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Simultaneous Augmentation Mastopexy (SAM)

October 1st, 2012

Simultaneous Augmentation Mastopexy (SAM)

Simultaneous Augmentation Mastopexy (otherwise known as SAM) is a procedure which requires years of experience of cosmetic breast surgery, an aesthetic eye and the ability to see the outcome before its creation.

SAM traditionally involves lifting the breast with either a Wise pattern or vertical approach, and rarely with round block (Benelli), whilst augmenting the breast in the same operative procedure.

This procedure is usually required in ladies with excess skin due to involutional changes and/or a drop of the nipple position from its ideal position on the chest wall that cannot be corrected with augmentation alone.

There are a few problems with doing SAM in this traditional way. To start with, not many cosmetic breast surgeons will commit to doing this because there is a degree of risk of getting measurements wrong with mal-positioning of the nipples. Secondly, it involves additional scars on the breast, especially with the Wise pattern approach, and lastly (and perhaps most importantly), this approach requires two operations and two hefty private fees.

I agree with the commonly held view that there is a risk of getting measurements wrong in SAM when done in the same operating session with an external approach (i.e. mastopexy with Wise or vertical pattern), and it should be attempted with caution. I think external scarring should be avoided at all costs, as this has the potential of getting worse over the years, which many women find undesirable.

When I see ladies who require Simultaneous Augmentation Mastopexy (SAM) in my private clinic, I assess them from all angles and will offer them SAM with an intrinsic approach, if deemed suitable. This approach is very suitable for women with pseudo-ptosis as well grade two and three true ptosis. It addresses all the disadvantages seen in the traditional SAM approach. It avoids additional external scarring, as it is done through the same incision for augmentation; furthermore, it also negates the risk of having a misplaced nipple and inaccurate measurements. Not to mention, it is done in one operation, which avoids paying twice. I have been practicing this technique for several years and have very happy and satisfied customers.

I recently had an e-mail query regarding Simultaneous Augmentation Mastopexy and this lady abbreviated it as SAM, which is very appropriate and I think very catchy, so I have decided to adapt this abbreviation in my blog. I must thank this clever girl.

Please contact my secretary on 01872 248325 to arrange a consultation.

Filed in Augmentation / Mastopexy, Breast Augmentation, Breast Enlargement, Breast Surgery, Cosmetic and Oncoplastic Breast Surgery, Cosmetic breast surgeon.


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