Breast Implants: Q&A
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Should I Replace my Saline Implants with Silicone Through Nipples or Under the Breast?
I have saline implants for 7 years, through my nipples, and want to replace them with silicone. But one doctor wants to go under the breast instead of through the nipples. He says it's easier and better that way, and that the silicone won't fit through the nipples Another doctor wants to go through the nipples again. Please advice which way is best. The original way through the nipples or under the breast.
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20 Doctor Answers |
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Zagreb
in Zagreb, 21
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Breast Implants Replacement Through The Nipple
I would suspect you are having your implants replaced because of the feel or rippling. The choice of the incision is purely a personal preference of your surgeon. If the implant is large and your areolar incision is small, the using an incision under the breast might be better. If possible I would try to use your old incision unless you have a history of capsular contracture.
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Implant replacement thru the nipple or beneath the breast
As someone who gets referred a lot of revision breast surgery, I'm going to disagree slightly with my colleagues and suggest that revision thru the periareolar incision with gel devices can be significantly more difficult a procedure, particularly with larger devices. Unless the patient is getting some kind of associated periareolar mastopexy, the precision of the IMF approach (particularly for retropectoral implants) is going to be superior for this and produce less potential...
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Birmingham Plastic Surgeon
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Silicone Breast implant augmentation surgery through nipple or crease
These recommendations are typical of differences in opinion and there is no right or wrong answer. Do you like Coke or Pepsi? Why? Some people believe that going through the nipple potentially adds bacterial contamination and biofilm formation. However it is generally a better scar. IT is a trade-off in any case.
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Re-augmentation
Generally speaking, plastic surgeons always try to make use of pre-existing scars. However, since a silicone implant is being inserted in this case, if your board - certified plastic surgeon feels that the incision would be too small or is worried about stretching the tissue or decreasing sensation to the nipple, then they may advise to put the scar under the breast.
Saint Louis Plastic Surgeon
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Incision for revision breast augmentation
As you are aware, there are multiple ways to do a breast augmentation and every surgeon has there preferred approach. For a revision, it is most aesthetically pleasing to go through the original incision so you do not have two scars on your breast. As long as your original periareolar incision healed well, I would recommend staying with that approach. I hope this helps in your decision.
Kindest regards,
Neil J. Zemmel
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Silicone Incision Point
I would use the Keller Funnel device and with that you can fit the Silicone implants thought the areola incision if desired or through the armpit incision.
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Best Replacement Incision
Hello,
There is no one best access incision for every person, and it should be considered individually. The factors involved to determine which on is best for you are numerous including skin type, breast shape, and your preference among others things. Additionally, some surgeons, including myself, have reservations about certain places for incisions because of concern for bacterial contamination and capsular contracture.
In your situation, you already...
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Incision choice for breast augmentation with silicone.
The decision to use periareolar (around the nipple) incisions for breast augmentation with silicone implants depends on the diameter of the areolas and the size of the implants. Silicone implants require a larger incision in general than saline. This is because the saline implant is placed into the breast, then inflated. I feel that if I can place the implants through the previous scar without making a new incision, that is the better option.
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Replacement of silicone implants through nipples or under the breasts
The decision to replace saline implants with silicone is a common one. The choice of incision is dependent upon many variable. The first should be a question of the pre-existing incision. All attempts should be made not put any additional scars of the body.
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Breast implant replacement incision options
I generally utilize the same incision from the original augmentation when changing implants. The only limiting factor in your case would be if your nipple areola was very small in diameter, then the old periareolar incision may not be large enough to accommodate placement of the silicone prosthesis. Because the saline prosthesis is inflated after placement a smaller incision is made than would be with silicone prosthesis.
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