The Next Generation of Natural Breast Enhancement

1/3 SMR Breast technique, pioneered by renowned plastic surgeon Dr. Sergio Razzano, revolutionizes aesthetic and reconstructive breast surgery. With an innovative, minimally invasive approach, this method delivers natural, long-lasting results while significantly reducing complications. Dr. Razzano's extensive international experience and passion, as founder of Timeless Plastic Surgery, emphasize personalized care, transforming surgery into a journey toward renewed beauty, self-confidence, and overall well-being.

Breast augmentations' aesthetic outcomes are inﬂuenced by 3 factors

Common Breast Implant Approaches:

Pros & Cons

Pre-pectoral Approach

✅ Pros:

Stable implant pocket
Minimal breast animation

❌ Cons:

Higher risk of visibility and palpability
Increased chance of capsular contraction and implant rotation

Dual-plane Approach

✅ Pros:

Common and widely adopted method
Balances implant coverage

❌ Cons:

Visible breast animation ("dynamic breasts")
Possible "waterfall" deformity
Increased post-operative pain
Wider space between breasts

Introducing the 1/3 SMR Breast Technique

1/3 Selective Muscle Recruitment (SMR) Breast is a groundbreaking approach developed to enhance breast augmentation and lift procedures. Designed by Dr. Sergio Razzano, it harmoniously integrates aesthetics, function, and patient well-being, addressing common limitations of traditional techniques.

The Four Dimensions Concept

1/3 SMR Technique uniquely prioritizes the often-overlooked fourth dimension—providing depth and a natural, appealing cleavage.

Width

Height

Projection

Depth

Core Concept
This technique involves selectively utilizing only the upper third of the pectoralis major muscle to cover the upper pole of breast implants. This minimally affects overall muscle function while significantly improving aesthetic results.

Clinical Results & Safety

A prospective clinical study involving over 110 patients demonstrated the technique's effectiveness and safety.

Minimal complications reported:

Temporary muscular contracture (6% cases), treated effectively with Botox and physiotherapy.

Low occurrence of anatomical implant rotation (limited to specific implant types).

Key Benefits

Minimal or no breast animation.
Natural and aesthetically pleasing results.
Improved cleavage and narrower intermammary spacing.
Preservation of two-thirds of the pectoralis muscle.
Significant reduction of post-operative pain.
Superior implant stability and decreased implant rotation risk.

Potential Complications

Temporary muscle contraction (rare and treatable)
Minimal rotation risk (significantly lower compared to traditional methods)
Standard surgical risks (infection, asymmetry), though notably reduced due to less invasive nature.

Anatomical Basis

The pectoralis major (PM) is a multilayered muscle consisting of three muscle laminae converging into a bilaminar tendon.

The sternal head of PM contains 6-7 distinct muscle segments; the third segment (S3) contributes minimally to tendon function. Surgical dissection in this area thus minimally impacts overall muscle function.

Implant Choices

Implant Surface: Why It Matters

the use of microtextured or polyurethane anatomical implants is essential. These surfaces ensure stronger adherence to surrounding tissue, reducing the risk of common complications like rotation, displacement, and capsular contracture. Supported by solid scientific evidence, they offer greater stability, safety, and predictable long-term outcomes, especially in anatomical implant shapes.

Muscle-Sparing Innovation

1/3 SMR Technique uses only the upper third of the pectoralis major muscle, preserving the rest. This reduces surgical trauma and maintains muscle function, while the preserved strip offers a natural internal breast lift and support—enhancing both aesthetics and recovery.

A Smarter, Safer, More Beautiful Solution

The 1/3 SMR Breast Technique is more than just a surgical method—it's a new standard in breast enhancement. Proven across a wide range of patients, it delivers 360° benefits:

Significantly less post-operative pain
Improved cleavage, even in patients with a wide chest
Minimal breast animation, eliminating one of the main flaws of traditional Dual Plane techniques
Exceptional implant stability, reducing the risk of rotation

This technique redefines how breast surgery is approached—preserving muscle, enhancing aesthetics, and respecting your body's natural structure.

Ready for a new kind of beauty?

If you're looking for natural results, greater comfort, and lasting stability, the 1/3 SMR technique may be the perfect fit for you.

Book your consultation today and discover how surgical innovation can redefine confidence.