Upper-pole fullness from your own tissue
Lower-pole tissue is moved into the subpectoral plane so the upper breast looks fuller — an implant-like effect without an implant.
The Technique
An “implant effect” — without the implant
PureOwn introduces the Zereyak Autoprosthesis™ — upper-pole fullness and a lifted, natural silhouette created entirely from your own tissue. No silicone, no foreign material.
The Dual-Plane Autoprosthesis technique reshapes the breast using your own tissue instead of a silicone implant. Tissue from the lower pole is carefully repositioned into the subpectoral plane, creating upper-pole fullness supported by the muscle. The result feels and looks like your own body — because it is.
Visual explanation
The technique, step by step
A 3D animation of how the lower-pole tissue is repositioned into the subpectoral plane to create upper-pole fullness — without any implant.
3D medical illustration. Individual anatomy and results vary.
How it works
The technique, step by step
01
Assessment
Your breast tissue, degree of ptosis and goals are evaluated to confirm you are a suitable candidate.
02
Tissue repositioning
Excess lower-pole tissue is shaped and moved into the subpectoral plane to create upper-pole fullness.
03
Muscle support
The repositioned tissue is supported by the pectoral muscle for lasting upper-pole fullness.
04
Natural, lifted shape
The breast is reshaped for a lifted, harmonious silhouette — using nothing but your own tissue.
Why PureOwn
Six reasons patients choose their own tissue
Fewer implant-related risks
With no foreign material, complications such as capsular contracture, rupture or implant exchange are avoided altogether.
Longer-lasting support
The muscle-supported autoprosthesis provides durable, long-term support against sagging over time.
A truly natural feel
Because the volume is created entirely from your own tissue, the breast feels more natural to the touch.
Purposeful use of excess tissue
In sagging breasts, tissue that would be reshaped anyway is used to support and lift the upper pole.
Beautiful aesthetic outcomes
For moderate ptosis with sufficient breast tissue, the technique delivers refined, natural-looking results.
The surgeon explains
The technique in short videos
How the idea came about, what makes it different and how the internal support is built — step by step.
Why we developed a new technique
Your own tissue can become your implant
What is the internal implant technique?
What makes this technique different?
Videos are in English.
Clinical evidence
A published, peer-reviewed technique
The Dual-Plane Autoprosthesis Technique was developed and published by Op. Dr. Umut Zereyak in the journal Aesthetic Plastic Surgery (2026), and presented at the ISAPS Olympiad World Congress 2025 in Singapore.
Aesthetic Plastic Surgery · 2026 · ISAPS
47
patients in the published study
36 → 87
BREAST-Q breast satisfaction (before → after)
91.7
BREAST-Q outcome satisfaction score
12 mo
minimum follow-up, upper-pole fullness sustained
- Upper-pole fullness significantly improved at 12 months, confirmed by ultrasound
- No loss of nipple–areola sensation reported
- No implants and no mesh — your own tissue provides the volume
Zereyak U, Aksoy O. Subpectoral Breast Fixation with Dermoglandular Inferior Pedicle: The “Dual Plane Autoprosthesis Technique.” Aesthetic Plastic Surgery, 2026.
Read the publication →From an idea to the literature
A technique shared with the world
The true value of a surgical technique is revealed not only by successful results in the operating room, but by having those results analysed scientifically and shared with colleagues.
Developed in that spirit, the Dual-Plane Autoprosthesis (Zereyak Autoprosthesis™) technique was published in the international peer-reviewed journal Aesthetic Plastic Surgery (APS) once the clinical experience and patient outcomes had been analysed — bringing it into the medical literature.
Thanks to that publication the technique is no longer only a surgical approach practised in our clinic: it is a method that plastic surgeons in different countries can study, evaluate and discuss scientifically.
For us this process mattered as much as developing the technique itself. Lasting contributions in surgery gain their real value only when they are supported by scientific evidence and take their place in the international literature.
It matters greatly to us that the approach we offer our patients rests not only on clinical experience, but on a technique that has been evaluated and published on international scientific platforms.
We believe scientific research and surgical innovation never stand still — and we continue to develop the Dual-Plane Autoprosthesis technique with larger patient series, long-term outcomes and new scientific work.
Photograph coming soon
Is it for you?
An ideal option for the right candidate
The technique gives its best results in patients with moderate-to-severe ptosis and sufficient breast tissue who want a natural lift and upper-pole fullness without implants. A personal consultation is the best way to know if it suits you.
- Moderate-to-severe breast sagging (ptosis)
- Enough natural breast tissue
- A wish to avoid implants
- A preference for a natural feel and result
Questions
Frequently asked questions
Yes. The Zereyak Autoprosthesis™ technique uses only your own breast tissue to create upper-pole fullness — no silicone or foreign material is placed.
Excess tissue from the lower pole is repositioned into the subpectoral plane, creating an “implant-like” fullness supported by the muscle.
The muscle-supported autoprosthesis provides durable, long-term support against sagging over time.
It is a surgical technique in which the patient’s own breast tissue is reshaped during breast lift surgery to create a natural internal support. No silicone implant is used: the existing breast tissue is used to obtain a fuller, more lifted and natural-looking breast shape.
No. No silicone implant is used in the Dual-Plane Autoprosthesis technique. Breast volume and shape are created entirely by rearranging the patient’s own breast tissue.
“Autoprosthesis” means using the patient’s own tissue, reshaped like a natural prosthesis, for support. The aim is to create lasting internal support within the breast without any foreign material.
Ready to explore a natural, implant-free option?
Tell us about your goals. Our team will guide you through whether the Zereyak Autoprosthesis™ is right for you.