who is familiar with the technique.

"If patients have enough tissue [to be transferred], it is a good option," he says. Most patients do like the "two-fer'' advantage, he says, in that they also get some body contouring.

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