What Is Mastopexy Using the Harmonic Scalpel?

Painless breast augmentation using the Harmonic scalpel by J&J, the Ultrasonic Surgical Scalpel by Medtronic, and Ligasure by Medtronic operates with a mechanism of cutting, coagulation, and sealing. When combined with precision-point dissection, this approach offers several advantages for the surgeon in performing: muscle, fascia, and fibrotic tissue release during implant pocket creation, and excision of fat and glandular tissue in volume-reduction mastopexy.

It provides effective hemostasis, reduces fluid accumulation, limits thermal tissue injury, accelerates the healing process, results in dry incisions, and produces more aesthetic scarring. After breast augmentation or mastopexy, no additional pain medication or antibiotics are required, and the patient is discharged 6 hours after surgery.

The Role of Ultrasonic Scalpels in Surgical Procedures

Ultrasonic scalpels such as the Harmonic scalpel, Ultrasonic Surgical Scalpel, and Ligasure have been introduced into laparoscopic surgery for over a decade. These devices utilize high-frequency mechanical energy to simultaneously cut and seal tissue. With their “cut–coagulate–seal” mechanism, ultrasonic devices have shown significant value in both general surgery, such as breast cancer, liver cancer, thyroid cancer, and colorectal cancer, and in aesthetic surgery in particular. Thanks to their precision, minimal invasiveness, and superior performance compared to traditional electrocautery, ultrasonic scalpels are now widely adopted across various surgical specialties for the following benefits:

Active hemostatic control: Small blood vessels are sealed immediately upon cutting, creating a dry surgical field that enhances visibility and facilitates dissection.

Maximum pain reduction and fewer complications: Lower operating temperatures reduce thermal spread and damage to surrounding tissue, minimizing inflammation and accelerating wound healing.

Less smoke and reduced tissue charring compared to conventional electrocautery.

Faster recovery: Patients require little to no postoperative pain medication and typically have shorter hospital stays.

Aesthetic surgical wounds: Clean, hemostatic incisions with minimal thermal tissue damage help reduce inflammation and shorten the tissue remodeling process, making this technology particularly suitable for procedures involving cosmetically sensitive areas such as the thyroid, breast, and aesthetic surgery.

Safe for endoscopic surgery: Compatible with 4K endoscopic systems, improving accuracy in narrow anatomical spaces.

What Is Painless Breast Augmentation with Harmonic Technology?

Painless breast augmentation using ultrasonic devices such as the Harmonic scalpel, Ultrasonic Surgical Scalpel, or Ligasure is considered a minimally invasive technique, offering distinct advantages over conventional electrocautery. It delivers optimal outcomes such as low heat generation with minimal tissue damage, immediate hemostasis that prevents bleeding and lymphatic leakage into the implant pocket, resulting in no postoperative pain, reduced risk of capsular contracture, and faster healing and recovery. Patients are typically discharged within 6 hours without the need for additional painkillers or antibiotics. The introduction of ultrasonic-assisted breast augmentation has made breast augmentation and mastopexy procedures safer, more aesthetic, and recovery-free, allowing women to return to work sooner.

With the advantages of the ultrasonic surgical scalpel in aesthetic breast augmentation, mastopexy, and abdominoplasty, MSc., MD Ho Cao Vu has applied this technique for over 15 years without the use of electrocautery. He is the exclusive holder of the Harmo-5K technology, which accelerates postoperative wound healing, promotes faster fibrous tissue remodeling, and helps minimize complications. Following surgery, patients do not require postoperative painkillers or antibiotics. This approach achieves the following outcomes:

1. Painless breast augmentation

2. No bleeding

3. No fluid accumulation

4. No capsular contracture

5. No unsightly scarring.

Advantages of Breast Augmentation with the Harmonic Ultrasonic Scalpel

With its “cut–coagulate–seal” mechanism, the Harmonic scalpel is currently the only ultrasonic scalpel system with true sealing capability. It uses ultrasonic waves and an automatic feedback system to generate highly stable heat, which minimizes the risk of burns and tissue damage, prevents fluid accumulation and bleeding, and therefore does not exacerbate the normal inflammatory response after surgery.The device allows for precise dissection, excellent hemostasis, and minimal thermal spread, enabling patient recovery within just 6 hours.

In addition to its application in aesthetic breast augmentation, the Harmonic scalpel, Ultrasonic Surgical Scalpel, and Ligasure also provide benefits such as pain reduction, accelerated healing, and minimized complications in procedures including postpartum abdominoplasty, capsular dissection, ruptured implant removal, implant pocket reconstruction, and pocket expansion. These advantages are demonstrated by patients being discharged just 6 hours after surgery without the need for postoperative antibiotics or pain medication.

To apply ultrasonic scalpels such as Harmonic, Ultrasonic Surgical Scalpel, or Ligasure effectively, surgeons must have specialized training and clinical experience. This includes formal education at medical institutions in countries with advanced surgical standards, such as Japan and the United States, and must reach the required number of cases and a proven success rate to complete the learning curve.

Dr. Ho Cao Vu holds a Master’s degree from the University of Medicine and Pharmacy at Ho Chi Minh City and has over 10 years of experience in aesthetic and reconstructive surgery using the Harmonic scalpel. In 2010, he completed hands-on training at the Department of Plastic Surgery at MD Anderson Cancer Center Hospital, Houston, Texas, USA. Dr. Ho Cao Vu has performed over 3,000 breast augmentation and abdominoplasty procedures using the ultrasonic scalpel.