Would I be a candidate for subglandular implants? Also my surgeon said I would need an internal lift from nipple (Photo)

The naked surgeon : breast augmentation the naked truth ibreast implant placement and incisions for breast augmentation



According to studies, more than 90% of women are satisfied with the results of a breast augmentation. This is largely because the procedure often improves a woman’s self-esteem, not to mention quality of life. We aim to custom-tailor your breast augmentation based on your preferences for perkiness, firmness, shape, and size. Our goal is to match the appropriate implant type with the right procedure so that you are completely satisfied.

Breast augmentation will enhance the shape of your breasts as well make them fuller. You may find yourself more comfortable wearing different types of clothing and may enjoy a boost in self-confidence, as is the case with many happy patients.

Usually, you can expect your breast augmentation surgery to have long-lasting effects, unless implant deflation or rupture requires surgical replacement with a new implant. Implants tend to last around 10 years before needing a replacement.

The effects of aging and gravity will eventually alter the shape and size and shape of a woman’s breasts over time. As a result, you may later elect to undergo a breast “lifting” to restore the more youthful shape, size, and firmness.th

Prospective patients should know that the final texture, shape, and appearance are not exactly the same as natural breasts. Many patients in fact prefer firmness and slightly different contours than natural breasts. However, these differences may be more noticeable in some patients than others. The intended result of the procedure is to enhance the size and shape of the breasts to achieve the body image desired by the patient.

The choices of implant placement are subpectoral (under the muscle) or submammary (under the gland, above the muscle); there are reasons to choose both of these. In the United States, subpectoral is most common, especial on the west coast. In Europe and South America most implants are placed over the muscle. Women who want a more defined implant may choose this position. Body builders with heavy pectoralis muscles may do better in this position. Very thin patients who want a more natural softer look may choose to go under the muscle.

There are also choices for incisions

The two primary methods of standa
The two primary methods of standard breast augmentation are periareolar and inframammary. A periareolar technique involves an incision along the outer edge of the areola, where it is inconspicuous in the darker skin and texture of the areola border. An inframammary incision is made in the fold where the base of the breast meets the chest wall.

Transaxillary Breast Augmentation

During a transaxillary breast augmentation, your surgeon will use an armpit incision to minimize scarring. They can then use an endoscope to precisely place the implants without having to make incisions on the breasts. The scars will be well hidden in the natural folds under your arms.

Transumbilical Breast Augmentation

Transumbilical breast augmentation, or TUBA, uses a belly button incision to insert breast implants. This technique can only be done with saline implants. Sometimes referred to as scarless breast augmentation, the benefit of TUBA is that the incision is hidden in the belly button.

Transabdominal Breast Augmentation

If you’re having breast augmentation in combination with a tummy tuck or as part of a mommy makeover, your surgeon may use the abdominoplasty incision to also place your implants, reducing overall scarring. During a tummy tuck, an incision is made along your bikini line, which can also be used to perform transabdominal breast augmentation and avoid any scars near your breasts. Like TUBA, this technique is limited to saline implants.

Natural Fat Transfer: California Breast Lift®

Implants aren’t your only option when it comes to enhancing your breasts. Fat transfer breast augmentation is a more natural alternative to implants. This procedure removes unwanted fat from other areas of your body, like the abdomen, back, or thighs. Next, your surgeon will inject this fat into the breast mound to add subtle volume and improve the shape, symmetry, and overall breast contours. Offered exclusively at Pacific Center for Plastic Surgery, our natural breast lift technique provides the slimming benefits of liposuction combined with beautiful breast enhancement.

Thank you for your pictures and questions. Let me answer them one by one.
1) SG implant - yes, you appear to have enough of your own glandular tissue present that if you wanted, you could proceed with a SG/SF implant placement. Especially if you are using the highest cohesive silicone gel implants which will limit rippling. As to whether that would "look better" I would discuss with your surgeon the differences in detail so you can understand. If you are worried about the implant stretching the skin too much, you could consider placement of dissolvable mesh or soft tissue support at the same time.
2) "Internal lift from nipple" - I am not sure this is a thing? Sounds like a fancy way of convincing you of some magic that is going to happen to the nipple from the inside, which is not a thing. If you do not make any cuts around the nipple at the time of surgery, then the nipple will not move position...period. Now you can do tricks with the implant placement to make it appear like the nipple is in a different place relative to the implant, but the nipple itself is not moving. With your arms down to your side, if your current nipple position is above the fold underneath the breast (which it appears to be in the photos) then you do not need a lift.
Hope this helps!
Dallas Buchanan, MD
VIVIFY plastic surgery
Tampa, FL

Thank you for your question. A large portion of my practice is dedicated to breast revision surgery, and I have been in practice almost 30 years. I have a whole gallery titled "Long-term changes associated with implants placed on top of the muscle". Without exception, almost every patient who has subglandular breast augmentation will end with slide down the chest and/or capsular contracture. Do not ever ever ever place implants on top of the muscle. Trust me.