Tres Aurae Spa - Williamsville

Sometimes the pulling on the tight closure can cause some separation.  This can happen and when it does, your surgeon will probably treat it conservatively as the body closes the wound and the healing occurs.  It is important to follow up with your surgeon to assure that proper management is provided.

When the discussion comes up in our consultation about location of incisions, i explain to the patient that the inframammary (below the breast) incision is the most direct approach to placement.  It allows direct visualization of the entire pocket and is a scar that typically heals well.  This is my go to location for implant insertion.  When an incision is placed in the axilla, generally they heal well, but if the scar is unsightly, it may be see in a bathing suit or sleeveless breast.  Incisions on the breast itself would not be visualized with clothing.

There are several factors that a Plastic Surgeon will use to help decide the best size of the implants, whether with or without a breast lift.  When undergoing a lift, there is always a concern for the tightness that happens when the lift is done and there is placement of an implant too.  This could be one reason to limit the size of the implant.  Another reason could be that the dimensions of the chest would not accommodate a particular size.  Finally overall balance and proportions are important as well.  One option may be to perform the breast lift first, then after healing, say a few months later, Breast implantation can be done.  When done at a later date, the concern about being too tight should not be a problem and the exact size you desire could be better accommodated.

Whenever possible, we try to place the tummy tuck scar low into the bikini line or panty line.  Some patients have limited skin excess and because of this, the skin can be pulled down only so far.  alternatively, in those patients that do not have a large amount of loose skin, a lower transverse scar can be used with a short vertical scar at the midline, or, doing a floating umbilicus to reposition the skin and the belly button as well.  Generally, the preoperative condition of skin excess dictates the ultimate position of the scar, and in the photos, it appears as if there is limited skin excess.