This patient suffers both significant grade of breast ptosis or droopiness and at the same time a massive shortfall of volume at the upper pole, additionally the patient sought an important increase in mammary size; the droopiness requires the use of a breast lift or mastopexy, with very unsightly and lifetime scars on the breasts, either vertical also called lollipop or inverted T also called anchor; the lack of volume at the upper and central poles of the breasts is manageable only with anatomical shaped implants, since the round ones fail to fill up the upper pole, a feature for which the anatomical shaped ones were specifically designed plus their naturalness, moreover if like this patient the goal is a quite large breast size.
Base on the former explanations the options seem quite clear for any patient in similar circumstances, a common scenario in middle aged women after pregnancy and breastfeeding; first option is getting only a breast lift, this reshapes the breasts, raises the nipples and areolas and gets rid of the sagginess, however leaves very visible and stigmatizing scars on the breasts and reduce no less than 30% of the breast volume; second option is getting only breast implants, needless to say of anatomical shape otherwise the upper pole would stay empty and in large breast increases the shape would be like a fake balloon, however not getting the breast lift the nipples and areolas stay the same low, no lower either; finally and third option would be getting at the same time and in the same procedure a breast lift with underlying anatomical shaped implants breast augmentation, an combination providing the best and the worst from both previous options.
Experience tells that vast majority of patients with moderate grades of droopiness, like the case shown, opt for breast implants only and do not take the mastopexy to avoid the never desirable scars it entails; nevertheless there is a minority group of patients who are eager to get both breast lift and augmentation, which actually is the orthodox technical option for these cases, two issues found, two issues treated; furthermore, some seldom patients get only breast lift since their only goal is reshaping, they don't seek breast implants, they accept the scars and also find suitable the breast volume loss featuring the mastopexy techniques.
In any of the three previous options the patients are satisfied afterwards as long as they have been realistically informed, they have carried out a serious, realistic and honest introspective reflection about the pros and cons of each technical solution and discuss all their doubts with their Plastic Surgeon until they are fully cleared; it is always the right choice when the information acquisition stage has been accomplished up to its fullest and deepest point.
The patient in this case opted without any doubt for breast implants only without a breast lift, probably the best option for the patients who are reluctant to accept the scars of a mastopexy or are hesitant; it is due to be kept in mind that not doing a breast lift does not preclude its realization afterwards later on, since getting the mastopexy is always at patient's disposal at any future point, however taking the scars of a lift at first instance is always a irreversible decision, since there is no method to delete or even conceal them, thus breast lift procedures should be applied in highly motivated patients, psychologically stable and showing no trace of hesitation about them, or in such cases of extreme grade of mammary droopiness and deformity which can't acceptably work well without a mastopexy.
This case was managed with anatomical shaped implants, featuring macrotextured shell and cohesive gel filler inside, performed via the ideal areolar incision and in the optimal and less aggressive subfascial plane of placement.
PRODUCT PURCHASE | STANDARD QUOTATION | COMBO SPECIAL APPLIED | DISCOUNT % | DISCOUNT € | FINAL QUOTATION |
---|---|---|---|---|---|
Breast implants anatomical 4G | 5.299,80€ | N/A | 0% | 0€ | 5.299,80€ |
TOTAL | 5.299,80€ | 0,00% | 0,00€ | 5.299,80€ |
Due to the competitiveness scenario of the markets most plastic surgery clinics and plastic surgeons feel forced to invest large sums of money into advertising and marketing campaigns; this non medical additional cost is always and necessarily charged on top of the final price paid by patients, leading thus to an overprice of surgeries and treatments. No one patient wishes to bear that financial burden embedded in the surgical costs, furthermore neither surgeons nor clinics are happy to increase their retail prices and penalize their customers with costs not bringing any kind of special medical benefit, safety enhancements or results improvement; the promotion budget aims only to disseminate the public knowledge of a services provider and raise the awareness about its presence to potential customers, but not to make the service or the product a better one.
Seems like this model is a no-way-out labyrinth from which no one can be freed, furthermore it is such a tempting, easy and hassle-free way that actually most patients and plastic surgery providers are locked into it, happily or with resignation, paying a high price due to being non collaborative; however there is an ideal alternative, based on keeping up a good hard work based on a strive for providing quality service and achieving patients' satisfaction, which necessarily requires the decided support of the clients and somehow their involvement in such virtuous business model grounded on top-notch results
When plastic surgery providers and patients do actively engage into a collaborative economy scenario a win-win basis is set for their relationship, since the clinics and surgeons obtain the best promotion ever possible with no budget for marketing investment and the patients get in return rid of any additional and unnecessary costs; such a price reduction does not represent any loss in the quality of the treatment they are receiving, furthermore this saving achieved will actually reward customers with a reinforced confidence and guarantee the service providers will strive to perform the best job possible and obtain results second to none.
It is not a paradox or contradiction; under a collaborative economy umbrella plastic surgery patients enjoy a greater plus of confidence that clinics and surgeons will do their very best and beyond to satisfy their customers, in spite the price is lower than in marketing-based non collaborative models; plastic surgery providers who found their business sustainability on the pillars of exclusively or mainly incremental budget investment in ongoing promotion campaigns do have little incentive in achieving first-class results and the best patient experiences, since their business model is not based on returning patients after word-of-mouth dissemination of their reputation but on the attraction of cold clients with sophisticated advertising methods of higher or lesser moral acceptability, attracting customers as parachutists randomly landing on unknown land, which is a perverse business model frequently leading to an unavoidable degradation of safety and results quality besides an uncontrollable increase in costs and prices; this marketing-based model creates no incentives to keep up the good work and pushes the prices higher on and on due to require increasing promotional investments.
On the other side, which is definitely our side, clinics and surgeons who rely solely or mostly their existence and survival in the competitive plastic surgery market enjoying the widespread of their excellence extended by their own patients results and satisfaction, like a mill driven by the winds of prestige, have the strongest ever incentive to be the best service providers around, sourced from the support of happy clients and their operated cases as proof of their excellent jobs; needless to say such supporters, the patients, have to enjoy a share of this benefit so that the incentive is reciprocal; under this scenario clinics and surgeons strive to provide the best service and accordingly patients release and transfer in a fair exchange the materials and tools required to build a marketing-budget-free and virtuous business model which creates the perfect incentives to build the best sponsorship-free reputation, based on the grounds of medical quality thus allowing prices control within affordability thanks to the minimal cost of its maintenance.
This is the deal; patients give in our favor the release and transfer of the intellectual property, the rights of image, the medical records and the personal data of their cases for scientific dissemination, medical teaching, public communication, commercial promotion, advertising marketing, commercial exploitation and disclosure in general, and they receive in exchange a compensating remuneration of a -20% discount from the standard price list for our treatments, as it is publicly visible by default in all the prices and quotations on our website.
As can be observed our visible prices are highly competitive if compared with other plastic surgery providers, actually the difference is approximately a -20% from the average price of each particular treatment in other clinics and surgeons from similar economical areas and countries of comparable development; this is not due to any quality or safety downgrading but to our collaborative business model; in other words, the budget which theoretically should be invested in marketing and promotion campaigns is discounted from the retail prices and, unlike other plastic surgery providers, is not wasted into pointless advertising to patients which entails no kind of added value for them; such campaigns are replaced with our superb results publicized thanks our patients support by letting us use their cases' Before & After and Intraoperative & Technical images and medical details; this explains that price gap between us and other clinics and surgeons.
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